Physician and patient concordance in reporting of appropriateness and prioritization for cataract surgery.

<h4>Background/aims</h4>Determine the association between physician-deemed and patient-reported appropriateness and prioritization for cataract surgery.<h4>Methods</h4>Prospective cohort study of 471 patients of 7 ophthalmologists referred for cataract surgery. Ophthalmologis...

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Autores principales:	Matthew B Schlenker, Saba Samet, Morgan Lim, Chelsea D'Silva, Robert J Reid, Iqbal Ike K Ahmed
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/61fd8bc221ca4b30851666bf0bc44dc1
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spelling	oai:doaj.org-article:61fd8bc221ca4b30851666bf0bc44dc12021-12-02T20:10:02ZPhysician and patient concordance in reporting of appropriateness and prioritization for cataract surgery.1932-620310.1371/journal.pone.0253210https://doaj.org/article/61fd8bc221ca4b30851666bf0bc44dc12021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0253210https://doaj.org/toc/1932-6203<h4>Background/aims</h4>Determine the association between physician-deemed and patient-reported appropriateness and prioritization for cataract surgery.<h4>Methods</h4>Prospective cohort study of 471 patients of 7 ophthalmologists referred for cataract surgery. Ophthalmologists rated patients for cataract surgery appropriateness and prioritization using a visual analogue scale of 0-10 preoperatively. All patients completed the eCAPS Quality of Life (QoL), while 313 completed the Catquest-9SF and EQ-5D questionnaires. Regression analyses were applied to determine demographic, clinical and patient-reported outcome measures (PROMs) associated with appropriateness and prioritization.<h4>Results</h4>Two clinical factors (study eye and fellow eye best-corrected visual acuity (BCVA)), 2 eCAPS (night driving difficulty, ability to take care of local errands), and 2 Catquest-9SF PROMs (recognizing faces, seeing to walk on uneven ground) were associated with appropriateness. In multivariable regression, the rating physician, 2 clinical criteria (study eye BCVA, anticipated postoperative BCVA) and 1 eCAPS QoL (night driving difficulty) were associated with appropriateness. Prioritization was associated with low income, 8 clinical criteria, 9 eCAPS, 5 Catquest-9SF, and 1 EQ-5D PROMs. In multivariable regression, 1 clinical criterion (study eye BCVA), 2 eCAPS QoL (night driving difficulty, ability to take care of local errands), and 2 Catquest-9SF PROMs (seeing prices, seeing to walk on uneven ground) were significantly associated.<h4>Conclusions</h4>The eCAPS and Catquest-9SF questionnaires show some concordance with physician-deemed appropriateness, and more with prioritization. Binary conversions of PROM scales provide similar modelling, with minimal loss of explanatory power. As physician-deemed appropriateness and prioritization do not completely capture the patient perspective, PROMs may have a role in cataract surgery decision-making frameworks.Matthew B SchlenkerSaba SametMorgan LimChelsea D'SilvaRobert J ReidIqbal Ike K AhmedPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0253210 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Matthew B Schlenker Saba Samet Morgan Lim Chelsea D'Silva Robert J Reid Iqbal Ike K Ahmed Physician and patient concordance in reporting of appropriateness and prioritization for cataract surgery.
description	<h4>Background/aims</h4>Determine the association between physician-deemed and patient-reported appropriateness and prioritization for cataract surgery.<h4>Methods</h4>Prospective cohort study of 471 patients of 7 ophthalmologists referred for cataract surgery. Ophthalmologists rated patients for cataract surgery appropriateness and prioritization using a visual analogue scale of 0-10 preoperatively. All patients completed the eCAPS Quality of Life (QoL), while 313 completed the Catquest-9SF and EQ-5D questionnaires. Regression analyses were applied to determine demographic, clinical and patient-reported outcome measures (PROMs) associated with appropriateness and prioritization.<h4>Results</h4>Two clinical factors (study eye and fellow eye best-corrected visual acuity (BCVA)), 2 eCAPS (night driving difficulty, ability to take care of local errands), and 2 Catquest-9SF PROMs (recognizing faces, seeing to walk on uneven ground) were associated with appropriateness. In multivariable regression, the rating physician, 2 clinical criteria (study eye BCVA, anticipated postoperative BCVA) and 1 eCAPS QoL (night driving difficulty) were associated with appropriateness. Prioritization was associated with low income, 8 clinical criteria, 9 eCAPS, 5 Catquest-9SF, and 1 EQ-5D PROMs. In multivariable regression, 1 clinical criterion (study eye BCVA), 2 eCAPS QoL (night driving difficulty, ability to take care of local errands), and 2 Catquest-9SF PROMs (seeing prices, seeing to walk on uneven ground) were significantly associated.<h4>Conclusions</h4>The eCAPS and Catquest-9SF questionnaires show some concordance with physician-deemed appropriateness, and more with prioritization. Binary conversions of PROM scales provide similar modelling, with minimal loss of explanatory power. As physician-deemed appropriateness and prioritization do not completely capture the patient perspective, PROMs may have a role in cataract surgery decision-making frameworks.
format	article
author	Matthew B Schlenker Saba Samet Morgan Lim Chelsea D'Silva Robert J Reid Iqbal Ike K Ahmed
author_facet	Matthew B Schlenker Saba Samet Morgan Lim Chelsea D'Silva Robert J Reid Iqbal Ike K Ahmed
author_sort	Matthew B Schlenker
title	Physician and patient concordance in reporting of appropriateness and prioritization for cataract surgery.
title_short	Physician and patient concordance in reporting of appropriateness and prioritization for cataract surgery.
title_full	Physician and patient concordance in reporting of appropriateness and prioritization for cataract surgery.
title_fullStr	Physician and patient concordance in reporting of appropriateness and prioritization for cataract surgery.
title_full_unstemmed	Physician and patient concordance in reporting of appropriateness and prioritization for cataract surgery.
title_sort	physician and patient concordance in reporting of appropriateness and prioritization for cataract surgery.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/61fd8bc221ca4b30851666bf0bc44dc1
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Physician and patient concordance in reporting of appropriateness and prioritization for cataract surgery.

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