Document Detail


Effectiveness of cataract surgery in Barcelona, Spain site results of an international study. Barcelona I-PORT investigators. International Patient Outcomes Research Team.
MedLine Citation:
PMID:  9762877     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To describe the impact of cataract surgery on visual function and health status in terms of clinical indicators as well as perceived health and functional capacity, and to identify patient characteristics and differences in clinical management that might affect outcomes. SUBJECTS AND METHODS: Observational longitudinal study of a cohort of 218 patients aged 50 or older undergoing first eye cataract surgery. Patients were evaluated pre- and postoperatively by clinical examinations (visual acuity [VA], ocular and medical comorbidity) and standardized telephone interviews. Main outcome measures included: the VF-14 Visual Function Index, the Cataract Symptom Score (CSS), the Sickness Impact Profile (SIP), and global measures of patients' trouble and satisfaction with vision. RESULTS: Significant improvement in all outcomes measures were observed at 4 months postoperatively (P < 0.001). However, the proportion of improved patients varied according to the outcome considered: VA (87%), CSS (72%), VF-14 (62%), and SIP (38%). Patient characteristics associated with higher a level of improvement were: worse preoperative visual function (VA, CSS, VF-14) (P < 0.001), less ocular comorbidity (P < 0.05), less postoperative complications (P < 0.05) and better preoperative general health status (SIP) (P < 0.01). The differences in clinical management were not associated with the outcomes (effectiveness) of surgery. CONCLUSIONS: A large proportion of patients benefit from cataract surgery, the greatest gain corresponding to visual function rather than to general health status. Since effectiveness of surgery is unrelated to operative procedures, less costly practices (i.e., day case surgery and loco-regional anesthesia) should be promoted.
Authors:
M Espallargues; J Alonso
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Publication Detail:
Type:  Clinical Trial; Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of clinical epidemiology     Volume:  51     ISSN:  0895-4356     ISO Abbreviation:  J Clin Epidemiol     Publication Date:  1998 Oct 
Date Detail:
Created Date:  1999-04-07     Completed Date:  1999-04-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8801383     Medline TA:  J Clin Epidemiol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  843-52     Citation Subset:  IM    
Affiliation:
Health Services Research Unit, Institut Municipal d'Investigació Mèdica, Barcelona, Spain.
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MeSH Terms
Descriptor/Qualifier:
Aged
Cataract Extraction / adverse effects,  standards*
Comorbidity
Female
Health Status*
Humans
Longitudinal Studies
Male
Middle Aged
Quality Indicators, Health Care
Questionnaires
Risk Factors
Sickness Impact Profile
Spain
Treatment Outcome
Visual Acuity*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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