Qualitätsfindung in der Kataraktchirurgie der Universitäts-Augenklinik Graz*

Faschinger, Christoph

doi:10.1007/s00717-011-0013-5

Cited by 4 publications

(1 citation statement)

References 10 publications

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“…Die Patienten haben einen schlechteren Visus, mehr okuläre Komorbiditäten (Glaukom) und öfter Risikofaktoren (Kapselhäutchen). Aus diesen beiden Gründen führen wir immer öfter (193/ [5][6][7]. Es gibt jedoch sehr routinierte Kataraktchirurgen (nicht nur in der Schweiz), die deutlich geringere Kapselrupturraten erreichen.…”

Section: Diskussionunclassified

Ein Jahr Erfahrung mit der Qualitätssicherung der Kataraktoperation (EUREQUO) an einem öffentlichen Spital

Stürmer

Scherrer

Henrich

et al. 2017

Klin Monatsbl Augenheilkd

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Quality control is particularly important in invasive medicine. As cataract surgery is the most frequently performed and most successful ophthalmic surgery, quality control should become mandatory. Retrospective analysis of all cataract procedures performed in a 12 months period (01. 07. 2014 - 30. 06. 2015) at our hospital, using an internet-based EUREQOU database. This database is easy to use and allows local results to be compared with all participants in Switzerland and elsewhere in Europe. During one year, 904 cataract procedures were performed at our hospital. Of these, 892 with complete data were compared to 2918 operations performed in Switzerland and 274,644 in other European countries. Our sample contained more patients with markedly reduced visual acuity (< 0.1; 8.4/4.8/3.5 %; KSW/Switzerland/Europe), more patients with glaucoma (28.1/13.9/7.1 %) and more patients with pseudoexfoliation (22.8/11.5/0.56 %). Despite our training of young ophthalmic surgeons, the rate of capsular complications was as low (0.67/0.34/0.67 %) as in other series. Four to 6 weeks after surgery, the majority of patients achieved a best corrected visual acuity of ≥ 0.8 (79.2 vs. 87.4 % in Europe, not enough data from Switzerland). Biometric prediction error (79.2 % within ± 0.75 D) was within the target range, but in the lower quartile. Despite the relatively high number of complex patients in our hospital, quality control reveals that we performed cataract surgery with low complication rates and good results. Although quality control is rapid and easy, only three centres in Switzerland are participating.

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Section: Diskussionunclassified

Ein Jahr Erfahrung mit der Qualitätssicherung der Kataraktoperation (EUREQUO) an einem öffentlichen Spital

Stürmer

Scherrer

Henrich

et al. 2017

Klin Monatsbl Augenheilkd

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EUREQUO: ein europäisches Qualitätssicherungssystem etabliert sich – Einjahresergebnisse des Krankenhauses der Barmherzigen Brüder in Linz

Lübke¹,

Reinelt²,

Jirak³

et al. 2011

Spektrum Augenheilkd.

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Background: Ensuring the quality of medical care is an increasing focus of health policy -participation in quality assurance projects is considered desirable and increasingly required throughout Europe. The European registry of quality outcomes for cataract and refractive surgery (EUREQUO) offers participating centres the chance to learn about and monitor their own results as well as compare them with national and European data to evaluate quality standards and trends. Material and methods: EUREQUO is a web-based quality register, which collects anonymous socio-demographic patient information as well as pre-and intraoperative data and, as far as logistic factors allow, postoperative data. Results: First year results for the hospital of St. John of God in Linz for April 1st 2010 to March 31st 2011 are available. Results suggest that the preliminary clinical investigation in the hospital of St. John of God is performed at an above-average level. Existing age related macular degeneration as a co-existing eye disease and pseudoexfoliation as complicating comorbidity are diagnosed here more often. In Europe nearly half the patients had a best visual acuity of the eye of less than 6/12; in our hospital the corresponding proportion was even higher. European data (including the hospital of St. John of God) revealed a rate of posterior capsule rupture of 1 %, whereas we performed an anterior vitrectomy more often. The intraokularlens design differs in Europe -we implanted aspheric lenses less often, but toric intraokularlenses more frequently.Conclusions: The quality assurance project fulfills the key requirement of continuous quality control for ophthalosurgeons. It provides an overview of trends in cataract and refractive surgery in Europe and enables single ophthalmosurgeons and participating centers to compare their results with national and European data. Key words: Quality assurance, quality management, cataract surgery, European registry of quality outcomes for cataract and refractive surgery (EUREQUO) Zusammenfassung. Hintergrund: Die Sicherung der ärztli-chen Qualität rückt im Gesundheitssystem zunehmend in den Blickpunkt der Gesundheitspolitik -die Teilnahme an Qualitätssicherungsprojekten wird mittlerweile europaweit gefordert. The European Registry of Quality Outcomes for Cataract and Refraktive Surgery (EUREQUO) bietet die Möglichkeit eigene Ergebnisse zu kennen und zu verfolgen, sowie diese mit den nationalen bzw. europaweiten Daten zu vergleichen und Qualitätsstandards und Trends auszuwerten. Material und Methode: EUREQUO ist eine webbasierte Qualitätssicherungsdatenbank, die anonymisierte soziodemographische Faktoren, prä-und intraoperative Daten und -soweit logistisch möglich -auch postoperative Daten erfasst. Resultate: Die Einjahresergebnisse des Krankenhauses der Barmherzigen Brüder in Linz beziehen sich auf den Zeitraum vom 1.4.2010 bis zum 31.3.2011, in dem österreichweit 5.144 Datensätze erfasst worden sind, davon 90 % (n = 4.568) im Krankenhaus der Barmherzigen Brüder in Linz. Im Rahmen der Auswert...

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The Doctors’ Effect on Patients’ Physical Health Outcomes Beyond the Intervention: A Methodological Review

Schnelle¹,

Jones²

2022

CLEP

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Background Previous research suggests that when a treatment is delivered, patients’ outcomes may vary systematically by medical practitioner. Objective To conduct a methodological review of studies reporting on the effect of doctors on patients’ physical health outcomes and to provide recommendations on how this effect could be measured and reported in a consistent and appropriate way. Methods The data source was 79 included studies and randomized controlled trials from a systematic review of doctors’ effects on patients’ physical health. We qualitatively assessed the studies and summarized how the doctors’ effect was measured and reported. Results The doctors’ effects on patients’ physical health outcomes were reported as fixed effects, identifying high and low outliers, or random effects, which estimate the variation in patient health outcomes due to the doctor after accounting for all available variables via the intra-class correlation coefficient. Multivariable multilevel regression is commonly used to adjust for patient risk, doctor experience and other demographics, and also to account for the clustering effect of hospitals in estimating both fixed and random effects. Conclusion This methodological review identified inconsistencies in how the doctor’s effect on patients’ physical health outcomes is measured and reported. For grading doctors from worst to best performances and estimating random effects, specific recommendations are given along with the specific data points to report.

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Qualitätsfindung in der Kataraktchirurgie der Universitäts-Augenklinik Graz*

Cited by 4 publications

References 10 publications

Ein Jahr Erfahrung mit der Qualitätssicherung der Kataraktoperation (EUREQUO) an einem öffentlichen Spital

Ein Jahr Erfahrung mit der Qualitätssicherung der Kataraktoperation (EUREQUO) an einem öffentlichen Spital

EUREQUO: ein europäisches Qualitätssicherungssystem etabliert sich – Einjahresergebnisse des Krankenhauses der Barmherzigen Brüder in Linz

The Doctors’ Effect on Patients’ Physical Health Outcomes Beyond the Intervention: A Methodological Review

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