Table 2. Association of Late Surgeon Career Stage and Covariates With Overall Cataract Surgery Complication Riska,b.
| Characteristic | Odds Ratio (95% CI) | P Value |
|---|---|---|
| Surgeon-level associations | ||
| Late careerc | 1.06 (0.85-1.32) | .60 |
| Early careerc | 1.19 (0.98-1.44) | .09 |
| Surgical volume, cases/yd | ||
| 25-250 | 3.30 (2.30-4.71) | <.001 |
| 251-500 | 2.04 (1.48-2.83) | <.001 |
| 501-1000 | 1.40 (1.04-1.89) | .03 |
| Patient-level associations | ||
| Female sex | 0.88 (0.81-0.95) | .002 |
| Age, ye | ||
| 71-75 | 1.09 (0.97-1.23) | .16 |
| 76-80 | 1.07 (0.94-1.21) | .32 |
| 81 | 1.55 (1.39-1.74) | <.001 |
| No. of unique medications usedf | 1.02 (1.01-1.03) | <.001 |
| Glaucoma medication useg | 1.31 (1.16-1.47) | <.001 |
| Tamsulosin usef | 1.26 (1.07-1.47) | .005 |
| Diabetes | 1.01 (0.93-1.11) | .75 |
| Nonacademic surgical centerh | 0.81 (0.66-0.98) | .03 |
a
Overall cataract surgery complications represent a composite of the 4 individual cataract surgical complications (posterior capsule rupture, dropped lens fragments, retinal detachment, and suspected endophthalmitis).
b
Adjusted for calendar year to control for secular trends.
c
Reference category: midcareer (15-25 years since medical school graduation).
d
Reference category: surgical volume (>1000 cases/year).
e
Reference category: age (66-70 years).
f
Within the year preceding surgery.
g
Within the 90 days preceding surgery.
h
Reference category: academic surgical center.