scholarly journals DIGITAL VERIFICATION CLAIM SYSTEM (VEDIKA) BPJS KESEHATAN SIDOARJO REGIONAL PUBLIC HOSPITAL IN 2019

2021 ◽  
Vol 5 (1) ◽  
pp. 1
Author(s):  
Muhamad Ahid
Keyword(s):  
Healthcare System ◽  
Public Hospital ◽  
Univariate Analysis ◽  
Analytical Techniques ◽  
Hospital Staff ◽  
Descriptive Research ◽  
Satisfaction Rate ◽  
System Output ◽  
Class Rights

 Background: The Claim Digital Verification System (VEDIKA) is a system developed by BPJS Healthcare to reduce claim of pending, accelerate the process of verifying claims, and reduce the operational burden of BPJS healthcare. This is as a follow-up to the emergence of hospital complaints regarding the implementation of INA CBG'S claim payment, The complaint has an impact on hospital satisfaction rate against BPJS healthcare decline. Purpose: This study aimed to described the VEDIKA BPJS Healthcare at the Regional Public Hospital of Sidoarjoin 2019. Methods: This descriptive research was condented by researcher at the regional public hospital of Sidoarjo during August – February 2020. The unit analysis in this research is the installation of the regional public hospital of Sidoarjo and the ample are installation head, inpatient Coordinator, outpatient Coordinator, 2 entry V-claim officer, 8 claim file Sender officers, control officers And antifraud officers. All colected data presented in descriptive or narative form. Analytical techniques using univariate analysis. Result: The results showed that the submission of claims at the Regional Public Hospital of Sidoarjowas adjusted to the VEDIKA system, the number of hospital staff supported the implementation of the VEDIKA system so that the implementation of the VEDIKA system at the Regional Public Hospital of Sidoarjo  could be carried out properly. Conclusion: submiting claims at the Regional Public Hospital of Sidoarjo has adjusted to the VEDIKA BPJS Healthcare system but in the implementation of the VEDIKA system it is still not optimal in minimizing file returns, the use of the Vclaim application which often experience server downtime and maintenance class rights that do not appear in the system output and often occur differences perceptions between hospitals and BPJS healthcare are due to the regulation of service episodes and the accuracy of claim documents. Suggestion: the need for BPJS Healthcare to develop the Vclaim output, the need for hospitals to conduct coding for the accuracy of claim documents and conduct marking.ABSTRAKLatarbelakang : Sistem Verifikasi Digital Klaim (VEDIKA) merupakan  sistem yang dikembangkan oleh BPJS kesehatan untuk mengurangi klaim yang tertunda, mempercepat proses verifikasi klaim, dan mengurangi beban operasional BPJS kesehatan. Adanya sistem VEDIKA berawal dari munculnya keluhan rumah sakit terkait penerapan pembayaran klaim INA CBG’s sehingga menurunkan kepuasan rumah sakit terhadap kinerja BPJS kesehatan. Tujuan : tujuan penelitian adalah menggambarkan sistem VEDIKA BPJS Kesehatan di RSUD Kabupaten Sidoarjo tahun 2019. Metode : Jenis penelitian yang digunakan dalam penelitian ini adalah Deskriptif dilakukan di instalasi Pejaminan RSUD Kabupaten Sidoarjo pada bulan Agustus – February 2020. Penelitian ini menggunakan unit analisis dengan mewawancarai semua petugas di instalasi penjaminan  diantaranya kepala Instalasi, koordinator monev rawat inap, koordinator rawat jalan, 2 petugas entry Vclaim, 8 petugas pengirim berkas, tim kendali JKN dan tim antifraud. Teknik penyajian data dalam penelitian ini adalah bentuk uraian narasi. Teknik analisis menggunakan analisis univariat. Hasil: Hasil penelitian menunjukkan bahwa pengajuan klaim di RSUD Kabupaten Sidoarjo sudah menyesuaikan dengan sistem VEDIKA, jumlah petugas rumah sakit menunjang dalam pelaksanaan sistem VEDIKA sehingga implementasi sistem VEDIKA di RSUD kabupaten Sidoarjo dapat dilaksanakan dengan baik. Kesimpulan : Pengajuan klaim di RSUD Kabupaten Sidoarjo sudah menyesuaikan dengan sistem VEDIKA BPJS Kesehatan namun pada pelaksanaan sistem VEDIKA masih belum optimal dalam meminimalisir pengembalian berkas, penggunaan aplikasi Vclaim  yang sering mengalami server down  dan hak kelas perawatan yang tidak muncul pada output sistem serta sering terjadi perbedaan persepsi antara rumah sakit dan BPJS kesehatan diakibatkan tentang regulasi episode pelayanan dan keakuratan dokumen klaim. Saran : perlunya BPJS kesehatan untuk mengembangkan output Vclaim, perlunya rumah sakit untuk melakukan pelatihan pengkodingan untuk keakuratan dokumen klaim dan mengadakan bencmarking.

