The rate of outpatient cataract surgery in ten European countries: An analysis using data from the SHARE survey

  • S. M. Mojon-Azzi
  • D. S. MojonEmail author
Short Communication



The aim of this study was to determine the rates of outpatient cataract surgery (ROCS) in ten European countries and to find country-specific health indicators explaining the differences.


Using data from the Survey of Health, Ageing and Retirement in Europe (SHARE), 251 eligible respondents were identified for which cataract surgery was the last surgical procedure. The ROCS of ten countries were compared using logistic regression. The influence of the public expenditure on health as per cent of the total expenditure on health, of the number of acute care beds per 1,000 population, and of the number of practicing physicians per 1,000 population, was studied by multiple logistic regression. Additional information was obtained from country-specific opinion leaders in the field of cataract surgery.


The ROCS differed significantly between the ten analysed European countries where Denmark had the highest (100%) and Austria the lowest (0%) rate of day care surgery. A decrease in the density of acute care beds (p < 0.0000001) and in the density of practicing physicians (p < 0.05) and an increase in the public expenditure on health as per cent of the total health expenditure (p < 0.01) lead to an increase in the ROCS. According to the opinion leaders, regulations and financial incentives also have a strong influence on the ROCS.


The outpatient rate of cataract surgery in the ten European countries was mainly influenced by the acute-care beds density, but also by the density of practicing physicians, and by the public expenditure on health.


SHARE Inpatient Outpatient Cataract surgery Europe 


  1. 1.
    Castells X, Alonso J, Castilla M, Ribo C, Cots F, Anto JM (2001) Outcomes and costs of outpatient and inpatient cataract surgery: a randomised clinical trial. J Clin Epidemiol 54:23–29PubMedCrossRefGoogle Scholar
  2. 2.
    Haapala TT, Nelimarkka L, Saari JM, Ahola V, Saari KM (2005) Endophthalmitis following cataract surgery in southwest Finland from 1987 to 2000. Graefe Arch Clin Exp Ophthalmol 243:1010–1017CrossRefGoogle Scholar
  3. 3.
    Fedorowicz Z, Lawrence D, Gutierrez P (2005) Day care versus in-patient surgery for age-related cataract. Cochrane Database Syst Rev CD004242Google Scholar
  4. 4.
    Hamed WW, Fedorowicz Z (2004) Day care versus in-patient surgery for age-related cataract. Cochrane Database Syst Rev CD004242Google Scholar
  5. 5.
    Fan YP, Boldy D, Bowen D (1997) Comparing patient satisfaction, outcomes and costs between cataract day surgery and inpatient surgery for elderly people. Aust Health Rev 20:27–39PubMedCrossRefGoogle Scholar
  6. 6.
    Holland GN, Earl DT, Wheeler NC, Straatsma BR, Pettit TH, Hepler RS, Christensen RE, Oye RK (1992) Results of inpatient and outpatient cataract surgery. A historical cohort comparison. Ophthalmology 99:845–852PubMedGoogle Scholar
  7. 7.
    Atalla ML, Wells KK, Peucker N, Yi Q, McCarty DJ, Louis D, Taylor HR (2000) Cataract extraction in a major ophthalmic hospital: day-case or overnight stay? Clin Experiment Ophthalmol 28:83–88PubMedCrossRefGoogle Scholar
  8. 8.
    Börsch-Supan A, Jürges H (eds) (2005) The survey of health, aging, and retirement in Europe-Methodology. Mannheim Research Institute for the Economics of Aging (MEA), MannheimGoogle Scholar
  9. 9.
    SHARE (2005) SHARE the survey of health, aging and retirement in Europe 2005.
  10. 10.
    OECD - Organisation for Economic Co-operation and Development (2005) OECD in Figures 2005 - Health spending and resources 2005.
  11. 11.
    Kutner MH, Nachtsheim C, Neter J (2004) Applied linear regression models, 4th edn. McGraw-Hill/Irwin, BostonGoogle Scholar

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  1. 1.Research Institute for Labour Economics and Labour LawUniversity of St. GallenSt. GallenSwitzerland
  2. 2.Department of Ophthalmology, Eye InstituteKantonsspitalSt. GallenSwitzerland

Personalised recommendations