Predicting changes in cataract surgery health outcomes using a cataract surgery appropriateness and prioritization instrument

Autor: Robert J. Reid, Chelsea D'Silva, Morgan Lim, Matthew B. Schlenker, Simona C. Minotti, Iqbal Ike K Ahmed
Rok vydání: 2020
Předmět:
Male
Questionnaires
Visual acuity
genetic structures
Vision
medicine.medical_treatment
Visual Acuity
Social Sciences
0302 clinical medicine
Surveys and Questionnaires
Medicine and Health Sciences
Psychology
Prospective Studies
Snellen chart
Aged
80 and over
Ontario
Visual Impairments
Multidisciplinary
030503 health policy & services
Ophthalmic Procedures
Cataract Surgery
Middle Aged
Research Design
Medicine
Female
Sensory Perception
medicine.symptom
Anatomy
0305 other medical science
Research Article
Prioritization
Adult
medicine.medical_specialty
Science
MEDLINE
Surgical and Invasive Medical Procedures
Cataract Extraction
Health outcomes
Research and Analysis Methods
Cataract
03 medical and health sciences
Ocular System
medicine
Humans
Aged
Ability to work
Survey Research
Descriptive statistics
business.industry
Cognitive Psychology
Biology and Life Sciences
Cataract surgery
eye diseases
Ophthalmology
030221 ophthalmology & optometry
Physical therapy
Eyes
Cognitive Science
Perception
sense organs
business
Head
Follow-Up Studies
Neuroscience
Zdroj: PLoS ONE
PLoS ONE, Vol 16, Iss 1, p e0246104 (2021)
ISSN: 1932-6203
Popis: Objective Determine whether items in a cataract surgery appropriateness and prioritization questionnaire can predict change in best corrected visual acuity (BCVA) and health related quality of life (HRQOL) following cataract surgery. Methods 313 patients with a cataract in Ontario, Canada were recruited to participate. BCVA was measured using the Snellen chart. HRQOL was measured using a generic instrument (EQ5D), a visual functioning instrument (Catquest-9SF), and an appropriateness and prioritization instrument (17 items). Outcomes were measured preoperatively and 3–6 months postoperatively. Descriptive statistics were used to describe demographics and outcomes. For each appropriateness and prioritization questionnaire item, a one-way ANOVA was used to compare group means of the change in BCVA, EQ5D, and Catquest-9SF. Results Participants had a mean age of 69 years and were 56% female. BCVA improved in 81%, EQ5D in 49.6%, and Catquest-9SF score in 84% of patients. Improvement in both BCVA and Catquest-9SF scores were found in 68.5% of patients. The ANOVA showed a statistically significant association between a change in BCVA and the ability to participate in social life, and a statistically significant association between a change in Catquest-9SF and glare, extent of impairment in visual function, safety and injury concerns, ability to work and care for dependents, ability to take care of local errands, ability to assist others and ability to participate in social life. Conclusions Almost all patients had improved BCVA and/or visual functioning after surgery. Seven variables from the cataract appropriateness and prioritization instrument were found to be predictors of improvement in Catquest-9SF measuring visual functioning.
Databáze: OpenAIRE
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