Cataract standard set for outcome measures: An Italian tertiary referral centre experience
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Título: | Cataract standard set for outcome measures: An Italian tertiary referral centre experience |
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Autor/es: | Tognetto, Daniele | Giglio, Rosa | De Giacinto, Chiara | Dell’Aquila, Carmen | Pian, Giulia | Scardellato, Carlo | Piñero, David P. |
Grupo/s de investigación o GITE: | Grupo de Óptica y Percepción Visual (GOPV) |
Centro, Departamento o Servicio: | Universidad de Alicante. Departamento de Óptica, Farmacología y Anatomía |
Palabras clave: | Lens/cataract | Pre-op medical testing | Practice management | Socioeconomics and education in medicine/ophthalmology | Clinical tests | Phacoemulsification | Postoperative anterior segment problems |
Área/s de conocimiento: | Óptica |
Fecha de publicación: | 31-may-2021 |
Editor: | SAGE Publications |
Cita bibliográfica: | European Journal of Ophthalmology. 2022, 32(2): 902-910. https://doi.org/10.1177/11206721211018370 |
Resumen: | 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, R2: 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. |
Patrocinador/es: | This study has been supported by an unrestricted grant from Johnson & Johnson Vision to obtain the access to the ICHOM standard set for cataract surgery. |
URI: | http://hdl.handle.net/10045/115493 |
ISSN: | 1120-6721 (Print) | 1724-6016 (Online) |
DOI: | 10.1177/11206721211018370 |
Idioma: | eng |
Tipo: | info:eu-repo/semantics/article |
Derechos: | © The Author(s) 2021 |
Revisión científica: | si |
Versión del editor: | https://doi.org/10.1177/11206721211018370 |
Aparece en las colecciones: | INV - GOPV - Artículos de Revistas |
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Tognetto_etal_2022_EJO_final.pdf | Versión final (acceso restringido) | 195,48 kB | Adobe PDF | Abrir Solicitar una copia |
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