Physician and patient concordance in reporting of appropriateness and prioritization for cataract surgery

Determine the association between physician-deemed and patient-reported appropriateness and prioritization for cataract surgery. Two clinical factors (study eye and fellow eye best-corrected visual acuity (BCVA)), 2 eCAPS (night driving difficulty, ability to take care of local errands), and 2 Catqu...

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Bibliographic Details
Published in:PloS one 2021-06, Vol.16 (6), p.e0253210-e0253210
Main Authors: Schlenker, Matthew B, Samet, Saba, Lim, Morgan, D'Silva, Chelsea, Reid, Robert J, Ahmed, Iqbal Ike K
Format: Article
Language:English
Subjects:
Acuity
Biology and Life Sciences
Cataract
Cataracts
Criteria
Decision making
Driving ability
Evaluation
Eye
Eye surgery
Management
Medicine and Health Sciences
Night
Pain
Patients
People and Places
Physician and patient
Quality of life
Quantitative psychology
Questionnaires
Regression
Research and Analysis Methods
Social Sciences
Surgeons
Surgery
Visual acuity
Visual impairment
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Summary:Determine the association between physician-deemed and patient-reported appropriateness and prioritization for cataract surgery. Two clinical factors (study eye and fellow eye best-corrected visual acuity (BCVA)), 2 eCAPS (night driving difficulty, ability to take care of local errands), and 2 Catquest-9SF PROMs (recognizing faces, seeing to walk on uneven ground) were associated with appropriateness. In multivariable regression, the rating physician, 2 clinical criteria (study eye BCVA, anticipated postoperative BCVA) and 1 eCAPS QoL (night driving difficulty) were associated with appropriateness. Prioritization was associated with low income, 8 clinical criteria, 9 eCAPS, 5 Catquest-9SF, and 1 EQ-5D PROMs. In multivariable regression, 1 clinical criterion (study eye BCVA), 2 eCAPS QoL (night driving difficulty, ability to take care of local errands), and 2 Catquest-9SF PROMs (seeing prices, seeing to walk on uneven ground) were significantly associated. The eCAPS and Catquest-9SF questionnaires show some concordance with physician-deemed appropriateness, and more with prioritization. Binary conversions of PROM scales provide similar modelling, with minimal loss of explanatory power. As physician-deemed appropriateness and prioritization do not completely capture the patient perspective, PROMs may have a role in cataract surgery decision-making frameworks.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0253210