A prospective study of cost, patient satisfaction, and outcome of treatment of chalazion by medical and nursing staff

AIM To study prospectively the outcome of conservative and surgical treatment of chalazia provided by medical and nursing staff. METHODS During a 5 month recruitment period all patients attending a district general eye hospital for treatment of chalazion were included in the study. 129 patients (217...

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Published in:British journal of ophthalmology 2000-07, Vol.84 (7), p.782-785
Main Authors: Jackson, T L, Beun, L
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Biological and medical sciences
Capital costs
chalazion
Chalazion - economics
Chalazion - therapy
cost
Cost analysis
Cost-Benefit Analysis
Cysts
Female
Health Care Costs
Histology
Hospitals
Hospitals, District
Humans
Male
Medical sciences
Medical Staff, Hospital - economics
Middle Aged
nurses
Nursing Staff, Hospital - economics
Ophthalmology
Original articles - Clinical science
Patient Satisfaction
Prospective Studies
Questionnaires
Studies
Success
Treatment Outcome
Tumors and pseudotumors of the eye, orbit, eyelid, lacrimal apparatus
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description AIM To study prospectively the outcome of conservative and surgical treatment of chalazia provided by medical and nursing staff. METHODS During a 5 month recruitment period all patients attending a district general eye hospital for treatment of chalazion were included in the study. 129 patients (217 visits) with chalazia were seen by either a senior nurse or a trainee ophthalmologist (senior house officer, SHO) or both. Patients received either conservative treatment or eversion of the eyelid with incision and curettage. Patients were mailed a questionnaire asking them if their cyst had resolved and how they rated their treatment. Marginal cost analysis was used to determine the cost of treatment. RESULTS The outcome of treatment could be determined in 170 of the 217 visits. Conservative treatment was successful for 29% of cysts while surgical treatment was successful for 72%. There was no significant difference in treatment outcome between nurse and SHO groups. Patients found nurse treatment acceptable with a high level of patient satisfaction. The marginal cost of treatment by a nurse was £9.91 per cyst compared with £12.10 for SHOs. There were no surgical complications and no evidence of malignancy in six biopsies. CONCLUSIONS Surgical treatment of chalazion is safe and effective and successfully treats approximately three quarters of selected cysts. With conservative treatment approximately one third of selected chalazia will resolve within 3 months. Nurse treatment of chalazion is safe, effective, and acceptable to patients.
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METHODS During a 5 month recruitment period all patients attending a district general eye hospital for treatment of chalazion were included in the study. 129 patients (217 visits) with chalazia were seen by either a senior nurse or a trainee ophthalmologist (senior house officer, SHO) or both. Patients received either conservative treatment or eversion of the eyelid with incision and curettage. Patients were mailed a questionnaire asking them if their cyst had resolved and how they rated their treatment. Marginal cost analysis was used to determine the cost of treatment. RESULTS The outcome of treatment could be determined in 170 of the 217 visits. Conservative treatment was successful for 29% of cysts while surgical treatment was successful for 72%. There was no significant difference in treatment outcome between nurse and SHO groups. Patients found nurse treatment acceptable with a high level of patient satisfaction. The marginal cost of treatment by a nurse was £9.91 per cyst compared with £12.10 for SHOs. There were no surgical complications and no evidence of malignancy in six biopsies. CONCLUSIONS Surgical treatment of chalazion is safe and effective and successfully treats approximately three quarters of selected cysts. With conservative treatment approximately one third of selected chalazia will resolve within 3 months. Nurse treatment of chalazion is safe, effective, and acceptable to patients.</description><identifier>ISSN: 0007-1161</identifier><identifier>EISSN: 1468-2079</identifier><identifier>DOI: 10.1136/bjo.84.7.782</identifier><identifier>PMID: 10873994</identifier><identifier>CODEN: BJOPAL</identifier><language>eng</language><publisher>BMA House, Tavistock Square, London, WC1H 9JR: BMJ Publishing Group Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; Capital costs ; chalazion ; Chalazion - economics ; Chalazion - therapy ; cost ; Cost analysis ; Cost-Benefit Analysis ; Cysts ; Female ; Health Care Costs ; Histology ; Hospitals ; Hospitals, District ; Humans ; Male ; Medical sciences ; Medical Staff, Hospital - economics ; Middle Aged ; nurses ; Nursing Staff, Hospital - economics ; Ophthalmology ; Original articles - Clinical science ; Patient Satisfaction ; Prospective Studies ; Questionnaires ; Studies ; Success ; Treatment Outcome ; Tumors and pseudotumors of the eye, orbit, eyelid, lacrimal apparatus</subject><ispartof>British journal of ophthalmology, 2000-07, Vol.84 (7), p.782-785</ispartof><rights>British Journal of Ophthalmology</rights><rights>2000 INIST-CNRS</rights><rights>Copyright: 2000 British Journal of Ophthalmology</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b507t-de1d1e74696f6f24c1af7c7444e74058e0ffa57ff48b0300c946a194fb90c96c3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1723539/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1723539/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=1410141$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10873994$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jackson, T L</creatorcontrib><creatorcontrib>Beun, L</creatorcontrib><title>A prospective study of cost, patient satisfaction, and outcome of treatment of chalazion by medical and nursing staff</title><title>British journal of ophthalmology</title><addtitle>Br J Ophthalmol</addtitle><description>AIM To study prospectively the outcome of conservative and surgical treatment of chalazia provided by medical and nursing staff. METHODS During a 5 month recruitment period all patients attending a district general eye hospital for treatment of chalazion were included in the study. 