Open AccessImpact of clinical and patient‐reported outcomes on patient satisfaction with cataract extraction
Author(s) -
GarciaGutierrez Susana,
Quintana Jose M.,
Aguire Urko,
Barrio Irantzu,
Hayas Carlota Las,
Gonzalez Nerea
Publication year - 2014
Publication title -
health expectations
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.314
H-Index - 74
eISSN - 1369-7625
pISSN - 1369-6513
DOI - 10.1111/j.1369-7625.2012.00801.x
Subject(s) - patient satisfaction , medicine , psychological intervention , visual acuity , cataract extraction , intervention (counseling) , cataract surgery , phacoemulsification , minimal clinically important difference , cohort , physical therapy , randomized controlled trial , ophthalmology , psychiatry , surgery
Background To date, factors that influence satisfaction with cataract surgery have not been broadly explored. Objective To identify variables related to patient satisfaction after cataract extraction by phacoemulsification and to determine the relationship between satisfaction and visual acuity ( VA ) and visual function ( VF ). Design Prospective cohort study. Setting Five hospitals belonging to the Basque Health Care Service. Participants 4335 consecutive patients undergoing cataract extraction. Interventions Clinical data on vision were collected before the intervention and 6 weeks afterwards. Before cataract extraction, patients answered a global question about their expectations for the procedure, answered three questions related to specific activities (reading, going out and recognizing people, and doing housework) and completed the Visual Function‐14 ( VF ‐14) and Short‐Form‐36 ( SF ‐36) instruments. Three months after cataract extraction, they again completed the VF ‐14 and SF ‐36 along with questions about global satisfaction with the procedure and satisfaction with the three specific activities. Main outcome measures Three months after cataract extraction, they again completed the VF ‐14 and SF ‐36 along with questions about global satisfaction with the procedure and satisfaction with the three specific activities. Results Pre‐intervention VA and VF ‐14 scores and their post‐intervention changes were associated with both global satisfaction and satisfaction with the ability to perform specific activities. Unresolved ocular complications were related to global satisfaction with cataract extraction ( OR 95% = 0.39 (0.27, 0.55) , P < 0.001). Both the mental and physical component scales of the SF ‐36 were related to global satisfaction. A group of patients were not satisfied with the intervention in spite of achieving similar vision‐related improvements as patients who were quite satisfied with the procedure. Conclusion Satisfaction with cataract extraction is related to clinical outcomes and is also associated with patients' expectations of their improvement in visual function.