Table 3.
Sub-specialty surgical procedures per region
| Region | Total number of surgeries n |
Pre-pandemic number of surgical procedures n, % of total (95%CI) |
Pandemic number of surgical procedures n, % of total (95%CI) |
p-value |
|---|---|---|---|---|
| Sub-Saharan Africa | 26 357 | 17 415 (66.1) [65.5–66.7] | 8942 (33.9) [33.4–34.5] | < 0.001 |
| Cataract | 14 735 | 10 250 (69.6) [68.8–70.3] | 4485 (30.4) [29.7–31.2] | < 0.001 |
| Cornea | 1687 | 1220 (72.3) [70.2–74.5] | 467 (27.7) [25.5–29.8] | < 0.001 |
| Glaucoma | 1644 | 954 (58.0) [55.6–60.4] | 690 (42.0) [39.6–44.4] | < 0.001 |
| Oncology | 886 | 518 (58.5) [55.2–61.7] | 368 (41.5) [38.3–44.8] | < 0.001 |
| Orbital/oculoplastic | 926 | 618 (66.7) [63.7–69.8] | 308 (33.3) [30.2–36.3] | < 0.001 |
| Strabismus | 564 | 474 (84.0) [81.0–87.1] | 90 (16.0) [12.9–19.0] | < 0.001 |
| Trauma | 2034 | 1070 (52.6) [50.4–54.8] | 964 (47.4) [45.2–49.6] | 0.019 |
| Vitreoretinal | 2958 | 1770 (59.8) [58.1–61.6] | 1188 (40.2) [38.4–41.9] | < 0.001 |
| Other | 923 | 541 (58.6) [55.4–61.8] | 382 (41.4) [38.2–44.6] | < 0.001 |
| West Africa | 7701 | 4433 (57.6) [56.5–58.7] | 3268 (42.4) [41.3–43.5] | < 0.001 |
| Cataract | 4270 | 2469 (57.8) [56.3–59.3] | 1801 (42.2) [40.7–43.7] | < 0.001 |
| Cornea | 527 | 374 (70.9) [67.1–74.5] | 153 (29.1) [25.5–32.9] | < 0.001 |
| Glaucoma | 860 | 476 (55.3) [52.0–58.7] | 384 (44.7) [41.3–48.0] | 0.002 |
| Oncology | 59 | 37 (62.7) [50.4–75.1] | 22 (37.3) [24.9–49.6] | 0.051 |
| Orbital/oculoplastic | 146 | 85 (58.2) [50.2–66.2] | 61 (41.8) [33.8–49.8] | 0.047 |
| Strabismus | 105 | 42 (40.0) [30.6–49.4] | 63 (60.0) [50.6–69.4] | 0.040 |
| Trauma | 142 | 63 (44.3) [36.2–52.5] | 79 (55.70 [47.5–73.8] | 0.179 |
| Vitreoretinal | 1152 | 633 (55.0) [52.1–57.8] | 519 (45.0) [42.2–47.9] | < 0.001 |
| Other | 440 | 254 (57.7) [53.1–62.3] | 186 (42.3) [37.7–46.9] | 0.001 |
| Central Africa | 3777 | 2452 (64.9) [63.4–66.4] | 1325 (35.1) [33.6–36.6] | < 0.001 |
| Cataract | 2752 | 1860 (67.6) [65.8–69.3] | 892 (32.4) [30.7–34.2] | < 0.001 |
| Cornea | 309 | 189 (61.2) [55.7–66.6] | 120 (38.8) [33.4–44.3] | < 0.001 |
| Glaucoma | 171 | 85 (49.7) [42.2–57.2] | 86 (50.3) [42.8–57.8] | 0.939 |
| Oncology | 84 | 46 (54.8) [44.1–65.4] | 38 (45.2) [34.6–55.9] | 0.383 |
| Orbital/oculoplastic | 96 | 55 (57.3) [47.4–67.2] | 41 (42.7) [32.8–52.6] | 0.153 |
| Strabismus | 52 | 36 (69.2) [56.7–81.8] | 16 (30.8) [18.2–43.3] | 0.006 |
| Trauma | 193 | 108 (56.0) [49.0–63.0] | 85 (44.0) [37.0–51.0] | 0.098 |
| Vitreoretinal | 79 | 46 (58.2) [47.4–69.1] | 33 (47.8) [30.9–52.6] | 0.144 |
| Other | 41 | 27 (65.9) [51.3–80.4] | 14 (34.1) [19.6–48.7] | 0.042 |
| East Africa | 565 | 353 (62.5) [58.5–66.5] | 212 (37.5) [33.5–41.5] | < 0.001 |
| Cataract | 489 | 328 (67.1) [62.9–71.2] | 161 (32.9) [37.1–28.8] | < 0.001 |
| Cornea | 15 | 8 (53.3) [28.1–78.6] | 7 (46.7) [21.4–71.9] | 0.796 |
| Glaucoma | 13 | 10 (76.9) [54.0–99.8] | 3 (23.1) [0.2–46.0] | 0.052 |
| Oncology | 3 | 1 (33.3) [-20.0–86.7] | 2 (66.7) [13.3–120.0] | 0.564 |
| Orbital/oculoplastic | 19 | 2 (10.5) [3.3–24.3] | 17 (89.5) [75.7–96.7] | < 0.001 |
| Strabismus | 0 | 0 | 0 | |
| Trauma | 20 | 4 (20.0) [2.4–37.5] | 16 (80.0) [62.5–97.6] | 0.007 |
| Vitreoretinal | 0 | 0 | 0 | |
| Other | 6 | 0 (0) | 6 (100) | 0.014 |
| Southern Africa | 14 314 | 10 177 (71.1) [70.4–71.8] | 4137 (28.9) [28.2–29.6] | < 0.001 |
| Cataract | 7224 | 5593 (77.4) [76.5–78.4] | 1631 (22.6) [21.6–23.5] | < 0.001 |
| Cornea | 836 | 649 (77.6) [74.8–80.5] | 187 (22.4) [19.5–25.2] | < 0.001 |
| Glaucoma | 600 | 383 (63.8) [60.0–67.7] | 217 (36.2) [33.3–40.0] | < 0.001 |
| Oncology | 740 | 434 (58.7) [55.1–62.2] | 306 (41.3) [37.8–44.9] | < 0.001 |
| Orbital/oculoplastic | 665 | 476 (71.6) [68.2–75.0] | 189 (28.4) [25.0–31.8] | < 0.001 |
| Strabismus | 407 | 396 (97.3) [95.7–98.8] | 11 (2.7) [1.2–4.3] | < 0.001 |
| Trauma | 1679 | 895 (53.3) [50.9–55.7] | 784 (46.7) [44.3–49.1] | 0.007 |
| Vitreoretinal | 1727 | 1091 (63.2) [60.9–65.4] | 636 (36.8) [34.6–39.1] | < 0.001 |
| Other | 436 | 260 (59.6) [55.0–64.2] | 176 (40.4) [35.8–45.0] | < 0.001 |