Cochrane · systematic review · CD013270
Immediate sequential bilateral surgery versus delayed sequential bilateral surgery for cataracts
Dickman, MM, Spekreijse, LS, Winkens, B, et al. · Cochrane Database of Systematic Reviews · 2022 · 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
10
No studies
4
Included studies
NR
No studies 4 · 28.6%Ungraded 0 · 0%Very low 4 · 28.6%Low 4 · 28.6%Moderate 2 · 14.3%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
ISBCS compared to DSBCS in people with bilateral age‐related cataracts (RCTs)
Population: people with bilateral age‐related cataracts (RCTs)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Endophthalmitis ISBCS vs DSBCS | no estimate extracted | 2 studies · 1309 participants | Low Downgraded: imprecision |
Refraction NOT within 1.0 dioptres of target ISBCS vs DSBCS | RR 0.84 [0.57, 1.26] | 1 study · 982 participants | Moderate Downgraded: imprecision |
Complications ISBCS vs DSBCS | RR 1.33 [0.52, 3.4] | 2 studies · 1305 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Total costs per participant ISBCS vs DSBCS | no estimate extracted | 1 study · 1 participants | Low Downgraded: risk of bias, indirectness |
Total costs per QALY ISBCS vs DSBCS | no estimate extracted | NR | No studies |
BCDVA ISBCS vs DSBCS | no estimate extracted | 2 studies · 2 participants | Very low Downgraded: imprecision, inconsistency, indirectness |
PROMs ISBCS vs DSBCS | no estimate extracted | 2 studies · 1297 participants | Moderate Downgraded: risk of bias |
ISBCS compared to DSBCS in people with bilateral age‐related cataracts (NRSs)
Population: people with bilateral age‐related cataracts (NRSs)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Endophthalmitis ISBCS vs DSBCS | RR 1.97 [0.32, 12.16] | 7 studies · 570322 participants | Low Downgraded: risk of bias, imprecision |
Refraction NOT within 1.0 dioptres of target ISBCS vs DSBCS | RR 1.02 [0.6, 1.75] | 3 studies · 946 participants | Low Downgraded: risk of bias, imprecision |
Complications ISBCS vs DSBCS | RR 1.04 [0.47, 2.29] | 5 studies · 25739 participants | Very low Downgraded: risk of bias, inconsistency |
Total costs per participant ISBCS vs DSBCS | no estimate extracted | 4 studies · 4 participants | Very low Downgraded: risk of bias |
Total costs per QALY ISBCS vs DSBCS | no estimate extracted | NR | No studies |
BCDVA ISBCS vs DSBCS | no estimate extracted | NR | No studies |
PROM ISBCS vs DSBCS | no estimate extracted | NR | No studies |