Key result
GDS-guided 'Choosing Wisely' initiative allows 64% of dementia patients uneventful cataract surgery under regional anesthesia.
Why the study?
Ophthalmologists usually prefer general anesthesia for cataract surgery in patients with dementia, but the impact of using the Global Deterioration Scale to guide anesthesia choice was unclear.
Does a 'Choosing Wisely' initiative based on GDS assessment reduce the requirement for general anesthesia in patients with dementia undergoing cataract surgery?
Observational (n=136)
Does a 'Choosing Wisely' initiative based on GDS assessment reduce the requirement for general anesthesia in patients with dementia undergoing cataract surgery?
Using the Global Deterioration Scale to guide anesthesia choice in dementia patients undergoing cataract surgery safely reduces the need for general anesthesia.
Supports GDS-guided regional anesthesia in dementia cataract patients; leaves open need for randomized trials before practice change.
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Kumar et al. (2019) conducted an observational in Dementia requiring cataract surgery (n=136). "Choosing Wisely" initiative based on GDS assessment was evaluated on Uneventful surgery under regional anesthesia. The 'Choosing Wisely' initiative based on GDS stage allowed 64% of dementia patients to undergo uneventful cataract surgery under regional anesthesia.
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