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Queirós L, Redondo P, França M, Silva SE, Borges P, de Melo AB, Pereira N, da Costa PF, Carvalho N, Borges M, Sequeira I, Gonçalves FNR, Lemos J. Implementing ICHOM standard set for cataract surgery at IPO-Porto (Portugal): clinical outcomes, quality of life and costs. BMC Ophthalmol 2021; 21:119. [PMID: 33673817 PMCID: PMC7936410 DOI: 10.1186/s12886-021-01887-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2020] [Accepted: 02/15/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND This paper fills a gap in the applied research field, for a local context, by addressing the topics of describing cataract surgery' clinical outcomes; quality of life (QoL); and costs of the patients treated after the implementation of the ICHOM standard set. METHODS This is a retrospective observational study using real-world data (RWD). We included all patients subjected to cataract surgery at the Portuguese Institute of oncology - Porto (IPO-Porto), Portugal, after 3 months follow up period completed between 5th June 2017 and 21st May 2018. The following inclusion criteria: corrected visual acuity of ≤ 6/10 or other significant visual disturbance due to lens opacity or the existence of a large anisometropia. A circuit was implemented based on the ICHOM standard for cataract, to measure clinical variables (e.g. visual acuity) and QoL (CATQUEST-9SF) before and after surgery, and cost of treatment. The results were explored by means of a paired-sample t-test, considering normality assumptions. RESULTS Data refers to 268 patients (73 P25-P75:32-95 years old), regarding 374 eyes. The cataract surgery had a positive effect on visual acuity (p < 0.001), refraction (right and left cylinder; p < 0.001) and all QoL dimensions. The vast majority of patients, around 98%, reported improvements in QoL. Based on IPO-Porto administrative records, the direct cost of treating cataracts (per eye) is of 500€, representing a total cost of 187,000€ for the number of patients operated herein. CONCLUSION This study reports the successful implementation of the ICHOM standard set for cataracts in a Portuguese institution and confirms that cataract surgery provides a rapid visual recovery, with excellent visual outcomes and minimal complications in most patients, while also having a positive impact on patients' quality of life.
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Affiliation(s)
- Lara Queirós
- Department of Ophthalmology, IPO-Porto, Porto, Portugal
| | - Patrícia Redondo
- Management, Outcomes Research, and Economics in Healthcare Group, Porto, Portugal.
- Outcomes Research Lab, Instituto Português de Oncologia do Porto Francisco Gentil (IPO-PORTO), Rua Dr. António Bernardino de Almeida, 4200-072, Porto, Portugal.
| | - M França
- Department of Ophthalmology, IPO-Porto, Porto, Portugal
| | | | - Pedro Borges
- Department of Ophthalmology, IPO-Porto, Porto, Portugal
| | | | - Nuno Pereira
- Department of Ophthalmology, IPO-Porto, Porto, Portugal
| | | | - Nazaré Carvalho
- Outcomes Research Lab, Instituto Português de Oncologia do Porto Francisco Gentil (IPO-PORTO), Rua Dr. António Bernardino de Almeida, 4200-072, Porto, Portugal
| | - Marina Borges
- Management, Outcomes Research, and Economics in Healthcare Group, Porto, Portugal
- Outcomes Research Lab, Instituto Português de Oncologia do Porto Francisco Gentil (IPO-PORTO), Rua Dr. António Bernardino de Almeida, 4200-072, Porto, Portugal
| | | | | | - José Lemos
- Department of Ophthalmology, IPO-Porto, Porto, Portugal
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