joão m. furtado, van c. lansingh, maría e. nano, marissa carter vision 2020 latin america
TRANSCRIPT
Cataract Surgical Rates in Latin America 2005-2011
João M. Furtado, Van C. Lansingh, María E. Nano, Marissa CarterVISION 2020 Latin America
PurposeTo describe the Cataract Surgical Rate (CSR) in 19 Latin
American countries from 2005 to 2011
Data obtained from National Societies of Ophthalmology, VISION 2020 Committees and Ministries of Health representatives
Latin AmericaPop: 563 million(* excluding the Caribbean; Source: United Nations)
Cataract is the main cause of blindness in the region (41-74%)
Furtado et al Surv Ophthalmol 2012
0
5
10
15
20
25
30
35
40
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Honduras
Mexico
ParaguayPeru
Uruguay
Venezuela
Perc
en
tag
e o
f P
op
ula
tion
≥
50
Years
Source: United Nations
Population ≥ 50 Years (2011)
Cataract Surgical Rate (CSR)Annual number of cataract operations performed per
million population
Lansingh et al Ophthalmic Epidemiol 2010
Country 2005 2006 2007 2008 2009 2010 2011Argentina 1769 2100 2089 2350 2650 2622 5515Bolivia 563 602 667 800 900 930 930Brazil 2448 2352 2212 2200 2400 2700 2904Chile 1751 1930 2132 2820 3200 3450 3950Colombia 1189 1350 1278 1350 1510 1590 1752Costa Rica 1400 2049 2144 2800 2950 3000 3200Cuba 1600 2219 3125 2324 2037 2428 2708Dominican Republic 710 682 779 900 1000 1247 1432
Ecuador 801 831 856 1050 1350 1490 1737El Salvador 1104 1151 1411 1050 1100 1150 1150
Guatemala 810 900 875 900 920 990 800Honduras 940 558 631 750 700 800 878Mexico 958 1200 1138 1300 1450 1550 1720Nicaragua 460 822 999 1300 1430 1610 1790Panama - 1180 1159 1197 1321 1693 1882Paraguay 800 895 957 1000 1100 1311 1351Peru 761 863 880 1429 1572 1400 1599Uruguay - 2000 1898 3933 4150 4419 4699Venezuela 960 1646 1754 2750 2950 3483 3650
CSR in Latin America
2005 2006 2007 2008 2009 2010 20110
1000
2000
3000
4000
5000
ArgentinaBrazilChile CubaGuatemalaMexicoParaguayPeruVenezuela
Year
CS
R
CSR in Latin America
2005 2006 2007 2008 2009 2010 20110
500
1000
1500
2000
2500
3000
Year
CS
R
1424
2513
CSR in Latin America
2005 2006 2007 2008 2009 2010 201110
30
50
70
90
110
130
150
ArgentinaBrazilChile CubaGuatemalaMexicoParaguayPeruVenezuela
Year
Nu
mb
er
of
Op
hth
alm
olo
gis
ts (
Pe
r M
il-li
on
Po
pu
lati
on
)Number of ophthalmologists
(per million population)
2005 2006 2007 2008 2009 2010 201125
27
29
31
33
35
37
39
41
43
45
Year
Nu
mb
er
of
Ca
tara
ct
Su
rge
rie
s
pe
r o
ph
tha
lmo
log
ist
30.4
41.6
Cataract Surgeries per ophthalmologist in Latin America
Why CSR is increasing in LA?Due to V2020 advocacy, more governments are
incorporating cataract surgery as a priority, providing surgeries free of charge
Strong partnership between ONGs and local foundations
PAHO 5-year plan influenced policy change in many countries
LimitationsLack of reliable data in some cases (especially private
sector)/Complete data is not available for all countries
CSR includes all cataract surgeries performed, so an improvement in CSR does not necessarily mean more blind people are receiving surgery
Discrepancies between different regions/districts of the same country are not shown by this method
Remaining challengesImprove data collection about number of surgeries performed
and outcome (also disaggregate by gender, level of VA)
Improve access to cataract surgery not only in countries with a low CSR, but also in rural areas from countries with a higher CSR
Ageing of the population will demand more cataract surgery in the near future
There’s no such an ‘target CSR’ that is good for every country
ConclusionCSR increased in 17 of 19 Latin American countries from
2005 to 2011, but cataract is still the main cause of blindness in the region
Indicator should help us to improve training and influence policy
CSR is a proxy indicator; we need to conduct population studies every 5 years to access quality of services and obtain CSC to determine if we are doing surgery in those with blindness/visual impairment
Acknowledgements