Impact of a Swept Source-Optical Coherence Tomography Device on Efficiency in Cataract Evaluation and Surgery: A Time-and-Motion Study.

Autor: Multack S; Multack Eye Care and Associates, Olympia Fields, IL, USA., Pan LC; Commercial Strategy and Market Access, Boston Healthcare Associates (a Veranex Company), Boston, MA, USA., Timmons SK; Commercial Strategy and Market Access, Boston Healthcare Associates (a Veranex Company), Boston, MA, USA., Datar M; Commercial Strategy and Market Access, Boston Healthcare Associates (a Veranex Company), Boston, MA, USA., Hsiao CW; Health Economics and Outcomes Research, Alcon, Fort Worth, TX, USA., Babu R; Health Economics and Outcomes Research, Alcon, Fort Worth, TX, USA., Pan SM; Health Economics and Outcomes Research, Alcon, Fort Worth, TX, USA., Woodard L; Atlanta Eye Surgery Center, Atlanta, GA, USA.
Jazyk: angličtina
Zdroj: Clinical ophthalmology (Auckland, N.Z.) [Clin Ophthalmol] 2023 Jan 05; Vol. 17, pp. 1-13. Date of Electronic Publication: 2023 Jan 05 (Print Publication: 2023).
DOI: 10.2147/OPTH.S384545
Abstrakt: Purpose: This study aims to assess the time impact of ARGOS ® (image-guided swept-source optical coherence tomography biometer integrated with operating room (OR) technologies (SS-OCT w/ORT)) compared to LENSTAR LS 900 (optical low-coherence reflectometry (OLCR)), IOLMaster 500 (partial coherence interferometry (PCI)), and IOLMaster 700 (SS-OCT) on efficiency in the cataract evaluation and surgery.
Patients and Methods: Data from 212 patients (two study sites) who underwent evaluation and/or cataract surgery were collected. The primary objective was to compare the performance of four biometers; statistical analyses were conducted to compare 1) biometer measurement times for all patients (ANOVA w/post-hoc Dunnett's test) and stratified by cataract density (ANOVA) and 2) rate of biometer acquisition failure (Chi-square test w/post-hoc Bonferroni correction). Real-world observational data collected were then used to develop a practice-based time-efficiency model to demonstrate the combined effect that adopting an SS-OCT w/ORT has on a practice's cataract workflow. Real-world data inputs included assessment of patient's eyes' cataract grade density, time taken for optical biometry, Manual A-scan (ultrasound biometer) when acquisition failed, and measurement times associated with other devices used in cataract evaluation and surgery.
Results: For 208 patients (56% non-dense, 44% dense), the SS-OCT w/ORT biometer had a 0% acquisition failure (SS-OCT: 3% (p = 0.05); OLCR: 5% (p = 0.004); PCI: 15% (p < 0.0001)) and an average time savings of 30 seconds/patient compared to the other biometers in this study (p < 0.05). When acquisition failed, ultrasound biometry resulted in an additional 2.5 minutes/patient. For a cohort of 1000 patients, an SS-OCT w/ORT and an image-guidance system adopted at a practice using an SS-OCT, femtosecond laser, and intraoperative aberrometer offer up to 58% efficiency gain across the cataract workflow.
Conclusion: Results from this study demonstrate an SS-OCT w/ORT's efficiencies in cataract evaluation and surgery driven by faster measurement times, reducing the need for ultrasound biometry, and its integration benefits with other devices.
Competing Interests: Li-Chen Pan and Sean Timmons are employed by Boston Healthcare Associates (a Veranex Company), and at the time this research was performed Manasi Datar was employed by Boston Healthcare Associates. Dr Datar reports that under consulting agreements with RenalytixAI and Foundation Medicine, Veranex received funds to conduct research. Chia-Wen Hsiao, Sun-Ming Pan, and Raiju Babu are employees of Alcon. Dr. Multack and Dr. Woodard are consultants for Alcon. The authors report no other conflicts of interest in this work.
(© 2023 Multack et al.)
Databáze: MEDLINE
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