scholarly journals KUALITAS HIDUP ANAK DENGAN ASMA DI RSUD DR. SOEKARDJO KOTA TASIKMALAYA DAN RSUD KABUPATEN CIAMIS

2019 ◽  
Vol 7 (1) ◽  
pp. 27-32
Author(s):  
Hani Handayani ◽  
Asep Setiawan
Keyword(s):  
Quality Of Life ◽  
Public Hospital ◽  
Univariate Analysis ◽  
Outpatient Service ◽  
Public Hospitals ◽  
Descriptive Research ◽  
Children With Asthma ◽  
Pedsql 4.0 ◽  
Keywords Asthma

Asthma is a disease that can cause morbidity and mortality in children. The incidence, severity lavel of disease associated with asthma has increased. The prevalence in the world is estimated of 10% occured in children. The prevalence in Regional public hospitals of dr. Soekardjo Tasikmalaya is estimated of 5% whereas in Regional Public hospital Ciamis is estimated of 20%.  Asthma in children  is a problem for patients and families, because it affects the various specific aspects related to the quality of life. This research aims to know the quality of life of children with asthma in Regional Public Hospital of dr. Soekardjo Tasikmalaya and Ciamis. This research is analytic descriptive research. The sample in this research were children aged 7-18 years with asthma who visited the outpatient service with a total of 72 respondents with consecutive sampling techniques. The Generic version of the PedsQl 4.0 Core Scale is used to measure quality of life. Data analysis univariate analysis is used by using a frequency distribution. The results showed that most of respondents have a quality of life that is at risk as much as 59 people (81.9%). Based on the results, it recommended for more information and education by health professional personnel to patients and their families about prevention and management of asthma. Keywords: Asthma, Quality of life of children 

scholarly journals Quality control circle: a tool for enhancing perceptions of patient safety culture among hospital staff in Chinese hospitals

2019 ◽  
Vol 32 (1) ◽  
pp. 64-70 ◽  
Author(s):  
Dan Zhang ◽  
Meixia Liao ◽  
Yiping Zhou ◽  
Tingfang Liu
Keyword(s):  
Patient Safety ◽  
Safety Culture ◽  
Public Hospital ◽  
Univariate Analysis ◽  
Patient Safety Culture ◽  
Hospital Staff ◽  
Longitudinal Survey ◽  
Public Hospitals ◽  
Cross Sectional Survey ◽  
Cross Sectional

Abstract Objective To explore whether quality control circle (QCC) is associated with hospital staff’s perceptions of patient safety culture (PSC). Design A cross-sectional survey in 12 public hospitals from October to December 2018 and a longitudinal survey in one public hospital from November 2017 to November 2018. Setting In 12 public hospitals from six provinces located in eastern, central and western of China, and one public hospital in eastern China. Participants In total, 811 and 102 hospital staff participated in the cross-sectional survey and the longitudinal survey, respectively. These participants included doctors, nurses, medical technicians and administrative staff. Main Outcome Measures Hospital staff’s perceptions of PSC were measured by the Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire. The association between QCC implementation and PSC was identified by univariate analysis and multiple linear regression analysis. Results Univariate analysis showed that the staff from hospitals that had implemented QCC received significantly higher HSOPSC scores than those from hospitals where QCC had not been implemented (3.73 ± 0.61 vs. 3.57 ± 0.41, P < 0.05). The QCC implementation was a significant predictor in the established multiple linear regression model. One year after QCC implementation, the hospital involved in the longitudinal survey scored higher in HSOPSC than before (3.75 ± 0.42 vs. 3.60 ± 0.36, P < 0.001). Conclusions QCC implementation was positively associated with PSC and the former could promote the establishment of the latter. It is suggested that QCC can play an active role in enhancing PSC so as to further improve patient safety management.

