Outcomes of ptosis surgery assessed using a patient-reported outcome measure: an exploration of time effects

Mahroo, Omar A.; Hysi, Pirro G.; Dey, Sarju; Gavin, Elizabeth A; Hammond, Christopher J.; Jones, C.A.

doi:10.1136/bjophthalmol-2013-303946

Cited by 15 publications

(18 citation statements)

References 13 publications

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“…Where papers did not fit into easily defined categories or intervention or pathology, it was felt that combining these would only add heterogeneity. Therefore, these eight papers are reported in Table S1 and will not be further analysed …”

Section: Resultsmentioning

confidence: 99%

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The Glasgow Benefit Inventory: a systematic review of the use and value of an otorhinolaryngological generic patient‐recorded outcome measure

Hendry

Chin

Swan

et al. 2016

Clinical Otolaryngology

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BackgroundThe Glasgow Benefit Inventory (GBI) is a validated, generic patient-recorded outcome measure widely used in otolaryngology to report change in quality of life post-intervention.Objectives of reviewTo date, no systematic review has made (i) a quality assessment of reporting of Glasgow Benefit Inventory outcomes; (ii) a comparison between Glasgow Benefit Inventory outcomes for different interventions and objectives; (iii) an evaluation of subscales in describing the area of benefit; (iv) commented on its value in clinical practice and research.Type of reviewSystematic review.Search strategy‘Glasgow Benefit Inventory’ and ‘GBI’ were used as keywords to search for published, unpublished and ongoing trials in PubMed, EMBASE, CINAHL and Google in addition to an ISI citation search for the original validating Glasgow Benefit Inventory paper between 1996 and January 2015.Evaluation methodPapers were assessed for study type and quality graded by a predesigned scale, by two authors independently. Papers with sufficient quality Glasgow Benefit Inventory data were identified for statistical comparisons. Papers with <50% follow-up were excluded.ResultsA total of 118 eligible papers were identified for inclusion. A national audit paper (n = 4325) showed that the Glasgow Benefit Inventory gave a range of scores across the specialty, being greater for surgical intervention than medical intervention or ‘reassurance’. Fourteen papers compared one form of surgery versus another form of surgery. In all but one study, there was no difference between the Glasgow Benefit Inventory scores (or of any other outcome). The most likely reason was lack of power. Two papers took an epidemiological approach and used the Glasgow Benefit Inventory scores to predict benefit. One was for tonsillectomy where duration of sore throat episodes and days with fever were identified on multivariate analysis to predict benefit albeit the precision was low. However, the traditional factor of number of episodes of sore throat was not predictive. The other was surgery for chronic rhinosinusitis where those with polyps on univariate analysis had greater benefit than those without. Forty-three papers had a response rate of >50% and gave sufficient Glasgow Benefit Inventory total and subscales for meta-analysis. For five of the 11 operation categories (vestibular schwannoma, tonsillectomy, cochlear implant, middle ear implant and stapes surgery) that were most likely to have a single clear clinical objective, score data had low-to-moderate heterogeneity. The value in the Glasgow Benefit Inventory having both positive and negative scores was shown by an overall negative score for the management of vestibular schwannoma. The other six operations gave considerable heterogeneity with rhinoplasty and septoplasty giving the greatest percentages (98% and 99%) most likely because of the considerable variations in patient selection. The data from these operations should not be used for comparative purposes. Five papers also reported the number of patients that h...

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Section: Resultsmentioning

confidence: 99%

“…Therefore, these eight papers are reported in Table S1 and will not be further analysed. 55,[57][58][59][60]62,63,71…”

Section: Discussionmentioning

confidence: 99%

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The Glasgow Benefit Inventory: a systematic review of the use and value of an otorhinolaryngological generic patient‐recorded outcome measure

Hendry

Chin

Swan

et al. 2016

Clinical Otolaryngology

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“…This patient-reported scale measures post-operative change in general and psychosocial well-being, as well as support and physical function. It was originally validated for use in otorhinolaryngological patients and although its use in ptosis surgery has been reported, [30][31][32] validity data in the currently studied population is limited. Despite the risk of response bias inherent in its design, the GBI is a generic and translatable instrument that can measure both positive and negative impact (scored from +100 to − 100) across a range of procedures; 32,33 it has been shown to correlate with both markers of surgical success [34][35][36] and quality of life.…”

