Global multi-site, prospective analysis of cataract surgery outcomes following ICHOM standards: the European CAT-Community
| Autor: | Zijlmans, Bart L.M., van Zijderveld, Rogier, Manzulli, Michele, Garay-Aramburu, Gonzaga, Czapski, Philipp, Eter, Nicole, Diener, Raphael, Torras, Josep, Tognetto, Daniele, Giglio, Rosa, De Giacinto, Chiara, Fernández, Joaquín, O’Donnell, Clare, Piñero, David P., European CAT-Community Study Group, Knitel, Annemijn, Bergado-Mijangos, Roberto, Coello-Ojeda, Daniel, Ozaeta, Itziar, Macias-Murelaga, Beatriz, Garrido Fierro, Jesús, Dalmasso, Cristian E., Garcia-Gómez, Pío Jesús, Himanka, Mari, Martínez, Javier, Chang-Sotomayor, Meilin, Camós-Carreras, Anna, Spencer, Felipe, Sabater-Cruz, Noelia, Scardellato, Carlo, Dell’Aquila, Carmen, Pian, Giulia |
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| Přispěvatelé: | Zijlmans, Bart Lm, van Zijderveld, Rogier, Manzulli, Michele, Garay-Aramburu, Gonzaga, Czapski, Philipp, Eter, Nicole, Diener, Raphael, Torras, Josep, Tognetto, Daniele, Giglio, Rosa, De Giacinto, Chiara, Fernandez, Joaquin, O'Donnell, Clare, Piñero, David P, Knitel, Annemijn, Bergado-Mijangos, Roberto, Coello-Ojeda, Daniel, Ozaeta, Itziar, Macias-Murelaga, Beatriz, Fierro, Jesús Garrido, Dalmasso, Cristian E, Garcia-Gómez, Pío Jesú, Himanka, Mari, Martínez, Javier, Chang-Sotomayor, Meilin, Camós-Carreras, Anna, Spencer, Felipe, Sabater-Cruz, Noelia, Scardellato, Carlo, Dell'Aquila, Carmen, Pian, Giulia, Universidad de Alicante. Departamento de Óptica, Farmacología y Anatomía, Grupo de Óptica y Percepción Visual (GOPV) |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Distance visual acuity Visual acuity genetic structures Vision medicine.medical_treatment Patient-reported outcomes (PROMs) Cataract surgery Catquest-9SF Clinician-reported outcome measures (CROMs) ICHOM Humans Postoperative Period Prospective Studies Surveys and Questionnaires Vision Ocular Visual Acuity Cataract Cataract Extraction Health outcomes 03 medical and health sciences Cellular and Molecular Neuroscience Prospective analysis 0302 clinical medicine Ocular medicine Surveys and Questionnaire 030212 general & internal medicine Óptica business.industry Multi site Outcome measures Sensory Systems Surgery Ophthalmology Prospective Studie 030221 ophthalmology & optometry Observational study medicine.symptom business Human |
| Popis: | 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 (R2: 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 (R2: 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. This study has been sponsored by a grant from Johnson & Johnson Vision. The author David P Piñero has been supported by the Ministry of Economy, Industry and Competitiveness of Spain within the program Ramón y Cajal, RYC-2016-20471. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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