Catquest questionnaire for use in cataract surgery care: Assessment of surgical outcomes
Catquest questionnaire for use in cataract surgery care: Assessment of surgical outcomes
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DOI：
10.1016/s0886-3350(98)80053-9
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发表时间：
1998-07-01
影响因子：
2.8
通讯作者：
Roos, P
中科院分区：
文献类型：
--
作者：
Lundstrom, M;Stenevi, U;Roos, P
用途：为了证明使用Catquest白内障问卷的白内障摘除术后的患者的结果，并讨论该模型的有效性，在评估outcomes.Setting：35瑞典眼科部门。方法：患者白内障摘除术由外科医生从35瑞典眼科部门参加了这项研究。调查表发给了1995年3月在参与的外科单位接受手术的2970名连续患者，调查表由mall发送给患者，并在自愿的基础上完成。它侧重于日常生活中的视力残疾，活动水平，白内障症状和独立程度。从问卷的结果进行解释，使用一个效益矩阵，信贷不仅减少视力残疾和白内障症状，但也改善或维持术前活动level.Results：完整的手术结果数据和完成术前和术后问卷调查，可在1933例（65.1%）。根据模型，90.9%的患者从手术中获益。第二次白内障摘除术的患者从手术中获益最多的频率最高。根据模型，手术的不同受益水平与患者的视力或手术后视力的总体评分之间存在良好的一致性。缺失数据的患者（没有返回术后问卷调查或手术结果变量缺失）年龄较大，有较高的频率的其他疾病和handicaps.Conclusion：Catquest白内障问卷调查允许白内障手术的结果进行分级的不同水平的好处。这种评估模型与患者对其视力的总体评级之间似乎存在良好的一致性。当使用邮寄调查表时，缺失数据可能是一个问题。
Purpose: To demonstrate the outcome for patients after cataract extraction using the Catquest cataract questionnaire and discuss the model's validity in assessing outcomes.Setting: Thirty-five Swedish departments of ophthalmology.Methods: Patients having cataract extraction performed by surgeons from 35 Swedish departments of ophthalmology participated in the study. The questionnaire was given to 2970 consecutive patients having surgery during March 1995 at the participating surgical units.The questionnaire was sent by mall to patients and completed on a voluntary basis. It focuses on visual disabilities in daily life, activity level, cataract symptoms, and degree of independence. The results from the questionnaire are interpreted using a benefit matrix that credits not only a decrease in visual disabilities and cataract symptoms but also an improvement in or maintenance of a preoperative activity level.Results: Complete surgical outcome data and completed preoperative and postoperative questionnaires were available in 1933 cases (65.1%). Benefit from surgery according to the model was achieved by 90.9% of the patients. Patients having their second cataract extraction had the highest frequency of the greatest benefit from surgery. There was good agreement between the different levels of benefit from surgery according to the model and the patient's global rating of his or her vision or achieved visual acuity after surgery respectively. Patients with missing data (did not return postoperative questionnaire or had missing surgical result variables) were older and had a higher frequency of other diseases and handicaps.Conclusion: The Catquest Cataract questionnaire allowed the outcome of cataract surgery to be graded by different levels of benefit. There seemed to be good agreement between this model of assessment and the patient's global rating of his or her vision. Missing data may be a a problem when a postal questionnaire is used.