Section: Discussionmentioning

confidence: 99%

Anterior approach white line advancement: technique and long-term outcomes in the correction of blepharoptosis

Schulz

Nicholson

Penwarden

et al. 2017

Eye

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PurposeAnterior approach white line advancement presents a novel surgical option for correction of blepharoptosis. The technique draws on several advantages of other approaches. The aim of this study was to present outcomes using this technique at a minimum follow-up of 18 months.Patients and methodsParticipants having undergone anterior approach white line advancement ptosis correction at a single institution were retrospectively recruited at a minimum of 18 months' follow-up. A total of 18 independent eyelid measurements were recorded at final review. Outcomes included long-term rate of surgical success, upper eyelid margin-reflex distance (MRD1) at both early and late post-operative follow-up, inter-eyelid asymmetry, complications, re-operation rate, patient satisfaction, and quality-of-life improvement using the Glasgow Benefit Inventory (GBI). Pre- and post-operative MRD1, as well as inter-eyelid asymmetry, were compared using a two-tailed t-test.ResultsIn total, 82 eyelids of 47 participants were included with a mean follow-up of 2.3 years (range 1.5-3.7). Surgical success was achieved in 91.5%, with a final mean MRD1 of 3.5 mm (95% confidence 3.2-3.7). An increase of 2.4 mm (2.1-2.8) in eyelid height was observed between baseline and long-term follow-up (P<0.0001). No significant change was observed between early and late post-operative follow-up. Pre-operative asymmetry was reduced from 1.0 mm (0.7-1.3) to 0.4 mm (0.3-0.5; P<0.0001). Patient satisfaction was 95.7% with a mean GBI score of +21.8 (13.2-30.3).ConclusionsAnterior approach white line advancement presents an excellent option for patients undergoing ptosis correction with favourable long-term results. Comparisons are made with other techniques with respect to anatomical, functional, and surgical factors.

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“…It has been used in over 100 studies of different otorhinolaryngological interventions, and also more recently in a number of studies of oculoplastic procedures. [5][6][7][8][9] The instrument has not been used in cataract surgery, but such data would be useful to allow comparison with other procedures. This pilot study aimed to assess whether the GBI would be sensitive enough to pick up changes in quality of life as early as a few weeks following routine cataract surgery.…”

Section: Introductionmentioning

confidence: 99%

Changes in quality of life shortly after routine cataract surgery

Heemraz

Lee

Hysi

et al. 2016

Canadian Journal of Ophthalmology

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ObjectiveA pilot study to explore use of a generic patient-reported outcome measure to assess patient-perceived improvements in quality of life within 2-4 weeks of routine cataract surgery, and to explore differences after first or second eye surgery. Secondary analysis explored effects of gender and ethnicity. DesignProspective observational study. ParticipantsConsecutive patients attending a weekly nurse-led postoperative clinic. MethodsThe Glasgow Benefit Inventory (GBI), a validated, post-interventional questionnaire (not specific to one particular medical or surgical intervention), was administered. Mean scores were calculated. Scores were compared when patients were grouped by first or second eye, and by gender or ethnicity (unpaired t test). Scores potentially range from +100 (maximum benefit) to -100 (maximum detriment). 3 ResultsThe GBI was administered 113 times to 109 patients (4 patients were seen following both first and second eye surgery). Mean overall score was +22.8 (median +19.4; SD 19.7; 95% CI +19.2 to +26.4). Mean (SD) sub-scores were +30.5 (25.3), +17.8 (26.7) and -3.1 (19.9) for general, social support and physical health sub-domains respectively. Total benefit scores were not significantly different for first or second eye surgery, or across gender (p>0.3). Scores for patients of African (including African Caribbean) ethnicity were significantly higher than those obtained from European patients (p=0.002).

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Outcomes of ptosis surgery assessed using a patient-reported outcome measure: an exploration of time effects

Abstract: Patient-perceived benefit following ptosis surgery shows stability with time, as assessed using the GBI. Future studies could explore correlations with age and type of surgery.

Cited by 15 publications

References 13 publications

The Glasgow Benefit Inventory: a systematic review of the use and value of an otorhinolaryngological generic patient‐recorded outcome measure

The Glasgow Benefit Inventory: a systematic review of the use and value of an otorhinolaryngological generic patient‐recorded outcome measure

Anterior approach white line advancement: technique and long-term outcomes in the correction of blepharoptosis

Changes in quality of life shortly after routine cataract surgery

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