Cochrane · systematic review · CD011307

Interventions to improve access to cataract surgical services and their impact on equity in low‐ and middle‐income countries

Ramke, J, Petkovic, J, Welch, V, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

Eyes and VisionAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
14
current version
GRADE rated
3
No studies
11
Included studies
NR
No studies 11 · 78.6%Ungraded 0 · 0%Very low 0 · 0%Low 3 · 21.4%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Information video and counselling to improve access to cataract surgical services compared with standard care for cataract

Population: people with vision impairment caused by cataract
7 questions
OutcomeEffectEvidenceStatus / GRADE
Change in the prevalence of cataract blindness
Information video and counselling to improve access to cataract surgical services vs standard care
no estimate extractedNRNo studies
Prevalence of visual impairment due to cataract
Information video and counselling to improve access to cataract surgical services vs standard care
no estimate extractedNRNo studies
Service utilisation: uptake of referral
Information video and counselling to improve access to cataract surgical services vs standard care
OR 1.031 study · 434 participantsLow
Downgraded: imprecision, indirectness
Service utilisation: uptake of surgery
Information video and counselling to improve access to cataract surgical services vs standard care
OR 1.111 study · 434 participantsLow
Downgraded: imprecision, indirectness
Cataract Surgical Coverage
Information video and counselling to improve access to cataract surgical services vs standard care
no estimate extractedNRNo studies
Surgical outcome (visual acuity in the operated eye)
Information video and counselling to improve access to cataract surgical services vs standard care
no estimate extractedNRNo studies
Adverse events
Information video and counselling to improve access to cataract surgical services vs standard care
no estimate extractedNRNo studies

Surgery fee waiver with/without transport provision or reimbursement to improve access to cataract surgical services compared with standard care for cataract

Population: people with vision impairment caused by cataract
7 questions
OutcomeEffectEvidenceStatus / GRADE
Change in the prevalence of cataract blindness
Surgery fee waiver with/without transport provision or reimbursement to improve access to cataract surgical services vs standard care
no estimate extractedNRNo studies
Prevalence of visual impairment due to cataract
Surgery fee waiver with/without transport provision or reimbursement to improve access to cataract surgical services vs standard care
no estimate extractedNRNo studies
Service utilisation: uptake of referral
Surgery fee waiver with/without transport provision or reimbursement to improve access to cataract surgical services vs standard care
no estimate extractedNRNo studies
Service utilisation: uptake of surgery
Surgery fee waiver with/without transport provision or reimbursement to improve access to cataract surgical services vs standard care
RR 1.94 [1.14, 3.31]1 study · 355 participantsLow
Downgraded: imprecision, indirectness
Cataract Surgical Coverage
Surgery fee waiver with/without transport provision or reimbursement to improve access to cataract surgical services vs standard care
no estimate extractedNRNo studies
Surgical outcome (visual acuity in the operated eye)
Surgery fee waiver with/without transport provision or reimbursement to improve access to cataract surgical services vs standard care
no estimate extractedNRNo studies
Adverse events
Surgery fee waiver with/without transport provision or reimbursement to improve access to cataract surgical services vs standard care
no estimate extractedNRNo studies