ABSTRACT NUMBER - 24

TREND ANALYSIS OF COMMON OPHTHALMOLOGY PROCEDURES OVER THE LAST DECADE


Sarah Chaudhry

Meeting:  2018 RANZCO


SESSION INFORMATION

Date:      -

Session Title: POSTER ABSTRACT- EPIDEMIOLOGY/PUBLIC HEALTH

Session Time:      -

Purpose: Common procedures performed in oph- thalmology include cataract surgery, vitrectomies, glaucoma surgeries, and intravitreal injections (IVI). This paper aimed to assess the utilization of these procedure’s in Australia as well as acknowledge the demographics they are being used for.
Methods: Item numbers 42702, 42719, 42725-46,
42749, 42744 and 42740 from the Medicare Benefits Schedule (privately billed data) were assessed. Analysis from 2007-2017 assessed the overall trend in ophthalmic surgeries across Australia, and the demographics of patients requiring the services. Results: Since 2007 there has been a 4.1% average annual growth rate in cataract surgeries, 5.5% in vit- rectomies, 4% in glaucoma surgeries with a 11.6% in needle revision for bleb surgeries specifically, and a 10.5% average annual reduction in rates of IVI. The most procedures were performed in NSW, with WA overtaking them in the rates of needle revisions for bleb surgery. Interestingly since 2012 there has been a drop (70%) in IVI performed throughout Australia coinciding with the introduc- tion of IVI’s onto the PBS system. The median age of patients receiving these procedures is 75-84, with the exception being vitrectomies and glaucoma sur- gery (age 65-74). Equal numbers of males and females have undergone treatments.
Conclusion: The demand for ophthalmic procedures is steadily increasing in account with population changes, and greater medical awareness. With increasing demand, there is an opportunity to evolve the technologies and techniques provided in Australia. It will be interesting to follow the trends seen in intravitreal injection use given the large shift into the public system.

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