Regional and sex differences in retinal detachment surgery: Japan-retinal detachment registry report
Authors: Funatsu Ryoh , Terasaki Hiroto , Sakamoto Taiji ,   the Japan Retinal Detachment Registry study group, Yamamoto Shuichi , Baba Takayuki , Sato Eiju , Kitahashi Masayasu , Tatsumi Tomoaki , Miura Gen , Niizawa Tomohiro , Sakamoto Taiji , Yamakiri Keita , Yamashita Toshifumi , Otsuka Hiroki , Sameshima Seiji , Yoshinaga Narimasa , Sonoda Shozo , Hirakata Akito , Koto Takashi , Inoue Makoto , Hirota Kazunari , Itoh Yuji , Orihara Tadashi , Emoto Yoshinobu , Sano Masahiko , Takahashi Hiroyuki , Tokizawa Ryo , Yamashita Hidetoshi , Nishitsuka Koichi , Kaneko Yutaka , Nishi Katsuhiro , Yoshida Akitoshi , Ono Shinji , Hirokawa Hiroyuki , Sogawa Kenji , Omae Tsuneaki , Ishibazawa Akihiro , Kishi Shoji , Akiyama Hideo , Matsumoto Hidetaka , Mukai Ryo , Morimoto Masahiro , Nakazawa Mitsuru , Suzuki Yukihiko , Kudo Takashi , Adachi Kobu , Ishida Susumu , Noda Kousuke , Kase Satoru , Mori Shohei , Ando Ryo , Saito Michiyuki , Suzuki Tomohiro , Takahashi Kanji , Nagai Yoshimi , Nakauchi Tadashi , Yamada Haruhiko , Kusaka Shunji , Tsujioka Daishi , Tsujikawa Akitaka , Suzuma Kiyoshi , Ishibashi Tatsuro , Sonoda Koh-Hei , Ikeda Yasuhiro , Kohno Riichiro , Ishikawa Keijiro , Kondo Mineo , Kozawa Maki , Kitaoka Takashi , Tsuiki Eiko , Ogura Yuichiro , Yoshida Munenori , Morita Hiroshi , Kato Aki , Hirano Yoshio , Sugitani Kazuhiko , Terasaki Hiroko , Iwase Takeshi , Ito Yasuki , Ueno Shinji , Kaneko Hiroki , Nonobe Norie , Kominami Taro , Azuma Noriyuki , Yokoi Tadashi , Shimada Hiroyuki , Nakashizuka Hiroyuki , Hattori Takayuki , Shinojima Ari , Kitagawa Yorihisa , Shiraga Fumio , Morizane Yuki , Kimura Shuhei , Ikeda Tsunehiko , Kida Teruyo , Sato Takaki , Fukumoto Masanori , Emi Kazuyuki , Nakashima Hiroshi , Ohji Masahito , Kakinoki Masashi , Sawada Osamu , Takeuchi Shinobu , Tanaka Sumiyoshi , Iida Tomohiro , Koizumi Hideki , Maruko Ichiro , Hasegawa Taiji , Kogure Akiko , Iijima Hiroyuki , Oshiro Tomohiro , Tateno Yasushi , Kikushima Wataru , Sugiyama Atsushi , Yoneyama Seigo , Kadonosono Kazuaki , Sato Shimpei , Yamane Shin 
Published: October 2021

AbstractIt is known that social factors affect the choice of treatments, and special attention has been paid to sex differences. The purpose of this study was to determine whether regional and sex differences exist in the treatment of rhegmatogenous retinal detachment (RD). We used Japan-RD Registry database of 2523 patients aged ≥ 40 years between February 2016 and March 2017 in 5 Japanese regions. Regional differences of patients’ perioperative factors were analyzed. The factors affecting the proportion of patients who underwent surgery within one week of the onset, defined as early-surgery, were examined by logistic regression. We observed regional differences in perioperative factors, especially in the use of phacovitrectomy, general anesthesia, and air-tamponade, which was higher in certain regions. (Fisher’s exact test, allP = 0.012) The proportion of early-surgery was significantly higher among men in Kyushu region (Odds ratio (OR) 1.83; 95% confidence interval (CI) 1.08–3.12;P = 0.02), and it was also significantly higher after adjusting for covariates (OR 1.89; 95% CI 1.06–3.42;P = 0.02). Regional and sex differences exist in the treatment of RD in Japan. Although there was no significant differences in the anatomical outcomes, women in certain regions of Japan are less likely to receive early surgical intervention for RD.