School performances in children with cataract: results from a population-based cohort study
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School performances in children with cataract : results from a population-based cohort study. / Al-Bakri, Moug; Skovgaard, Anne Mette; Bach-Holm, Daniella; Larsen, Dorte Ancher; Siersma, Volkert; Kessel, Line.
In: BMJ Open, Vol. 13, No. 8, e072984, 2023.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - School performances in children with cataract
T2 - results from a population-based cohort study
AU - Al-Bakri, Moug
AU - Skovgaard, Anne Mette
AU - Bach-Holm, Daniella
AU - Larsen, Dorte Ancher
AU - Siersma, Volkert
AU - Kessel, Line
N1 - Publisher Copyright: © 2023 Authors. All rights reserved.
PY - 2023
Y1 - 2023
N2 - Objectives Childhood cataract is a chronic condition that may interfere with the child's learning capacities. We aimed to investigate whether childhood cataract influences academic development by comparing school performance in reading and mathematics in children with cataract to a matched control group. Design Nationwide registry-based cohort study. Settings Two surgical centres that perform all treatments for childhood cataract in Denmark. Participants Children born between 2000 and 2009 diagnosed with cataract before 10 years of age (n=275) and an age-matched and sex-matched control group (n=2473). Main outcome measures School performance was assessed as test scores in national tests performed at regular intervals from grade 2 to grade 8 in reading and mathematics. Analyses were corrected for birth origin, child somatic and mental disorder and parental socioeconomic status and mental disorders. Results Of 275 children, 85 (30.9%) were operated for bilateral cataract, 79 (28.7%) unilateral cataract and 111 (40,4%) were not operated. We found that children with cataract have lower participation rate in the tests (62.5%) compared with the control cohort (77.2%) (p value=0.0001). After adjusting the pooled analyses for birth origin, somatic and mental disease in the child and parental socioeconomic status and mental disorders, we found that the children with cataract scored significantly lower in mathematics compared with those without cataract (mean difference=-4.78, 95% CI: -8.18 to -1.38, p value=0.006), whereas no difference was found regarding scores in reading (p=0.576). The lower score in mathematics was driven by children who had been operated for bilateral cataract (p-value=0.004). Conclusion Children with cataract without somatic or neurodevelopmental comorbidities or psychosocial adversities seem to do well in school, whereas children operated for bilateral cataract have higher frequencies of difficulties in mathematical tasks.
AB - Objectives Childhood cataract is a chronic condition that may interfere with the child's learning capacities. We aimed to investigate whether childhood cataract influences academic development by comparing school performance in reading and mathematics in children with cataract to a matched control group. Design Nationwide registry-based cohort study. Settings Two surgical centres that perform all treatments for childhood cataract in Denmark. Participants Children born between 2000 and 2009 diagnosed with cataract before 10 years of age (n=275) and an age-matched and sex-matched control group (n=2473). Main outcome measures School performance was assessed as test scores in national tests performed at regular intervals from grade 2 to grade 8 in reading and mathematics. Analyses were corrected for birth origin, child somatic and mental disorder and parental socioeconomic status and mental disorders. Results Of 275 children, 85 (30.9%) were operated for bilateral cataract, 79 (28.7%) unilateral cataract and 111 (40,4%) were not operated. We found that children with cataract have lower participation rate in the tests (62.5%) compared with the control cohort (77.2%) (p value=0.0001). After adjusting the pooled analyses for birth origin, somatic and mental disease in the child and parental socioeconomic status and mental disorders, we found that the children with cataract scored significantly lower in mathematics compared with those without cataract (mean difference=-4.78, 95% CI: -8.18 to -1.38, p value=0.006), whereas no difference was found regarding scores in reading (p=0.576). The lower score in mathematics was driven by children who had been operated for bilateral cataract (p-value=0.004). Conclusion Children with cataract without somatic or neurodevelopmental comorbidities or psychosocial adversities seem to do well in school, whereas children operated for bilateral cataract have higher frequencies of difficulties in mathematical tasks.
KW - cataract and refractive surgery
KW - ophthalmology
KW - paediatric ophthalmology
KW - paediatrics
KW - schools
U2 - 10.1136/bmjopen-2023-072984
DO - 10.1136/bmjopen-2023-072984
M3 - Journal article
C2 - 37532485
AN - SCOPUS:85166426875
VL - 13
JO - BMJ Open
JF - BMJ Open
SN - 2044-6055
IS - 8
M1 - e072984
ER -
ID: 363433859