Cataract standard set for outcome measures: An Italian tertiary referral centre experience.
| Autor: | Tognetto D; Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy., Giglio R; Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy., De Giacinto C; Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy., Dell'Aquila C; Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy., Pian G; Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy., Scardellato C; Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy., Piñero DP; Department of Optics, Pharmacology and Anatomy, University of Alicante, Alicante, Spain. |
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| Jazyk: | angličtina |
| Zdroj: | European journal of ophthalmology [Eur J Ophthalmol] 2021 May 31, pp. 11206721211018370. Date of Electronic Publication: 2021 May 31. |
| DOI: | 10.1177/11206721211018370 |
| Abstrakt: | Purpose: Implementation of the International Consortium for Health Outcomes Measurements (ICHOM) standard for cataract surgery into clinical practice at an Italian tertiary referral centre. Methods: Prospective, observational, descriptive study consisting of the registry and analysis of cataract surgeries performed during a 6-month enrolment period at the University Eye Clinic of Trieste, Trieste, Italy. Outcomes were recorded and analysed according to the ICHOM Cataract Standard Set version 2.0.1. Records included clinician-reported outcome measures (CROMs) - visual outcome and complications - and patient-reported outcome measures (PROMs) - self-assessed vision with the Catquest-9SF questionnaire. Correlations between PROMs and CROMs were evaluated. A multiple linear regression was used for predicting the change in PROMs with surgery. Results: A total of 218 eyes (of 218 patients) were analysed. Postoperative corrected distance visual acuity (CDVA) was ⩾0.3 in 89.0% (194/218) of eyes. There was a statistically significant improvement of the post-operative Catquest-9SF global average score. ( p < 0.001). The change in the Catquest-9SF score significantly correlated with the change in Item 2 score (related to intermediate vision) ( r = 0.634, p < 0.001). A predictive model of the change in the Catquest-9SF score was found ( p < 0.001, R 2 : 0.527) based on preoperative Catquest-9SF total score, presence or not of macular degeneration, presence or not of intraoperative complications, age >75 years old, and preoperative CDVA. Conclusions: Cataract surgery improves the functional vision, with some factors limiting the outcomes such as comorbidities. Self-perceived improvement in intermediate vision significantly influenced the improvement in self-assessed vision. |
| Databáze: | MEDLINE |
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