Interventions to improve the quality of cataract services: protocol for a global scoping review
Introduction Cataract is the leading cause of blindness globally and a major cause of vision impairment. Cataract surgery is an efficacious intervention that usually restores vision. Although it is one of the most commonly conducted surgical interventions worldwide, good quality services (from being...
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| Format: | Article |
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BMJ Publishing Group
2020-08-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/8/e036413.full |
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| author | Nathan Congdon João M Furtado Matthew J Burton Jacqueline Ramke Stephen Gichuhi Helen Burn Iris Gordon William H Dean John Buchan Ada Aghaji Miho Yoshizaki Ana P Marques |
| author_facet | Nathan Congdon João M Furtado Matthew J Burton Jacqueline Ramke Stephen Gichuhi Helen Burn Iris Gordon William H Dean John Buchan Ada Aghaji Miho Yoshizaki Ana P Marques |
| author_sort | Nathan Congdon |
| collection | DOAJ |
| description | Introduction Cataract is the leading cause of blindness globally and a major cause of vision impairment. Cataract surgery is an efficacious intervention that usually restores vision. Although it is one of the most commonly conducted surgical interventions worldwide, good quality services (from being detected with operable cataract to undergoing surgery and receiving postoperative care) are not universally accessible. Poor quality understandably reduces the willingness of people with operable cataract to undergo surgery. Therefore, it is critical to improve the quality of care to subsequently reduce vision loss from cataract. This scoping review aims to summarise the nature and extent of the published literature on interventions to improve the quality of services for primary age-related cataract globally.Methods and analysis We will search MEDLINE, Embase and Global Health for peer-reviewed manuscripts published since 1990, with no language, geographic or study design restrictions. To define quality, we have used the elements adopted by the WHO—effectiveness, safety, people-centredness, timeliness, equity, integration and efficiency—to which we have added the element of planetary health. We will exclude studies focused on the technical aspects of the surgical procedure and studies that only involve children (<18 years). Two reviewers will screen all titles/abstracts independently, followed by a full-text review of potentially relevant articles. For included articles, data regarding publication characteristics, study details and quality-related outcomes will be extracted by two reviewers independently. Results will be synthesised narratively and presented visually using a spider chart.Ethics and dissemination Ethical approval was not sought, as our review will only include published and publicly accessible information. We will publish our findings in an open-access peer-reviewed journal and develop an accessible summary of the results for website posting. A summary of the results will be included in the ongoing Lancet Global Health Commission on Global Eye Health.Registration details Open Science Framework (https://osf.io/8gktz). |
| format | Article |
| id | doaj-art-b0c86ad0d2fe4fc7a8c837d881c04320 |
| institution | DOAJ |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-08-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-b0c86ad0d2fe4fc7a8c837d881c043202025-08-20T02:50:41ZengBMJ Publishing GroupBMJ Open2044-60552020-08-0110810.1136/bmjopen-2019-036413Interventions to improve the quality of cataract services: protocol for a global scoping reviewNathan Congdon0João M Furtado1Matthew J Burton2Jacqueline Ramke3Stephen Gichuhi4Helen Burn5Iris Gordon6William H Dean7John Buchan8Ada Aghaji9Miho Yoshizaki10Ana P Marques11State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science, Guangdong Provincial Clinical Research Center for Ocular Diseases, Guangzhou, Guangdong, ChinaDivision of Ophthalmology, Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Ribeirao Preto, São Paulo, BrazilInternational Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, UKInternational Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, UKDepartment of Ophthalmology, University of Nairobi, Nairobi, KenyaInternational Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, UKLondon School of Hygiene and Tropical Medicine, International Centre for Eye Health, London, UKInternational Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, UKInternational Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, UK1 International Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, United KingdomInternational Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, UKInternational Centre for Eye Health, London School of Hygiene and Tropical Medicine, London, UKIntroduction Cataract is the leading cause of blindness globally and a major cause of vision impairment. Cataract surgery is an efficacious intervention that usually restores vision. Although it is one of the most commonly conducted surgical interventions worldwide, good quality services (from being detected with operable cataract to undergoing surgery and receiving postoperative care) are not universally accessible. Poor quality understandably reduces the willingness of people with operable cataract to undergo surgery. Therefore, it is critical to improve the quality of care to subsequently reduce vision loss from cataract. This scoping review aims to summarise the nature and extent of the published literature on interventions to improve the quality of services for primary age-related cataract globally.Methods and analysis We will search MEDLINE, Embase and Global Health for peer-reviewed manuscripts published since 1990, with no language, geographic or study design restrictions. To define quality, we have used the elements adopted by the WHO—effectiveness, safety, people-centredness, timeliness, equity, integration and efficiency—to which we have added the element of planetary health. We will exclude studies focused on the technical aspects of the surgical procedure and studies that only involve children (<18 years). Two reviewers will screen all titles/abstracts independently, followed by a full-text review of potentially relevant articles. For included articles, data regarding publication characteristics, study details and quality-related outcomes will be extracted by two reviewers independently. Results will be synthesised narratively and presented visually using a spider chart.Ethics and dissemination Ethical approval was not sought, as our review will only include published and publicly accessible information. We will publish our findings in an open-access peer-reviewed journal and develop an accessible summary of the results for website posting. A summary of the results will be included in the ongoing Lancet Global Health Commission on Global Eye Health.Registration details Open Science Framework (https://osf.io/8gktz).https://bmjopen.bmj.com/content/10/8/e036413.full |
| spellingShingle | Nathan Congdon João M Furtado Matthew J Burton Jacqueline Ramke Stephen Gichuhi Helen Burn Iris Gordon William H Dean John Buchan Ada Aghaji Miho Yoshizaki Ana P Marques Interventions to improve the quality of cataract services: protocol for a global scoping review BMJ Open |
| title | Interventions to improve the quality of cataract services: protocol for a global scoping review |
| title_full | Interventions to improve the quality of cataract services: protocol for a global scoping review |
| title_fullStr | Interventions to improve the quality of cataract services: protocol for a global scoping review |
| title_full_unstemmed | Interventions to improve the quality of cataract services: protocol for a global scoping review |
| title_short | Interventions to improve the quality of cataract services: protocol for a global scoping review |
| title_sort | interventions to improve the quality of cataract services protocol for a global scoping review |
| url | https://bmjopen.bmj.com/content/10/8/e036413.full |
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