Impact of the COVID-19 pandemic on glaucoma surgery in German hospitals.

IF 2.4 3区医学 Q2 OPHTHALMOLOGY

Graefe’s Archive for Clinical and Experimental Ophthalmology Pub Date : 2025-03-07 DOI:10.1007/s00417-025-06787-9

Philip Keye, Charlotte Evers, Timothy Gläser, Philip Braun, Patrick Thelen, Daniel Böhringer, Stefan Johann Lang, Thomas Reinhard, Jan Lübke

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引用次数: 0

Abstract

Purpose: To assess the quantitative changes in surgical glaucoma care in German hospitals between 2019 and 2022 with special focus on the impact of the COVID-19 pandemic on overall volume and trends within glaucoma surgery.

Methods: The quality reports of The Federal Joint Committee (G-BA), containing information on the quantity of surgical glaucoma procedures of 296 German hospitals were obtained in machine-readable form for the years 2019, 2020, 2021 and 2022. We analyzed the annual numbers and proportions of different glaucoma surgery types as categorized by German OPS codes, with special focus on 2020, the first year of the COVID-19 pandemic in Germany.

Results: The total number of surgical glaucoma procedures in German hospitals in 2020 decreased by 8.5% compared to 2019 and recovered to pre-pandemic levels in 2021. Within filtration surgery, the number of classic trabeculectomy steadily declined while bleb-forming filtration devices were used more frequently. In all four years, cyclodestructive procedures were the most frequently performed interventions overall.

Conclusion: The impact of the COVID-19 pandemic on overall surgical volume, especially in 2020, was substantial but overall moderate and transient. The trend towards minimally invasive procedures and bleb-forming filtration devices accelerated after 2020, resulting in a pronounced decline of classic filtration surgery, such as trabeculectomy.

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新冠肺炎疫情对德国医院青光眼手术的影响

目的：评估2019年至2022年德国医院青光眼手术护理的定量变化，特别关注2019冠状病毒病大流行对青光眼手术总量和趋势的影响。方法：以机器可读形式获取联邦联合委员会（G-BA）的质量报告，其中包含德国296家医院2019年、2020年、2021年和2022年青光眼手术数量的信息。我们分析了按德国OPS代码分类的不同青光眼手术类型的年度数量和比例，并特别关注2020年，即德国新冠肺炎大流行的第一年。结果：与2019年相比，2020年德国医院青光眼手术总数下降了8.5%，并在2021年恢复到大流行前的水平。在滤过手术中，经典小梁切除术的数量稳步下降，而形成泡的滤过装置的使用频率更高。在所有四年中，环破坏手术是最常见的干预措施。结论：2019冠状病毒病大流行对总手术量的影响是实质性的，特别是在2020年，但总体上是温和的和短暂的。2020年后，微创手术和气泡形成滤过装置的趋势加速，导致传统滤过手术（如小梁切除术）的明显下降。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Graefe’s Archive for Clinical and Experimental Ophthalmology 医学-眼科学

CiteScore

5.40

自引率

7.40%

发文量

398

审稿时长

3 months

期刊介绍： Graefe''s Archive for Clinical and Experimental Ophthalmology is a distinguished international journal that presents original clinical reports and clini-cally relevant experimental studies. Founded in 1854 by Albrecht von Graefe to serve as a source of useful clinical information and a stimulus for discussion, the journal has published articles by leading ophthalmologists and vision research scientists for more than a century. With peer review by an international Editorial Board and prompt English-language publication, Graefe''s Archive provides rapid dissemination of clinical and clinically related experimental information.