scholarly journals TINGKAT KEPUASAN IBU HAMIL TERHADAP PELAYANAN ANTENATAL

1930 ◽  
Vol 7 (02) ◽  
pp. 85-87
Author(s):  
Rosmeri br Bukit
Keyword(s):  
Pregnant Women ◽  
Research Design ◽  
Univariate Analysis ◽  
Code Of Conduct ◽  
Treatment Costs ◽  
Medical Centre ◽  
Descriptive Research ◽  
Satisfaction Rate ◽  
Analysis Technique ◽  
Service Standards

Satisfaction is the level of one’s feelings after comparing the permance perceived outcome with expectations. This research uses a quantitative with descriptive research design. The population in this study were all pregnant women antenatal checkups. Sample in this research were 30 respondents using technigues accidental. Analysis technique used is a univariate analysis. Based on the results obtained from the charging questioner satisfaction rate of pregnancy antenatal di Klinik Pratama Tangor Medical Centre (TMC) Pekanbaru found that the majority of the 30 respondent are satisfied as many as 21 people (70%). For Tangor Primer Klinik Medical Centre Pekanbaru complete room amenities approprite service standards for code of conduct applicable and treatment costs are covered by the patient.

IDENTIFIKASI KEPUASAN KERJA PERAWAT YANG BEKERJA DI BANGSAL MEDIKAL BEDAH

2019 ◽  
Vol 11 (1) ◽  
pp. 1-8
Author(s):  
Desi Desi ◽  
Dary Dary ◽  
Fetty Yublika Pasole
Keyword(s):  
Job Satisfaction ◽  
Univariate Analysis ◽  
Great Influence ◽  
Sampling Technique ◽  
Well Being ◽  
Medical Surgery ◽  
Hospital Nurses ◽  
Analysis Techniques ◽  
Work Related ◽  
Descriptive Research

Kepuasan kerja menjadi masalah yang cukup menarik dan penting, karena terbukti memiliki pengaruh yang besar bagi individu maupun perusahan. Kepuasan kerja merupakan suatu sikap seseorang terhadap pekerjaan yang berhubungan dengan situasi kerja, kerja sama antara karyawan, imbalan yang diterima dalam kerja, dan hal-hal yang menyangkut fisik dan psikologis. Tujuan penelitian ini untuk mengidentifikasi kepuasan kerja perawat di bangsal medikal bedah. Penelitian ini menggunakan pendekatan kuantitatif dengan jenis penelitian deskriptif. Adapun teknik analisa data dalam penelitian ini dengan analisa univariat untuk mendeskripsikan karekteristik dari variabel yang ada. Teknik pengambilan sampel menggunakan penyebaran kuesioner kepada perawat yang bekerja di rumah sakit tertentu di Kabupaten Timur Tengah Selatan dan Kota Kupang, sampel yang di ambil berjumlah 89 sampel. Hasil yang didapat dari penelitian ini rata-rata kepuasan kerja perawat berada pada kategori netral yang artinya perawat merasa apa yang sudah diterima sesuai dengan pekerjaan yang sudah mereka lakukan hal ini dilihat dari Sembilan kategori yang di telliti yaitu gaji, supervisi, tunjangan tambahan, penghargaan, kondisi kerja, promosi, sifat kerja dan komunikasi kecuali rekan kerja. Saran untuk peneiliti kedepannya agar dapat menggunakan variabel yang lain seperti well-being terhadap kepuasan kerja perawat yang bekerja di rumah sakit.   Kata kunci : kepuasan kerja, perawat   IDENTIFICATION OF NURSE WORK SATISFACTION THAT WORKED IN THE MEDICAL SURGERY OF SURGERY   ABSTRACT Job satisfaction is a problem that is quite interesting and important, because it has proven to have a great influence for individuals and for companies. Job satisfaction is a person's attitude towards work related to work situations, cooperation between employees, rewards received in work, and matters relating to physical and psychological. The purpose of this study was to identify job satisfaction of nurses in the surgical medical ward. This study uses a quantitative approach with a type of descriptive research. The data analysis techniques in this study were carried out by univariate analysis to describe the characteristics of the variables. The sampling technique used questionnaires to nurses who worked in certain hospitals in South Middle East District and Kupang City, the samples taken were 89 samples. . The results obtained from this study mean that the average job satisfaction of certain hospital nurses in East Tengah Selatan District and Kupang City is in the neutral category, which means nurses feel that what they have received is in accordance with the work they have done. telliti namely salary, supervision, additional benefits, rewards, working conditions, promotions, nature of work and communication except coworkers. Suggestions for future researchers to be able to use other variables such as well-being towards job satisfaction for nurses working in hospitals.   Keywords:  job satisfaction, nurse  