129 patients (217 visits) with chalazia were seen by either a senior nurse or a trainee ophthalmologist (senior house officer, SHO) or both. Patients received either conservative treatment or eversion of the eyelid with incision and curettage. Patients were mailed a questionnaire asking them if their cyst had resolved and how they rated their treatment. Marginal cost analysis was used to determine the cost of treatment. RESULTS The outcome of treatment could be determined in 170 of the 217 visits. Conservative treatment was successful for 29% of cysts while surgical treatment was successful for 72%. There was no significant difference in treatment outcome between nurse and SHO groups. Patients found nurse treatment acceptable with a high level of patient satisfaction. The marginal cost of treatment by a nurse was £9.91 per cyst compared with £12.10 for SHOs. There were no surgical complications and no evidence of malignancy in six biopsies. CONCLUSIONS Surgical treatment of chalazion is safe and effective and successfully treats approximately three quarters of selected cysts. With conservative treatment approximately one third of selected chalazia will resolve within 3 months. 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Beun, L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b507t-de1d1e74696f6f24c1af7c7444e74058e0ffa57ff48b0300c946a194fb90c96c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Capital costs</topic><topic>chalazion</topic><topic>Chalazion - economics</topic><topic>Chalazion - therapy</topic><topic>cost</topic><topic>Cost analysis</topic><topic>Cost-Benefit Analysis</topic><topic>Cysts</topic><topic>Female</topic><topic>Health Care Costs</topic><topic>Histology</topic><topic>Hospitals</topic><topic>Hospitals, District</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medical Staff, Hospital - economics</topic><topic>Middle Aged</topic><topic>nurses</topic><topic>Nursing Staff, Hospital - economics</topic><topic>Ophthalmology</topic><topic>Original articles - Clinical science</topic><topic>Patient Satisfaction</topic><topic>Prospective Studies</topic><topic>Questionnaires</topic><topic>Studies</topic><topic>Success</topic><topic>Treatment Outcome</topic><topic>Tumors and pseudotumors of the eye, orbit, eyelid, lacrimal apparatus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jackson, T L</creatorcontrib><creatorcontrib>Beun, L</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>British journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jackson, T L</au><au>Beun, L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A prospective study of cost, patient satisfaction, and outcome of treatment of chalazion by medical and nursing staff</atitle><jtitle>British journal of ophthalmology</jtitle><addtitle>Br J Ophthalmol</addtitle><date>2000-07-01</date><risdate>2000</risdate><volume>84</volume><issue>7</issue><spage>782</spage><epage>785</epage><pages>782-785</pages><issn>0007-1161</issn><eissn>1468-2079</eissn><coden>BJOPAL</coden><abstract>AIM To study prospectively the outcome of conservative and surgical treatment of chalazia provided by medical and nursing staff. METHODS During a 5 month recruitment period all patients attending a district general eye hospital for treatment of chalazion were included in the study. 129 patients (217 visits) with chalazia were seen by either a senior nurse or a trainee ophthalmologist (senior house officer, SHO) or both. Patients received either conservative treatment or eversion of the eyelid with incision and curettage. Patients were mailed a questionnaire asking them if their cyst had resolved and how they rated their treatment. Marginal cost analysis was used to determine the cost of treatment. RESULTS The outcome of treatment could be determined in 170 of the 217 visits. Conservative treatment was successful for 29% of cysts while surgical treatment was successful for 72%. There was no significant difference in treatment outcome between nurse and SHO groups. Patients found nurse treatment acceptable with a high level of patient satisfaction. The marginal cost of treatment by a nurse was £9.91 per cyst compared with £12.10 for SHOs. There were no surgical complications and no evidence of malignancy in six biopsies. CONCLUSIONS Surgical treatment of chalazion is safe and effective and successfully treats approximately three quarters of selected cysts. With conservative treatment approximately one third of selected chalazia will resolve within 3 months. Nurse treatment of chalazion is safe, effective, and acceptable to patients.</abstract><cop>BMA House, Tavistock Square, London, WC1H 9JR</cop><pub>BMJ Publishing Group Ltd</pub><pmid>10873994</pmid><doi>10.1136/bjo.84.7.782</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 0007-1161
ispartof British journal of ophthalmology, 2000-07, Vol.84 (7), p.782-785
issn 0007-1161
1468-2079
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1723539
source PubMed Central (Open Access)
subjects Adolescent
Adult
Aged
Biological and medical sciences
Capital costs
chalazion
Chalazion - economics
Chalazion - therapy
cost
Cost analysis
Cost-Benefit Analysis
Cysts
Female
Health Care Costs
Histology
Hospitals
Hospitals, District
Humans
Male
Medical sciences
Medical Staff, Hospital - economics
Middle Aged
nurses
Nursing Staff, Hospital - economics
Ophthalmology
Original articles - Clinical science
Patient Satisfaction
Prospective Studies
Questionnaires
Studies
Success
Treatment Outcome
Tumors and pseudotumors of the eye, orbit, eyelid, lacrimal apparatus
title A prospective study of cost, patient satisfaction, and outcome of treatment of chalazion by medical and nursing staff
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