Use of @entity231 Surgery in Urban Beijing: a Post Screening Follow-up of the Elderly with @entity227 due to Age-related XXXX .

@entity1 @entity227 @entity231
Objective To understand the perception for the use of @entity231 surgical services in a population of acceptors and non-acceptors of @entity231 surgery in urban Beijing.Methods From a community-based screening program a total of 158 @entity1 with presenting visual acuity of less than 6/18 on either eye due to age-related @entity231 were informed about the possibility of surgical treatment. These @entity1 were interviewed and re-examined 36 to 46 months after initial screening. The main reasons for not accepting surgery were obtained using a questionnaire. Vision function and vision-related quality of life scores were assessed in those who received and did not receive surgery. Results At the follow-up examination 116 of the 158 @entity1 were available and 36 (31.0%) had undergone @entity231 surgery. Cases who chose surgery had higher education level than those who did not seek surgery (OR=2.64, 95% CI: 1.08-6.63, P=0.02). There were no significant differences in vision function (P=0.11) or quality of life scores (P=0.16) between the surgery group and the non-surgery group. Main reasons for not having surgery included no perceived need (50.0%), feeling of being "too old" (19.2%), and worry about the quality of surgery (9.6%). Cost was cited by 1 (1.9%) subject as the main reason for not seeking surgery. Conclusions The data suggest that in China's capital urban center for @entity1 with moderate @entity227 there is a relative low acceptance rate of @entity231 surgery, mainly due to @entity1 's perception of marginal benefits of surgery. Cost is not a determining factor as barrier to undergo surgery and @entity1 with poorer education are less likely to undertake surgery.
