Mapping standard ophthalmic outcome sets to metrics currently reported in eight eye hospitals.
Mapping standard ophthalmic outcome sets to metrics currently reported in eight eye hospitals.
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DOI：
10.1186/s12886-017-0667-0
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发表时间：
2017-12-29
影响因子：
2
通讯作者：
Hingorani M
中科院分区：
文献类型：
--
作者：
Michelotti M;de Korne DF;Weizer JS;Lee PP;Flanagan D;Kelly SP;Odergren A;Sandhu SS;Wai C;Klazinga N;Haripriya A;Stein JD;Hingorani M
确定眼科疾病的拟议国际标准结局集与眼科医院目前报告的指标的一致性。混合方法比较基准研究，包括澳大利亚、印度、新加坡、瑞典、英国、和美国都是主要的国际眼科三级护理和培训中心。主要结局指标是报告的眼科结局指标的一致性。国际商定标准结局（ICHOM）集可用于白内障手术（10个指标）和黄斑变性（7个指标）。这八家医院报告了22种不同的白内障手术指标和2种黄斑变性指标，这些指标与拟议的ICHOM指标只有有限的重叠。没有医院报告患者报告视觉功能或视觉相关生活质量结局指标（PROM）。三家医院（38%）仅报告了无并发症白内障手术的发生率。在白内障、角膜、青光眼、斜视和眼整形手术后，术后视力结果的报告方式和时间点存在显著差异。7例（87.5%）测量术后感染，4例（50%）测量30天计划外再手术率。目前，眼科疾病的结局报告在国际上各医院之间存在很大差异，不包括患者报告的结局。就措施和数据收集的一致性达成共识将允许进行有意义的比较，并提供证据基础，从而改善“最佳实践”的共享，以改善全球眼科护理。执行国际标准仍然是一项重大挑战，基于实践的措施知识应成为国际标准化进程的投入之一。本文的在线版本（doi：10.1186/s12886-017-0667-0）包含补充材料，可供授权用户使用。
To determine alignment of proposed international standard outcomes sets for ophthalmic conditions to metrics currently reported by eye hospitals. Mixed methods comparative benchmark study, including eight eye hospitals in Australia, India, Singapore, Sweden, U.K., and U.S. All are major international tertiary care and training centers in ophthalmology. Main outcome measure is consistency of ophthalmic outcomes measures reported. International agreed standard outcomes (ICHOM) sets are available for cataract surgery (10 metrics) and macular degeneration (7 metrics). The eight hospitals reported 22 different metrics for cataract surgery and 2 for macular degeneration, which showed only limited overlap with the proposed ICHOM metrics. None of the hospitals reported patient reported visual functioning or vision-related quality of life outcomes measures (PROMs). Three hospitals (38%) reported rates for uncomplicated cataract surgeries only. There was marked variation in how and at what point postoperatively visual outcomes following cataract, cornea, glaucoma, strabismus and oculoplastics procedures were reported. Seven (87.5%) measured post-operative infections and four (50%) measured 30 day unplanned reoperation rates. Outcomes reporting for ophthalmic conditions currently widely varies across hospitals internationally and does not include patient-reported outcomes. Reaching consensus on measures and consistency in data collection will allow meaningful comparisons and provide an evidence base enabling improved sharing of “best practices” to improve eye care globally. Implementation of international standards is still a major challenge and practice-based knowledge on measures should be one of the inputs of the international standardization process. The online version of this article (doi: 10.1186/s12886-017-0667-0) contains supplementary material, which is available to authorized users.
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影响因子：
4.1
作者：
Black, N.;Browne, J.;Lewsey, J.
通讯作者：
Lewsey, J.
影响因子：
2.8
作者：
Fung, Simon S. M.;Luis, Joshua;Hancox, Joanne
通讯作者：
Hancox, Joanne
影响因子：
--
作者：
Parke, D. W., II;Lum, F.;Rich, W. L.
通讯作者：
Rich, W. L.
影响因子：
9
作者：
Grover, FL;Shroyer, ALW;McDonald, G
通讯作者：
McDonald, G
影响因子：
4.6
作者：
DZIUBAN, SW;MCILDUFF, JB;DALCOL, RH
通讯作者：
DALCOL, RH