Impact of cataract surgery on income in rural Southern China: the SUCCESS randomised controlled trial

Xuhua Tan; Xiaotong Han; Yingfeng Zheng; Ling Jin; Xiaozhang Qiu; Yi Zhu; Chuan Chen; Jiaqing Zhang; Heather Dickey; Decai Wang; Shengsong Huang; Bin Liu; Xiaoling Liang; Yangfa Zeng; Haotian Lin; Mingguang He; Lixia Luo; Wenyong Huang; Nathan Congdon; Yizhi Liu

doi:10.1097/APO.0000000000000624

Impact of cataract surgery on income in rural Southern China: the SUCCESS randomised controlled trial

Xuhua Tan, Xiaotong Han, Yingfeng Zheng, Ling Jin, Xiaozhang Qiu, Yi Zhu, Chuan Chen, Jiaqing Zhang, Heather Dickey, Decai Wang, Shengsong Huang, Bin Liu, Xiaoling Liang, Yangfa Zeng, Haotian Lin, Mingguang He, Lixia Luo^*, Wenyong Huang^*, Nathan Congdon^*, Yizhi Liu^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

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Abstract

Purpose: Visual impairment from cataracts is closely associated with low income, but trial evidence regarding the impact of surgery on income is lacking. We investigated whether cataract surgery could increase personal income.

Design: A 2-arm, parallel-group, open-label, randomized controlled trial (ClinicalTrials.gov, NCT03020056).

Methods: Persons aged 50 years or older in rural Guangdong, China, with best-corrected visual acuity
Results: Among the 292 eligible persons (5.40%, mean age = 74.0 y, 61.0% women) randomly assigned to intervention (n = 146) or control (n = 146) groups, 12 participants (8.22%) in the intervention group and 1 (0.68%) in the control did not receive the allocated intervention. By study closeout, 18 participants (6.16%) were lost to follow-up. The mean 1-year income increase of the intervention group ($2469–$3588; change = $1119) was significantly larger than that of the controls ($2258–$2052; change = $–206), a between-group difference of $1325 (relative increase = 54.0%; 95% CI = $739 to $1911; P < 0.001). In multivariable modeling, intervention group membership was associated with greater income increase (β = 1143.2; 95% CI = 582.0 to 1704.3; P < 0.001). Greater improvement in best-corrected visual acuity was associated with income increase in univariable modeling (β = 1626.9; 95% CI = 1083.6 to 2170.1; P < 0.001).

Conclusions: Cataract surgery substantially increases personal income in rural China, offering a strategy for poverty alleviation. The strong association between increased income and change in visual acuity enhances the biological plausibility of the result.

Original language	English
Pages (from-to)	355-363
Number of pages	9
Journal	Asia-Pacific Journal of Ophthalmology
Volume	12
Issue number	4
DOIs	https://doi.org/10.1097/APO.0000000000000624
Publication status	Published - 21 Jul 2023

Bibliographical note

Funding Information:
This study is supported by the National Natural Science Funds of China (82070941, 82070940) and the Construction Project of High-Level Hospitals in Guangdong Province (303020102).

Publisher Copyright:
© 2023 Asia-Pacific Academy of Ophthalmology. All rights reserved.

Keywords

cataract surgery
China
income
quality of life
randomized controlled trial

ASJC Scopus subject areas

Ophthalmology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1097/APO.0000000000000624Licence: CC BY-NC-ND

Impact of cataract surgery on income in rural Southern China: the SUCCESS randomised controlled trial
Copyright 2023 Asia-Pacific Academy of Ophthalmology. This is an open access article published under a Creative Commons Attribution-NonCommercial-NoDerivs License (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits distribution and reproduction for non-commercial purposes, provided the author and source are cited.
Final published version, 2.76 MBLicence: CC BY-NC-ND

