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مقاله
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Abstract
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Title:
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Distribution of Cataract Surgical Rate and its Economic Inequality in Iran
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Author(s):
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Hassan Hashemi, Farhad Rezvan, Akbar Fotouhi, Mehdi Khabazkhoob, Hamidreza Gilasi, Koroush Etemad, Alireza Mahdavi, Soheila Asgari
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Presentation Type:
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Poster
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Subject:
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Cornea and Anterior Segment
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Others:
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Presenting Author:
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Name:
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Farhad Rezvan
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Affiliation :(optional)
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Noor Ophthalmology Research Center, Noor Eye Hospital, Tehran, Iran; Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
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E mail:
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farhadrezvan@gmail.com
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Phone:
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Mobile:
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09123135116
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Purpose:
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To determine the distribution of the Cataract Surgical Rate(CSR) in the provinces of Iran, and their economic inequality in 2010
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Methods:
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As part of the 2011 CSR survey, the provincial CSR and CSR 50+ were calculated as the total number of surgeries in major and minor centers divided by the total population in each province. Economic inequality was determined using the average province income, the average urban and rural household incomes, and the percent of urban and rural population in each province.
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Results:
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Tehran and Ilam provinces had the highest and lowest CSR(12,465 vs. 359), respectively. Under-servicing(CSR<3,000) was detected in 9 provinces; 2.4-735.7% increase is needed to reach a CSR of 3,000. In 14 provinces(45.2%), there was 0.6-59.9% over-servicing(CSR>5,000). CSR increased at higher economic quintiles. Differences between the 1st, 2nd, and 5th (poorest) quintiles were statistically significant. The CSR concentration index was 0.1964(95% CI:0.0964 to 0.2964).
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Conclusion:
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In line with the goals of the Vision 2020 initiative to eliminate cataract blindness, more than 70% of geographic areas in Iran have achieved the minimum CSR of 3,000 or more. But a large gap still exists in less than 30% of areas. A major factor of the observed inequality is the economic status.
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Attachment:
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