<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2444-054X</journal-id>
<journal-title><![CDATA[Cirugía y cirujanos]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. cir.]]></abbrev-journal-title>
<issn>2444-054X</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Cirugía A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-054X2025000500014</article-id>
<article-id pub-id-type="doi">10.24875/ciru.25000132</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Estudio de tiempos y movimientos en el preoperatorio de cirugía de catarata]]></article-title>
<article-title xml:lang="en"><![CDATA[Time motion study in the preoperative phase of cataract surgery]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zapata-Tarrés]]></surname>
<given-names><![CDATA[Marta M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fabila-Maya]]></surname>
<given-names><![CDATA[María M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fuentes-Cataño]]></surname>
<given-names><![CDATA[Martha C.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez-Rosas]]></surname>
<given-names><![CDATA[Diana F.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Salas]]></surname>
<given-names><![CDATA[Miriam E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Messina-Baas]]></surname>
<given-names><![CDATA[Olga M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mundo-Fernández]]></surname>
<given-names><![CDATA[Eva E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quintanar-Haro]]></surname>
<given-names><![CDATA[Orlando D.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Urrutia-Breton]]></surname>
<given-names><![CDATA[Ingrid P.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lima-Gómez]]></surname>
<given-names><![CDATA[Virgilio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Comisión Coordinadora de Institutos Nacionales de Salud y Hospitales de Alta Especialidad Comisión Coordinadora de Institutos Nacionales de Salud y Hospitales de Alta Especialidad ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Juárez del Centro Servicio de Oftalmología ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra División de Oftalmología ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital General Dr. Manuel Gea González Servicio de Oftalmología ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Instituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra Subdirección de Oftalmología ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Hospital Juárez de México División de Cirugía ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Comisión Coordinadora de Institutos Nacionales de Salud y Hospitales de Alta Especialidad Dirección General de Coordinación Médica de Alta Especialidad ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2025</year>
</pub-date>
<volume>93</volume>
<numero>5</numero>
<fpage>563</fpage>
<lpage>567</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2025000500014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2025000500014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2025000500014&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: Identificar, mediante un estudio de tiempos y movimientos, oportunidades para acortar el diferimiento quirúrgico en cirugía de catarata.  Métodos: Se desarrolló un estudio de tiempos y movimientos, no clínico, prospectivo, transversal y analítico, en el cual un grupo de expertos estimó los tiempos mínimos, habituales y máximos para 12 actividades en el preoperatorio de cirugía de catarata. Con una distribución beta se estimaron la dispersión de la duración de cada actividad y el tiempo medio por actividad y de toda la secuencia preoperatoria, desde la valoración oftalmológica inicial hasta la cirugía.  Resultados: El tiempo medio del preoperatorio de la cirugía de catarata fue 269 días; la actividad con mayor dispersión fue el lapso entre la recepción de insumos y la cirugía; los estudios y las valoraciones de riesgo preoperatorio representaron el 40.9% del tiempo, y los estudios preoperatorios oftalmológicos el 17.4%.  Conclusiones: Acortar la duración de las evaluaciones preoperatorias, facilitando el acceso a estudios de diagnóstico, podría reducir un 60% la duración del proceso de programación quirúrgica de catarata.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: To identify opportunities of shortening surgical deferral with a time-motion study, in the preoperative phase of cataract surgery.  Methods: Non-clinical, prospective, cross-sectional and analytical time-motion study; a group of experts estimated minimal, usual and maximal durations for twelve activities in the preoperative phase of cataract surgery. We used a beta distribution to estimate the dispersion of each activity's duration, as well as the mean time by activity and for the entire preoperative sequence, from initial ophthalmic evaluation to surgery.  Results: Mean preoperative time in cataract surgery was 269 days; the activity with larger dispersions were the time between receiving surgical inputs and surgery; preoperative risk evaluations and studies accounted for 40.9% of the time, and ophthalmic preoperative studies consumed 17.4%.  Conclusions: Shortening the length of preoperative evaluations by having an easier access to diagnostic studies, might reduce by 60% the duration of the preoperative phase of cataract surgery.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cirugía de catarata]]></kwd>
<kwd lng="es"><![CDATA[Diferimiento quirúrgico]]></kwd>
<kwd lng="es"><![CDATA[Preoperatorio]]></kwd>
<kwd lng="es"><![CDATA[Tiempos y Movimientos]]></kwd>
<kwd lng="en"><![CDATA[Cataract surgery]]></kwd>
<kwd lng="en"><![CDATA[Surgical deferral]]></kwd>
<kwd lng="en"><![CDATA[Preoperative]]></kwd>
<kwd lng="en"><![CDATA[Time-motion]]></kwd>
</kwd-group>
</article-meta>
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