Factors Affecting Outcomes in Cataract Surgical Patient - Pilot study -

Park, Eun-Cheol; Hong, Young Jae; Lim, Seung Jeong; Kang, Hyung-Gon; Choi, Yoon Jung; Kim, Han Joong; Cho, Woo Hyun; Sohn, Myongsei

Journal of Korean Society Quality Assurance Health Care 1998;5(1): 120.
Published online May 30, 1998.

백내장 수술환자의 진료결과에 미치는 요인 - 사전 연구를 중심으로 -

박은철¹, 홍영재², 임승정², 강형곤³, 최윤정¹, 김한중¹, 조우현¹, 손명세¹

¹연세의대 예방의학교실
²연세의대 안과학교실
³포천중문의대 예방의학교실

Factors Affecting Outcomes in Cataract Surgical Patient - Pilot study -

Eun-Cheol Park¹, Young Jae Hong², Seung Jeong Lim², Hyung-Gon Kang³, Yoon Jung Choi¹, Han Joong Kim¹, Woo Hyun Cho¹, Myongsei Sohn¹

¹Department of Preventive Medicine and Public Health, College of Medicine, Yonsei University
²Department of Ophthalmology, College of Medicine, Yonsei University
³Department of Preventive Medicine, Pochon-CHA University

Abstract

Background
This study is to identify preoperative patient characteristics associated with a lack of improvement on one or more measures peri operatively, postoperative 3-4 months, and postoperative 12 months.
Methods
For the assessment, prospective study was performed with 92 patients who had undergone either one eye or both eye cataract surgery by 3 ophthalmologists practicing at a university hospital. The criteria of improvement were (1) Snellen visual acuity, (2) a cataract-related symptom score(possible range: 0, 0 of 6 symptoms present or bothersome, to 18, all 6 symptoms very bothersome), and (3) VF-14 score - a measure of functional impairment in patient with cataract - (possible range: 0, inability to perform any of the applicable activities, to 100, no difficulty in performing any of the applicable activities).
Results
Although 14 patients (15.2%) failed to improve on one or more of the outcome measures assessed, no one failed to improve on all three measures. Both eyes of surgery than one eye, preoperative cataract symptom score of 1-4, 5 or higher than 0 were associated independently with the increased likelihood of improvement (odds ratio 8.95, 7.16, 8.87 respectively). And the preoperative level of Snellen visual acuity was not associated with the likelihood of improvement
Conclusion
We conclude that specific preoperative characteristics (both eyes, cataract symptom score) are independent predictors of patient outcome after cataract surgery.

Key words patient outcomes research;prediction of outcomes;cataract;