| アブストラクト | This study investigated nationwide changes in outpatient rates for major ophthalmic surgeries in Japan before and after the COVID-19 pandemic and regional disparities in these changes using the National Database of Health Insurance Claims and Specific Health Checkups (NDB) Open Data. Five surgery groups were analysed: eyelid, strabismus, glaucoma, vitreoretinal, and cataract surgery. Monthly nationwide data from April 2019 to March 2023 were used to calculate outpatient surgery rates and to compare a pre-COVID period (April 2019-March 2020) with a post-COVID period (June 2020-March 2023). Prefecture-level changes were evaluated using the 5th and 9th NDB Open Data releases, and 29 individual procedures were examined. Across the five surgery groups, outpatient rates increased from 0.41 +/- 0.20 to 0.47 +/- 0.21 (p = 0.005). Outpatient rates rose significantly for all surgery groups, with the largest increases for glaucoma (0.300 to 0.370) and cataract surgery (0.579 to 0.641). Prefecture-level outpatient rates increased particularly for glaucoma and cataract surgery, and vitreoretinal surgery showed a larger increase in metropolitan than in non-metropolitan prefectures. Procedure-level analysis revealed marked outpatient shifts for several glaucoma, eyelid, and complex vitreoretinal procedures, indicating a nationwide shift toward outpatient ophthalmic surgery with regional and procedure-specific variation. |
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| ジャーナル名 | Scientific reports |
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| Pubmed追加日 | 2026/7/4 |
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| 投稿者 | Kabata, Yoshiaki; Hayashi, Isen; Terauchi, Ryo; Nakano, Tadashi |
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| 組織名 | Department of Ophthalmology, The Jikei University School of Medicine, Daisan;Hospital, 4-11-1 Izumihontyou, Komae-Shihi, Tokyo, 201-8601, Japan.;kabata22122@gmail.com.;Department of Ophthalmology, The Jikei University School of Medicine, Tokyo,;Japan. |
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| Pubmed リンク | https://www.ncbi.nlm.nih.gov/pubmed/42399674/ |
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