Cite this

Tan, X., Han, X., Zheng, Y., Jin, L., Qiu, X., Zhu, Y., Chen, C., Zhang, J., Dickey, H., Wang, D., Huang, S., Liu, B., Liang, X., Zeng, Y., Lin, H., He, M., Luo, L., Huang, W., Congdon, N., & Liu, Y. (2023). Impact of cataract surgery on income in rural Southern China: the SUCCESS randomised controlled trial. Asia-Pacific Journal of Ophthalmology, 12(4), 355-363. https://doi.org/10.1097/APO.0000000000000624

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title = "Impact of cataract surgery on income in rural Southern China: the SUCCESS randomised controlled trial",

abstract = "Purpose: Visual impairment from cataracts is closely associated with low income, but trial evidence regarding the impact of surgery on income is lacking. We investigated whether cataract surgery could increase personal income.Design: A 2-arm, parallel-group, open-label, randomized controlled trial (ClinicalTrials.gov, NCT03020056).Methods: Persons aged 50 years or older in rural Guangdong, China, with best-corrected visual acuity Results: Among the 292 eligible persons (5.40%, mean age = 74.0 y, 61.0% women) randomly assigned to intervention (n = 146) or control (n = 146) groups, 12 participants (8.22%) in the intervention group and 1 (0.68%) in the control did not receive the allocated intervention. By study closeout, 18 participants (6.16%) were lost to follow-up. The mean 1-year income increase of the intervention group ($2469–$3588; change = $1119) was significantly larger than that of the controls ($2258–$2052; change = $–206), a between-group difference of $1325 (relative increase = 54.0%; 95% CI = $739 to $1911; P < 0.001). In multivariable modeling, intervention group membership was associated with greater income increase (β = 1143.2; 95% CI = 582.0 to 1704.3; P < 0.001). Greater improvement in best-corrected visual acuity was associated with income increase in univariable modeling (β = 1626.9; 95% CI = 1083.6 to 2170.1; P < 0.001).Conclusions: Cataract surgery substantially increases personal income in rural China, offering a strategy for poverty alleviation. The strong association between increased income and change in visual acuity enhances the biological plausibility of the result.",

keywords = "cataract surgery, China, income, quality of life, randomized controlled trial",

author = "Xuhua Tan and Xiaotong Han and Yingfeng Zheng and Ling Jin and Xiaozhang Qiu and Yi Zhu and Chuan Chen and Jiaqing Zhang and Heather Dickey and Decai Wang and Shengsong Huang and Bin Liu and Xiaoling Liang and Yangfa Zeng and Haotian Lin and Mingguang He and Lixia Luo and Wenyong Huang and Nathan Congdon and Yizhi Liu",

note = "Funding Information: This study is supported by the National Natural Science Funds of China (82070941, 82070940) and the Construction Project of High-Level Hospitals in Guangdong Province (303020102). Publisher Copyright: {\textcopyright} 2023 Asia-Pacific Academy of Ophthalmology. All rights reserved.",

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doi = "10.1097/APO.0000000000000624",

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Tan, X, Han, X, Zheng, Y, Jin, L, Qiu, X, Zhu, Y, Chen, C, Zhang, J, Dickey, H, Wang, D, Huang, S, Liu, B, Liang, X, Zeng, Y, Lin, H, He, M, Luo, L, Huang, W, Congdon, N & Liu, Y 2023, 'Impact of cataract surgery on income in rural Southern China: the SUCCESS randomised controlled trial', Asia-Pacific Journal of Ophthalmology, vol. 12, no. 4, pp. 355-363. https://doi.org/10.1097/APO.0000000000000624

TY - JOUR

T1 - Impact of cataract surgery on income in rural Southern China: the SUCCESS randomised controlled trial

AU - Tan, Xuhua

AU - Han, Xiaotong

AU - Zheng, Yingfeng

AU - Jin, Ling

AU - Qiu, Xiaozhang

AU - Zhu, Yi

AU - Chen, Chuan

AU - Zhang, Jiaqing

AU - Dickey, Heather

AU - Wang, Decai

AU - Huang, Shengsong

AU - Liu, Bin

AU - Liang, Xiaoling

AU - Zeng, Yangfa

AU - Lin, Haotian

AU - He, Mingguang

AU - Luo, Lixia

AU - Huang, Wenyong

AU - Congdon, Nathan

AU - Liu, Yizhi

N1 - Funding Information: This study is supported by the National Natural Science Funds of China (82070941, 82070940) and the Construction Project of High-Level Hospitals in Guangdong Province (303020102). Publisher Copyright: © 2023 Asia-Pacific Academy of Ophthalmology. All rights reserved.