CLINICO-PATHOLOGICAL AND RADIOLOGICAL PROGNOSTIC FACTORS IN CANCER CERVIX TREATED WITH CONCURRENT CHEMORADIATION

2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Manraj S. Kang ◽  
Kamal Sahni ◽  
Piyush Kumar ◽  
Rajneesh Madhok ◽  
Ratna Saxena ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Mitotic Index ◽  
Univariate Analysis ◽  
Disease Free Survival ◽  
Concurrent Chemoradiation ◽  
P Value ◽  
Publication Date ◽  
Cancer Cervix ◽  
Stage Ib

<bold>Introduction:</bold> Cervical cancer is most common cancer in the rural and second most common in urban areas of our country. It accounts for 16% of all cancers. There are various clinical, Paper Submission Datepathological and radiological factors which dictate the prognosis of these cancer cervix patients. The present study evaluates clinical, pathological and radiological prognostic factors in cancer cervix treated with concurrent chemoradiation. <bold>Material and Methods:</bold> A total of 32 patients seen between 2012 and 2014 patients planned concurrent chemoradiation were evaluated in terms of clinical (age, stage, Hb% and HPV Paper Publication Date infection), pathological (histopathology type and subtype, grade, mitotic index, lymph-July 2016 vascular invasion and necrosis) and radiological (parametrial extension, disease dimension, lymph node, hydronephrosis and vascularity of tumour) prognostic factors. After pre-DOI treatment evaluation patient was planned for 3 Dimentional-Conformal Radiotherapy (50Gy/25#/5 weeks) with concurrent chemotherapy (Cisplatin 35mg/m<sup>2</sup>) followed by 3 applications of Intracavitary radiotherapy (6Gy/fraction) with 6 months follow up. Response was accessed according to WHO response criteria and univariate analysis was done using chi-square test. <bold>Results:</bold> Clinical factors: Age – better disease free survival in older patients (p value=0.003), stage - Lower stage had better survival (for stage Ib-IIa vs stage IIb p value = 0.003 and for stage Ib vs. IIIb p value = 0.0005), Hb% - 57% patients with Hb <10g/dl had recurrence at end of 6 months (p value=0.00001), HPV – High recurrence with HPV presence. Pathological factors like high Mitotic Index had more residual disease (p=0.0009), grade - No statistical significance. Radiological factors- volume of disease - 35 % patients with volume of disease > 6 cm had disease at end of 6 months, hydronephrosis - 40 % patient with hydronephrosis had recurrence (p value = 0.0005) at end of 6 months follow up and vascularity of tumour showed statistically no difference. <bold>Conclusion:</bold> Hb <10%, HPV infection, Mitotic index (3-5/HPF), stage IIIB, pelvic nodes were concluded as the independent poor prognostic factors.

Exclusive Bilateral Internal Thoracic Artery Grafts for Myocardial Revascularization Requiring Four Anastomoses or More: Outcomes from a Single Center Experience

2016 ◽  
Vol 65 (04) ◽  
pp. 265-271
Author(s):  
Andrea Perrotti ◽  
Enrica Dorigo ◽  
Camille Durst ◽  
Djamel Kaili ◽  
Sidney Chocron ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Internal Thoracic Artery ◽  
Artery Bypass ◽  
Univariate Analysis ◽  
Bypass Graft ◽  
Myocardial Revascularization ◽  
Wound Complication ◽  
Safe Procedure ◽  
Off Pump

Introduction Multivessel coronary artery bypass graft (CABG) with bilateral internal thoracic arteries (BITA) has only been uncommon and technically demanding. We describe our experience with BITA only CABGs requiring ≥ 4 anastomoses. Material and Methods The department's database was queried for patients undergoing isolated CABG with ≥ 4 anastomoses. The surgical technique included systematically a right internal thoracic artery (ITA) of left ITA Y graft. The multivariate model included variables with a p < 0.3 at univariate analysis. Results Between January 2006 and December 2009, 251 consecutive patients (71 ± 10 years) (on-pump: 130, off-pump: 121) had CABG with ≥ 4 anastomoses, representing 21% of total isolated CABGs for the same period; all patients received a totally arterial BITA only revascularization. Follow-up was 4.9 ± 1.6 years. Overall and cardiac cumulative survivals were 78 and 92%, respectively, at 5 years. The occurrence of any major postoperative complication was associated with overall and cardiac mortality (odds ratio [OR]: 3.6, 95% confidence interval [CI]: 1.3–9.9 and OR: 5.4, 95% CI: 1.3–21.9, respectively). Major sternal wound complication requiring surgical revision was not associated with impaired glucose control (n = 9; diabetics: 6/82, 7.3%; nondiabetics: 3/169, 1.8%, p = 0.06). Preoperative kidney failure was associated with incomplete revascularization (OR: 6.2; 95% CI: 1.2–33.5), that was unfailingly due to ungraftable right coronary artery targets. Discussion BITA only revascularization was a valuable and safe procedure, with favorable results in terms of morbidity and mortality at a 5 years' follow-up.

