Global multi-site, prospective analysis of cataract surgery outcomes following ICHOM standards: the European CAT-Community.

Autor: Zijlmans BL; Het Oogziekenhuis Rotterdam, Schiedamse Vest 180, 3011 BH, Rotterdam, The Netherlands. B.Zijlmans@oogziekenhuis.nl., van Zijderveld R; OLVG, Amsterdam, The Netherlands., Manzulli M; Het Oogziekenhuis Rotterdam, Schiedamse Vest 180, 3011 BH, Rotterdam, The Netherlands., Garay-Aramburu G; University Hospital of Araba, Vitoria, Spain., Czapski P; Department of Ophthalmology, University of Muenster Medical Center, Muenster, Germany., Eter N; Department of Ophthalmology, University of Muenster Medical Center, Muenster, Germany., Diener R; Department of Ophthalmology, University of Muenster Medical Center, Muenster, Germany., Torras J; Clínic Hospital, Barcelona, Spain., Tognetto D; Clinic of Trieste, Trieste, Italy., Giglio R; Clinic of Trieste, Trieste, Italy., De Giacinto C; Clinic of Trieste, Trieste, Italy., Fernandez J; Department of Ophthalmology (Qvision), Vithas Virgen del Mar Hospital, Almería, Spain.; Department of Ophthalmology, Torrecardenas Hospital, Almería, Spain., O'Donnell C; Optegra Eye Hospital, London, UK., Piñero DP; Department of Ophthalmology (Qvision), Vithas Virgen del Mar Hospital, Almería, Spain. david.pinyero@ua.es.; Department of Optics, Pharmacology and Anatomy, University of Alicante, Crta San Vicente del Raspeig s/n, 03690, San Vicente del Raspeig, Alicante, Spain. david.pinyero@ua.es., Knitel A, Bergado-Mijangos R, Coello-Ojeda D, Ozaeta I, Macias-Murelaga B, Fierro JG, Dalmasso CE, Garcia-Gómez PJ, Himanka M, Martínez J, Chang-Sotomayor M, Camós-Carreras A, Spencer F, Sabater-Cruz N, Scardellato C, Dell'Aquila C, Pian G
Jazyk: angličtina
Zdroj: Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie [Graefes Arch Clin Exp Ophthalmol] 2021 Jul; Vol. 259 (7), pp. 1897-1905. Date of Electronic Publication: 2021 Apr 14.
DOI: 10.1007/s00417-021-05181-5
Abstrakt: Purpose: To evaluate in a large sample of patients from 10 different European centers the results of cataract surgery, characterizing the relationship between patient-reported outcomes (PROMs) and clinician-reported outcome measures (CROMs).
Methods: Prospective non-interventional multicenter observational descriptive study analyzing the clinical outcomes of a total of 3799 cases undergoing cataract surgery (mean age: 72.7 years). In all cases, the cataract surgery standard developed by the International Consortium for Health Outcomes Measurements (ICHOM) was used to register the clinical data. Three-month postoperative visual acuity and refraction data were considered CROMs, whereas Rasch-calibrated item 2 (RCCQ2) and total Catquest-9SF score (CQ) were considered PROMs.
Results: Postoperative corrected distance visual acuity (CDVA) was 0.3 logMAR or better in 88.7% (2505/2823) of eyes. Mean differences between preoperative and postoperative RCCQ2 and CQ scores were -3.09 and -2.39, respectively. Visual function improvement with surgery was reported by 91.5% (2163/2364) of patients. Statistically significant, although weak, correlations of postoperative CDVA with postoperative refraction, PROMs, and complications were found (0.133 ≤ r ≤0.289, p < 0.001). A predictive model (R 2 : 0.254) of postoperative CDVA considering 10 variables was obtained, including preoperative CDVA, different ocular comorbidities, age, gender and intraoperative complications. Likewise, another predictive model (R 2 : 0.148) of postoperative CQ considering a total of 14 variables was obtained, including additionally preoperative CQ, target refraction and previous surgeries.
Conclusions: Cataract surgery provides an improved functional vision in most of patients although this improvement can be limited by ocular comorbidities and complications. The relationship between PROMs and CROMs is multifactorial and complex.
(© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
Databáze: MEDLINE
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