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

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. 313 patients with a cataract in Ontario, Canada were recruited to participat...

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Published in:PloS one 2021-01, Vol.16 (1), p.e0246104-e0246104
Main Authors: Lim, Morgan E, Minotti, Simona C, D'Silva, Chelsea, Reid, Robert J, Schlenker, Matthew B, Ahmed, Iqbal K
Format: Article
Language:English
Subjects:
Biology and Life Sciences
Blindness
Cataract
Cataracts
Criteria
Demographic aspects
Disabilities
Drafting software
Editing
Evaluation
Eye
Eye surgery
Funding
Health aspects
Health policy
Measuring instruments
Medicine and Health Sciences
Methodology
Minority & ethnic groups
Patients
Quality of life
Questionnaires
Reliability analysis
Research and Analysis Methods
Social Sciences
Statistical analysis
Statistical methods
Surgery
Visual acuity
Visual perception
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cited_by cdi_FETCH-LOGICAL-c692t-1c246f7496ea6c4c736ab8e8e710041d5dc4c5b78ff09d54f5a4e34ce34e9ed03
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creator Lim, Morgan E
Minotti, Simona C
D'Silva, Chelsea
Reid, Robert J
Schlenker, Matthew B
Ahmed, Iqbal K
description 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. 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. 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. 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.
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subjects Biology and Life Sciences
Blindness
Cataract
Cataracts
Criteria
Demographic aspects
Disabilities
Drafting software
Editing
Evaluation
Eye
Eye surgery
Funding
Health aspects
Health policy
Measuring instruments
Medicine and Health Sciences
Methodology
Minority & ethnic groups
Patients
Quality of life
Questionnaires
Reliability analysis
Research and Analysis Methods
Social Sciences
Statistical analysis
Statistical methods
Surgery
Visual acuity
Visual perception
title Predicting changes in cataract surgery health outcomes using a cataract surgery appropriateness and prioritization instrument
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