Journalartikel

Jahr der Veröffentlichung: 2023

Seiten: 1117-1121

Zeitschrift: Die Ophthalmologie

Bandnummer: 120

Heftnummer: 11

ISSN: 2731-720X

eISSN: 2731-7218

Open Access Status: Hybrid

DOI Link: https://doi.org/10.1007/s00347-023-01882-w

Verlag: Springer

Abstract: 

Purpose: To determine the rate of enucleation in Germany and the impact that the COVID-19 pandemic may have had on its characteristics.

Methods: The rates of enucleation in Germany during 2019 and 2020 were extracted from the diagnosis-related groups (DRG) registry using the operation and procedure classification system codes 5-163.0 through 5-163.23 and 5-163.x. The data were statistically analyzed.

Results: The number of enucleations showed a 16.6% reduction from 1295 cases in 2019 compared to 1080 cases in 2020 (p=0.17). In both years men averaged 54.1% of cases. Patients older than 65 years represented 53% and 56% of cases in 2019 and 2020, respectively. The most common indication for enucleation in both years was phthisis bulbi (n=373 and n=307, respectively), accounting for 29.7% of the cases, followed by choroidal malignancies (24%). Enucleation with the simultaneous introduction of an alloplastic orbital implant into Tenon's capsule represented the most common procedure (38.7% combined 2-year average), followed by a sheathed variant (26.6%) and a bulbar implant made of nonabsorbable microporous material (16.8%), without a significant change between years. Enucleations without the introduction of an implant increased from 7.8% in 2019 to 11.1% in 2020 (p=0.006). The proportion of patients undergoing a reoperation slightly increased from 5.6% to 8% (p=0.018). Most procedures (65.6%) were performed in large (>1000 beds) public hospitals.

Conclusion: Despite the decrease in the total number of procedures performed, the rate of enucleation in Germany was not significantly altered by the COVID-19 pandemic. The rate of enucleation without implants and reoperations significantly increased.

Harvard-Zitierstil: Reyna, E., Rehak, M. and Alfaar, A. (2023) Epidemiological impact of the COVID-19 pandemic on enucleation cases in Germany, Die Ophthalmologie, 120(11), pp. 1117-1121. https://doi.org/10.1007/s00347-023-01882-w

APA-Zitierstil: Reyna, E., Rehak, M., & Alfaar, A. (2023). Epidemiological impact of the COVID-19 pandemic on enucleation cases in Germany. Die Ophthalmologie. 120(11), 1117-1121. https://doi.org/10.1007/s00347-023-01882-w