scholarly journals POS1234 IMPACT OF THE CHANGE IN ADMINISTRATION ROUTE OF TOCILIZUMAB AND ABATACEPT, DUE TO THE COVID-19 LOCKDOWN ON DISEASE ACTIVITY IN PATIENTS WITH RHEUMATOID ARTHRITIS

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 900.1-900
Author(s):  
L. Diebold ◽  
T. Wirth ◽  
V. Pradel ◽  
N. Balandraud ◽  
E. Fockens ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Physical Activity ◽  
Disease Activity ◽  
Univariate Analysis ◽  
Route Of Administration ◽  
Anxiety And Depression ◽  
Administration Route ◽  
Factors Associated ◽  
The Impact

Background:Among therapeutics used to treat rheumatoid arthritis (RA), Tocilizumab (TCZ) and Abatacept (ABA) are both biologic agents that can be delivered subcutaneously (SC) or intravenously (IV). During the first COVID-19 lockdown in France, all patients treated with IV TCZ or IV ABA were offered the option to switch to SC administration.Objectives:The primary aim was to assess the impact of changing the route of administration on the disease activity. The second aim was to assess whether the return to IV route at the patient’s request was associated with disease activity variation, flares, anxiety, depression and low physical activity during the lockdown.Methods:We conducted a prospective monocentric observational study. Eligibility criteria: Adult ≥ 18 years old, RA treated with IV TCZ or IV ABA with a stable dose ≥3 months, change in administration route (from IV to SC) between March 16, 2020, and April 17, 2020. The following data were collected at baseline and 6 months later (M6): demographics, RA characteristics, treatment, history of previous SC treatment, disease activity (DAS28), self-administered questionnaires on flares, RA life repercussions, physical activity, anxiety and depression (FLARE, RAID, Ricci &Gagnon, HAD).The primary outcome was the proportion of patients with a DAS28 variation>1.2 at M6. Analyses: Chi2-test for quantitative variables and Mann-Whitney test for qualitative variables. Factors associated with return to IV route identification was performed with univariate and multivariate analysis.Results:Among the 84 patients who were offered to switch their treatment route of administration, 13 refused to change their treatment. Among the 71 who switched (48 TCZ, 23 ABA), 58 had a M6 follow-up visit (13 lost of follow-up) and DAS28 was available for 49 patients at M6. Main baseline characteristics: female 81%, mean age 62.7, mean disease duration: 16.0, ACPA positive: 72.4%, mean DAS28: 2.01, previously treated with SC TCZ or ABA: 17%.At M6, the mean DAS28 variation was 0.18 ± 0.15. Ten (12.2%) patients had a DAS28 worsening>1.2 (ABA: 5/17 [29.4%] and TCZ: 5/32 [15.6%], p= 0.152) and 19 patients (32.8%) had a DAS28 worsening>0.6 (ABA: 11/17 [64.7%] and TCZ: 8/32 [25.0%], p= 0.007).At M6, 41 patients (77.4%) were back to IV route (26 TCZ, 15 ABA) at their request. The proportion of patients with a DAS28 worsening>1.2 and>0.6 in the groups return to IV versus SC maintenance were 22.5%, 42.5% versus 11.1% and 22.2% (p=0.4), respectively. The univariate analysis identified the following factors associated with the return to IV route: HAD depression score (12 vs 41, p=0.009), HAS anxiety score (12 vs 41, p=0.047) and corticosteroid use (70% vs 100%, p=0.021), in the SC maintenance vs return to IV, respectively.Conclusion:The change of administration route of TCZ and ABA during the first COVID-19 lockdown was infrequently associated with a worsening of RA disease. However, the great majority of the patients (77.4%) request to return to IV route, even without disease activity worsening. This nocebo effect was associated with higher anxiety and depression scores.Disclosure of Interests:None declared

scholarly journals Insights on safety and efficacy of renal artery denervation for uncontrolled-resistant hypertension in a high risk population with chronic kidney disease: first Italian real-world experience

