Patient-reported outcome measuring tools in cataract surgery: Clinical comparison at a tertiary hospital
Patient-reported outcome measuring tools in cataract surgery: Clinical comparison at a tertiary hospital
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DOI：
10.1016/j.jcrs.2016.08.037
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发表时间：
2016-12-01
影响因子：
2.8
通讯作者：
Hancox, Joanne
中科院分区：
文献类型：
--
作者：
Fung, Simon S. M.;Luis, Joshua;Hancox, Joanne
目得：评估患者报告的结果测量问卷的性能，并确定其是否适用于白内障patients.SETTING常规使用：Moorfields眼科医院，伦敦，英国。设计：前瞻性队列研究。分别于术前、术后3周和3个月进行Catquest-9 SF、EuroQol五维量表（EQ-5D）和视觉模拟量表（EQ-VAS）、美国国家眼科研究所社会情绪量表（NEI-SES）和简明视功能指数（VF-8 R）4项问卷调查。然后比较问卷的表现。采用配对Student t检验和Pearson相关性进行统计分析。结果：招募了122例患者;分别有67.2%和61.8%完成了3周和3个月的随访。3周时Catquest-9 SF、EQ-5D、EQ-VAS、NEI-SES和VF-8 R的平均评分变化分别为120.86%（P < .0001）、1.61%（P = .61）、3.37%（P = .09）、16.12%（P = .12）和61.76%（P < .0001）。3个月时，变化分别为162.42%（P < .0001）、4.54%（P = .16）、4.84%（P = .09）、54.63%（P < .0001）和87.55%（P < .0001）。患者报告的结果测量问卷和视力措施之间的相关性是可变的，弱在best.CONCLUSIONS：这是可行的，以评估患者报告的白内障手术的结果作为常规临床实践的一部分。此外，视力可能不能完全反映患者的视觉功能。临床医生应考虑使用患者报告的结局测量问卷，以促进手术决策和结局监测。
PURPOSE: To assess the performance of patient-reported outcome measure questionnaires and determine their appropriateness for routine use in cataract patients.SETTING: Moorfields Eye Hospital, London, United Kingdom.DESIGN: Prospective cohort study.METHODS: Patients having cataract surgery between February and March 2013 were recruited. The following 4 questionnaires Catquest-9SF, EuroQol 5-dimensions questionnaire (EQ-5D) and visual analog scale (EQ-VAS), National Eye Institute Socioemotional Scale (NEI-SES), and short form Visual Function Index (VF-8R) were completed preoperatively and 3 weeks and 3 months postoperatively. The questionnaires' performances were then compared. The paired Student t test and Pearson correlations were used for statistical analysis.RESULTS: One hundred twenty-two patients were recruited; 67.2% and 61.8% completed 3-week and 3-month follow-up, respectively. The changes in the mean scores for the Catquest-9SF, EQ-5D, EQ-VAS, NEI-SES, and VF-8R at 3 weeks were 120.86% (P < .0001), 1.61% (P = .61), 3.37% (P = .09), 16.12% (P = .12), and 61.76 % (P < .0001), respectively. At 3 months, the changes were 162.42% (P < .0001), 4.54% (P = .16), 4.84% (P = .09), 54.63% (P < .0001), and 87.55% (P < .0001), respectively. Correlations between patient-reported outcome measure questionnaires and visual acuity measures were variable and weak at best.CONCLUSIONS: It is feasible to assess patient-reported outcomes in cataract surgery as part of routine clinical practice. In addition, visual acuity might not fully reflect patients' visual function. Clinicians should consider using patient-reported outcome measure questionnaires to facilitate surgical decision-making and outcome monitoring.