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. 2018 Jan 18;136(3):231–238. doi: 10.1001/jamaophthalmol.2017.6372

Table. Characteristics of Medicare Patients Undergoing Cataract Surgery, Stratified by Preoperative Testing in the Month After Biometry.

Characteristic No. (%)
Preoperative Testing (n = 211 034) No Preoperative Testing (n = 212 676) All Patients (n = 423 710)
Age, mean (SD), y 76.5 (6.3) 75.8 (6.2) 76.1 (6.2)
Sex
Male 86 221 (40.9) 83 903 (39.5) 170 124 (40.2)
Female 124 813 (59.1) 128 773 (60.5) 253 586 (59.8)
Race/ethnicity
White 185 327 (87.8) 190 627 (89.6) 375 954 (88.7)
Black 13 546 (6.4) 12 114 (5.7) 25 660 (6.1)
Other 12 161 (5.8) 9935 (4.7) 22 096 (5.2)
Charlson Comorbidity Index
0-1 112 551 (53.3) 147 091 (69.2) 259 642 (61.3)
2 35 208 (16.7) 29 565 (13.9) 64 773 (15.3)
≥3 63 275 (30.0) 36 020 (16.9) 99 295 (23.4)
Location of surgerya
Ambulatory surgery center 136 784 (64.8) 149 603 (70.3) 286 387 (67.5)
Outpatient hospital department 70 157 (33.2) 61 319 (28.8) 131 476 (31.0)
Unknown 4093 (1.9) 1754 (0.8) 5847 (1.4)
US region of operating ophthalmologista
Northeast 47 442 (22.5) 24 787 (11.6) 72 229 (17.0)
Midwest 47 955 (22.7) 54 258 (25.5) 102 213 (24.1)
South 80 327 (38.1) 94 507 (44.4) 174 834 (41.3)
Mountain West 9329 (4.4) 16 813 (7.9) 26 142 (6.2)
Pacific West 25 981 (12.3) 22 311 (10.5) 48 292 (11.4)
Population density of operating ophthalmologista
Urban 177 126 (83.9) 172 120 (80.9) 349 246 (82.4)
Rural 33 908 (16.1) 40 556 (19.1) 74 464 (17.6)
Primary care physicians per 100 000 population, rangea,b
43.9-63.3 47 846 (22.7) 59 382 (27.9) 107 228 (25.3)
63.5-69.0 48 181 (22.8) 57 647 (27.1) 105 828 (25.0)
69.1-77.9 54 497 (25.8) 51 203 (24.1) 105 700 (25.0)
78.4-117 60 510 (28.7) 44 444 (20.8) 104 954 (24.8)
Ophthalmologists per 100 000 population, rangea,b
1.6-4.2 51 052 (24.2) 62 572 (29.4) 113 624 (26.8)
4.3-4.7 46 872 (22.2) 58 889 (27.7) 105 761 (24.9)
4.8-5.6 49 370 (23.4) 50 994 (24.0) 100 364 (23.7)
5.7-10.6 63 740 (30.2) 40 221 (18.9) 103 961 (24.5)
Ophthalmologist surgical volume, 2011, rangea,b
1-39 59 971 (28.4) 42 352 (19.9) 102 323 (24.1)
40-68 55 797 (26.4) 50 831 (23.9) 106 628 (25.2)
69-120 51 267 (24.3) 56 099 (26.4) 107 366 (25.3)
121-662 43 999 (20.8) 63 394 (29.8) 107 393 (25.3)
Medicare expenditures per beneficiary in hospital referral regiona,b
6911-8689 52 094 (24.7) 54 301 (25.5) 106 395 (25.1)
8691-9674 51 223 (24.3) 54 695 (25.7) 105 918 (25.0)
9693-10 311 55 626 (26.4) 51 271 (24.1) 106 897 (25.2)
10 341-13 824 52 091 (24.7) 52 409 (24.6) 104 500 (24.6)
a

US region, population density, primary care physicians/ophthalmologists per 100 000 population, and hospital referral regions were derived from the operating ophthalmologist's zip code.

b

Ranges of numbers represent the first, second, third, and fourth quartiles of the range of values in each category.