PY - 2023/7/21

Y1 - 2023/7/21

N2 - Purpose: Visual impairment from cataracts is closely associated with low income, but trial evidence regarding the impact of surgery on income is lacking. We investigated whether cataract surgery could increase personal income.Design: A 2-arm, parallel-group, open-label, randomized controlled trial (ClinicalTrials.gov, NCT03020056).Methods: Persons aged 50 years or older in rural Guangdong, China, with best-corrected visual acuity Results: Among the 292 eligible persons (5.40%, mean age = 74.0 y, 61.0% women) randomly assigned to intervention (n = 146) or control (n = 146) groups, 12 participants (8.22%) in the intervention group and 1 (0.68%) in the control did not receive the allocated intervention. By study closeout, 18 participants (6.16%) were lost to follow-up. The mean 1-year income increase of the intervention group ($2469–$3588; change = $1119) was significantly larger than that of the controls ($2258–$2052; change = $–206), a between-group difference of $1325 (relative increase = 54.0%; 95% CI = $739 to $1911; P < 0.001). In multivariable modeling, intervention group membership was associated with greater income increase (β = 1143.2; 95% CI = 582.0 to 1704.3; P < 0.001). Greater improvement in best-corrected visual acuity was associated with income increase in univariable modeling (β = 1626.9; 95% CI = 1083.6 to 2170.1; P < 0.001).Conclusions: Cataract surgery substantially increases personal income in rural China, offering a strategy for poverty alleviation. The strong association between increased income and change in visual acuity enhances the biological plausibility of the result.

AB - Purpose: Visual impairment from cataracts is closely associated with low income, but trial evidence regarding the impact of surgery on income is lacking. We investigated whether cataract surgery could increase personal income.Design: A 2-arm, parallel-group, open-label, randomized controlled trial (ClinicalTrials.gov, NCT03020056).Methods: Persons aged 50 years or older in rural Guangdong, China, with best-corrected visual acuity Results: Among the 292 eligible persons (5.40%, mean age = 74.0 y, 61.0% women) randomly assigned to intervention (n = 146) or control (n = 146) groups, 12 participants (8.22%) in the intervention group and 1 (0.68%) in the control did not receive the allocated intervention. By study closeout, 18 participants (6.16%) were lost to follow-up. The mean 1-year income increase of the intervention group ($2469–$3588; change = $1119) was significantly larger than that of the controls ($2258–$2052; change = $–206), a between-group difference of $1325 (relative increase = 54.0%; 95% CI = $739 to $1911; P < 0.001). In multivariable modeling, intervention group membership was associated with greater income increase (β = 1143.2; 95% CI = 582.0 to 1704.3; P < 0.001). Greater improvement in best-corrected visual acuity was associated with income increase in univariable modeling (β = 1626.9; 95% CI = 1083.6 to 2170.1; P < 0.001).Conclusions: Cataract surgery substantially increases personal income in rural China, offering a strategy for poverty alleviation. The strong association between increased income and change in visual acuity enhances the biological plausibility of the result.

KW - cataract surgery

KW - China

KW - income

KW - quality of life

KW - randomized controlled trial

U2 - 10.1097/APO.0000000000000624

DO - 10.1097/APO.0000000000000624

M3 - Article

C2 - 37523426

AN - SCOPUS:85167601355

SN - 2162-0989

VL - 12

SP - 355

EP - 363

JO - Asia-Pacific Journal of Ophthalmology

JF - Asia-Pacific Journal of Ophthalmology

IS - 4

ER -

Impact of cataract surgery on income in rural Southern China: the SUCCESS randomised controlled trial

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

UN SDGs

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