Patientenberichtete und patientengewichtete Endpunkte in der Augenheilkunde

Scheibler, Fülöp; Finger, Robert P.; Großelfinger, Robert; Dintsios, Charalabos-Markos

doi:10.1007/s00347-009-2037-7

Cited by 7 publications

(3 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Over the past 20 years, the medical sciences including ophthalmology have taken an increased interest in patient-reported outcomes, and the authors concur that patient-reported outcomes do indeed provide the physician with more ammunition for offering a more holistic approach to the overall care of our patients. 6 , 7 From the perspective of the physician, the postoperative cataract surgery patient must be evaluated initially at some point and whether it is the same-day or on a different day, the authors do not recognize any time or cost savings realized to the physician. And since the AAO preferred practice patterns provide some flexibility in regards to initial postoperative care, the authors believe it is reasonable and appropriate to take into consideration their patient’s preferences on the matter.…”

Section: Discussionmentioning

confidence: 99%

Timing of the Initial Postoperative Care After Cataract Surgery: A Patient’s Perspective

Rush,

Huseman,

Rush

2023

OPTH

View full text Add to dashboard Cite

Purpose To evaluate patient preferences in regards to the timing of the initial postoperative examination after undergoing cataract surgery. Methods A retrospective, consecutive case series analysis from a single private practice institution was performed using a standardized phone survey on patients who underwent cataract surgery. Subjects were classified into one of two possible study groups according to the timing of their initial postoperative cataract surgery examination: Group A received the initial postoperative cataract surgery examination on the same day as the surgery, whereas Group B received the initial postoperative cataract surgery examination on the day following the operation. Results There were 80 subjects contacted for the phone survey of which 70 (35 in each study group) completed the survey and therefore were included in the analysis. Group A subjects responded favorably in regards to preference and realizing reduced time and cost savings compared to Group B (p < 0.0001 for both). There were no subjects in Group A who would have preferred next-day initial postoperative care, whereas 31.4% of subjects in Group B would have preferred same-day care if given the opportunity. Conclusion Patients undergoing cataract surgery both prefer and report time and cost savings with same-day initial postoperative care compared to next-day initial postoperative care. Patient preferences regarding their postoperative care should be one of the many factors that a surgeon ought to take into consideration when providing follow-up care after cataract surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

Timing of the Initial Postoperative Care After Cataract Surgery: A Patient’s Perspective

Rush,

Huseman,

Rush

2023

OPTH

View full text Add to dashboard Cite

show abstract

“…7,8 The medical sciences have increasingly acknowledged the value of patient-reported outcomes during the past two decades, and the authors concur that such outcomes allow the surgeon an opportunity to provide a more complete and holistic approach to patient care. 9,10 Limited prospective patient-reported dry eye symptom outcomes following LASIK presently exist in the literature. The Patient-Reported Outcomes with LASIK Symptoms and Satisfaction (PROWL) survey is a well-defined and validated questionnaire for evaluating patient satisfaction following LASIK.…”

Section: Introductionmentioning

confidence: 99%

Patient-Reported Dry Eye Outcomes After Myopic Femtosecond-LASIK: A 6-Month Prospective Analysis

Rush¹,

Pickett²,

Rush³

2023

OPTH

View full text Add to dashboard Cite

To evaluate patient-reported outcomes in relation to dry eye symptoms following femtosecond LASIK (FS-LASIK). Methods: This study was conducted as a prospective, observational case series of patients undergoing bilateral myopic FS-LASIK at a single private practice institution. Enrolled patients were prospectively administered a standardized Dry Eye Symptom Index survey (analog score of 1 to 5 with 5 being the worst) prior to treatment and at 6-months after FS-LASIK. The following objective measurements were also recorded: objective scatter index (OSI), tear film osmolarity (TFO), and automated tear break-up times (TBUT). Results: There were 40 enrolled patients who underwent bilateral myopic FS-LASIK and completed the 6-month study period. The Dry Eye Symptom Index score improved from 2.3 (2.0-2.6, 95% Confidence Intervals) prior to treatment to 1.3 (1.0-1.5) at 6 months (p < 0.0001). Subset analysis of the subjective dry eye symptoms showed improvement in "grittiness" (p = 0.001) but not in "light sensitivity" or "soreness" (p = 0.13 and p = 0.24, respectively). There were no significant changes in the OSI, TFO, or TBUT measurements at 6 months (p > 0.05 for all), and there were no adverse events or complications during the study period. Conclusion: Patient-reported dry eye symptoms improve after 6 months following myopic FS-LASIK. This did not correlate with the objective dry eye measurement changes at 6 months.

show abstract

“…18,19 The medical sciences during the past several years have increasingly recognized the importance of patient-reported outcomes, and the authors agree that such outcomes provide the physician with an opportunity to offer a more holistic approach to the care of their patients. 20,21 The Patient-Reported Outcomes with LASIK Symptoms and Satisfaction (PROWL) questionnaire are a well-defined and validated survey for assessing patient satisfaction following LASIK. 22,23 Although reports using the PROWL questionnaire have been published after WG and WFO ablations, 24 there are currently no reports following TG-LASIK.…”

Section: Introductionmentioning

confidence: 99%

Topography-Guided LASIK: A Prospective Study Evaluating Patient-Reported Outcomes

Rush,

Pickett,

Wilson

et al. 2023

OPTH

View full text Add to dashboard Cite

Purpose To evaluate patient-reported outcomes with a validated patient questionnaire following topography-guided LASIK (TG-LASIK). Methods Patients undergoing TG-LASIK using Phorcides analytic software were prospectively enrolled to receive an adapted Patient-Reported Outcomes with LASIK Symptoms and Satisfaction (PROWL) questionnaire before and 26-weeks after treatment. The main study outcome was the change in the Global Vision Satisfaction Index from the PROWL questionnaire. Results Forty-six patients underwent treatment and completed the modified PROWL questionnaire before and 26-weeks after TG-LASIK. The Global Vision Satisfaction Index from the modified PROWL questionnaire improved from 4.07 (3.87–4.26) to 5.00 (4.81–5.19) after the TG-LASIK treatment (p < 0.0001). The study population’s binocular uncorrected distance visual acuity was 20/16, 20/12.5, and 20/10 or better in 100%, 87.0%, and 15.2% at 26 weeks post TG-LASIK, respectively. Conclusion Patient satisfaction as assessed with the modified PROWL questionnaire is very high after undergoing TG-LASIK using Phorcides analytic software. Patient-reported outcomes add another dimension when assessing treatment efficacy beyond change in visual acuity and corneal architecture, and specialists may consider incorporating such assessments into the consenting process and patient education at large.

show abstract

Patientenberichtete und patientengewichtete Endpunkte in der Augenheilkunde

Cited by 7 publications

References 26 publications

Timing of the Initial Postoperative Care After Cataract Surgery: A Patient’s Perspective

Timing of the Initial Postoperative Care After Cataract Surgery: A Patient’s Perspective

Patient-Reported Dry Eye Outcomes After Myopic Femtosecond-LASIK: A 6-Month Prospective Analysis

Topography-Guided LASIK: A Prospective Study Evaluating Patient-Reported Outcomes

Contact Info

Product

Resources

About