2021 ◽  
Author(s):  
Federico Marin ◽  
Simone Fezzi ◽  
Alessia Gambaro ◽  
Francesco Ederle ◽  
Gianluca Castaldi ◽  
...  
Keyword(s):  
High Risk ◽  
Medical Therapy ◽  
Resistant Hypertension ◽  
Univariate Analysis ◽  
Daily Practice ◽  
Renal Sympathetic Denervation ◽  
High Risk Population ◽  
Safety And Efficacy ◽  
Renal Artery Denervation

Abstract Aims To evaluate the safety and efficacy of catheter-based radiofrequency renal sympathetic denervation (RSD) in a daily practice population of patients with uncontrolled resistant hypertension, on top of medical therapy. Methods Consecutive unselected patients with uncontrolled resistant hypertension undergoing RSD were enrolled. Office and ambulatory blood pressure (BP) measurements were collected at baseline and 3, 6 and 12 months after RSD. Efficacy was assessed even in patients with an estimated glomerular filtration rate (eGFR) below 45 mL/min/1.73 m2. Patients were defined as responders if systolic BP decreased by at least 5 mmHg at ambulatory BP or by 10 mmHg at office BP at their last follow-up visit. Results Forty patients with multiple comorbidities underwent RSD from 2012 to 2019. Baseline office and ambulatory BP was 159.0/84.9 ± 26.2/14.9 mmHg and 155.2/86.5 ± 20.9/14.0 mmHg, respectively. At 12-month follow up a significant reduction in office and ambulatory systolic BP, respectively by − 19.7 ± 27.1 mmHg and by − 13.9 ± 23.6 mmHg, was observed. BP reduction at 12-month follow-up among patients with eGFR < 45 mL/min was similar to that obtained in patients with higher eGFR. Twenty-nine patients (74.4%) were responders. Combined hypertension, higher ambulatory systolic BP and lower E/E’ at baseline emerged as predictors of successful RSD at univariate analysis. No major complications were observed and renal function (was stable up to 12 months), even in patients with the lowest eGFR values at baseline. Conclusion RSD is safe and feasible in patients with uncontrolled resistant hypertension on top of medical therapy, even in a high-risk CKD population with multiple comorbidities, with a significant reduction in systolic BP and a trend towards a reduction in diastolic BP lasting up to 12 months. Graphic abstract

scholarly journals Characteristics and recurrence of pterygium in Saudi Arabia: a single center study with a long follow‐up

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Waleed Alsarhani ◽  
Saeed Alshahrani ◽  
Mahmood Showail ◽  
Nawaf Alhabdan ◽  
Osama Alsumari ◽  
...  
Keyword(s):  
Mitomycin C ◽  
Recurrence Rate ◽  
Dry Eye ◽  
Amniotic Membrane ◽  
Univariate Analysis ◽  
Dry Eye Disease ◽  
Eye Disease ◽  
First Year ◽  
Conjunctival Autografting

Abstract Background This study described the clinical features of patients with pterygium and analyzed the recurrence rate of conjunctival autografting alone, conjunctival autografting combined with intraoperative mitomycin C, and amniotic membrane grafting. Methods A retrospective cohort study of primary pterygium was conducted between January 2017 and February 2020. Factors associated with pterygium severity and recurrence were analyzed by univariate analysis and logistic regression models. Results The study included 292 patients with an average age of 53.3 ± 14.1 years, while the number of operated cases was 94. Pterygia involving the cornea were observed in 55 % of the cases. The overall rate of recurrence for the three procedures was 17 %. The average time of recurrence was 14.2 ± 11.9 months, with 37 % of the recurrences occurring after the first year. The only factor associated with a significant risk of recurrence was dry eye disease in both univariate (p = 0.021) and multivariate analysis (p = 0.026). The recurrence rates following conjunctival autografting with and without mitomycin C were 15.6 and 15.8 %, respectively. The recurrence rate following the amniotic membrane graft was  twofold (OR= 2.02)  (27 %) that following the conjunctival autograft (15.8 %). Conclusions The only factor associated with the recurrence of pterygium was dry eye disease. More than one-third of recurrences developed after the first year, which stresses the importance of a long follow-up. The recurrence rate in our study following conjunctival graft was slightly higher compared to the literature mainly due to differences in study areas, populations, and follow-up periods.

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