Klin Monbl Augenheilkd 2022; 239(03): 293-301
DOI: 10.1055/a-1553-4497
Klinische Studie

Quality Assurance in Cataract and Lens Surgery with Special Consideration of Subjective Patient Reported Outcome Measures and Clinical Reported Outcome Measures

Artikel in mehreren Sprachen: English | deutsch
Ekkehard Fabian
1   Augenklinik, Augencentrum Rosenheim, Deutschland
,
Max Birkl
2   Fakultät für Angewandte Gesundheits- und Sozialwissenschaften, TH Rosenheim, Deutschland
,
Franz Benstetter
2   Fakultät für Angewandte Gesundheits- und Sozialwissenschaften, TH Rosenheim, Deutschland
,
Philipp Eberwein
1   Augenklinik, Augencentrum Rosenheim, Deutschland
,
Ulrich Seher
1   Augenklinik, Augencentrum Rosenheim, Deutschland
,
Thomas Pfeiler
1   Augenklinik, Augencentrum Rosenheim, Deutschland
› Institutsangaben

Abstract

Background Results of medical interventions must be documented and evaluated. In studies, this is done with clinical outcomes data (clinician/clinical reported outcome measure, CROM). In the past, less weight has been given to patient surveys with questionnaires (patient reported outcome measure, PROM).

Patients/Materials and Methods This retrospective study included 104 eyes from 53 patients. Of these, 35 patients had cataract surgery and 15 patients had a refractive lens exchange. The implanted lenses included 62 trifocal IOLs (Asphina trifiocal 839, Zeiss), 34 trifocal toric IOLs (Asphina trifocal toric 939, Zeiss) and 8 bifocal IOLs (Asphina 808, Zeiss) with the same IOL platform. Patients completed a modified questionnaire before surgery and one year after surgery. We made changes to the CatQuest-9SF questionnaire so as to also document side effects.

Results The effort required by the patients to answer the questionnaire was a burden. Transcribing the data into electronic files so as they could be saved and analyzed was a lot of work for the staff. Among the patients, 88.7% were spectacle-independent in everyday life, and 77.5% for reading. 44.4% had a halo problem. 92% reported the operation as a success. 100% had a prediction error of ≤ ± 0.75 dpt.

Conclusion There is a high rate of patient satisfaction with the outcome of the intervention. New questionnaires are needed for new IOLs. The Catquest-9SF is from 2009. Accordingly, revisions and new validation is necessary. Beyond that, only automatic data transfer will reduce the amount of work involved in data input.



Publikationsverlauf

Eingereicht: 07. März 2021

Angenommen: 05. Juli 2021

Artikel online veröffentlicht:
03. November 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
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