International journal for quality in health care : journal of the International Society for Quality in Health Care · 2009
Appropriateness of phacoemulsification in Spain.
СтатьяМногоцентровое исследованиеПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
de Larrea Nerea Fernández, Blasco Juan Antonio, Aguirre Urko, García Susana, Elizalde Belén, Navarro Gemma, Pérez Sabina, IRYSS Cataract Group
Аннотация
OBJECTIVE: To evaluate the appropriateness of phacoemulsification procedures performed in four Spanish regions, applying criteria developed by means of RAND/UCLA methodology.
DESIGN: Prospective observational study.
SETTING: Seventeen public teaching hospitals in four regions of Spain.
PARTICIPANTS: Patients on waiting list to undergo cataract extraction by phacoemulsification.
INTERVENTION: Cataract surgery by phacoemulsification.
MAIN OUTCOME MEASURE: Level of appropriateness of each intervention, according to criteria developed by means of the RAND/UCLA appropriateness methodology.
RESULTS: Among the 5442 analysed patients the indication of phacoemulsification was appropriate in 69.6%, inappropriate in 7.3% and uncertain in 23.0%. Presence of ocular comorbidity, lack of cataract-induced visual function limitation, anticipated postoperative visual acuity of <0.5, preoperative visual acuity of >0.1 and high surgical complexity were associated with inappropriateness.
CONCLUSIONS: Some clinical characteristics, when present, make it especially important to obtain a careful assessment of the risks and benefits of surgery. Consideration of these characteristics may improve the appropriateness of phacoemulsification.
DESIGN: Prospective observational study.
SETTING: Seventeen public teaching hospitals in four regions of Spain.
PARTICIPANTS: Patients on waiting list to undergo cataract extraction by phacoemulsification.
INTERVENTION: Cataract surgery by phacoemulsification.
MAIN OUTCOME MEASURE: Level of appropriateness of each intervention, according to criteria developed by means of the RAND/UCLA appropriateness methodology.
RESULTS: Among the 5442 analysed patients the indication of phacoemulsification was appropriate in 69.6%, inappropriate in 7.3% and uncertain in 23.0%. Presence of ocular comorbidity, lack of cataract-induced visual function limitation, anticipated postoperative visual acuity of <0.5, preoperative visual acuity of >0.1 and high surgical complexity were associated with inappropriateness.
CONCLUSIONS: Some clinical characteristics, when present, make it especially important to obtain a careful assessment of the risks and benefits of surgery. Consideration of these characteristics may improve the appropriateness of phacoemulsification.