Implementing ICHOM standard set for cataract surgery at IPO-Porto (Portugal): clinical outcomes, quality of life and costs

• Type: Article in International Scientific Journal
• Date: 2021

Authors

Queirós, L (Author) Other; Redondo, P (Author) Other; França, M (Author) Other; Silva, SE (Author) Other; Borges, P (Author) Other; de Melo, AB (Author) Other; Pereira, N (Author) Other; da Costa, PF (Author) Other; Carvalho, N (Author) Other; Borges, M (Author) Other; Sequeira, I (Author) Other; Gonçalves F (Author) FMUP; Lemos, J (Author) Other

Journal

Title: BMC Ophthalmology

Vol. 21

ISSN: 1471-2415

Publisher: Springer Nature

Indexing

Scopus - 1 Citation

Other information

Authenticus ID: P-00T-KTG

DOI: 10.1186/s12886-021-01887-6

Abstract (EN): Background: This paper fills a gap in the applied research field, for a local context, by addressing the topics of describing cataract surgery¿ clinical outcomes; quality of life (QoL); and costs of the patients treated after the implementation of the ICHOM standard set. Methods: This is a retrospective observational study using real-world data (RWD). We included all patients subjected to cataract surgery at the Portuguese Institute of oncology - Porto (IPO-Porto), Portugal, after 3 months follow up period completed between 5th June 2017 and 21st May 2018. The following inclusion criteria: corrected visual acuity of ¿ 6/10 or other significant visual disturbance due to lens opacity or the existence of a large anisometropia. A circuit was implemented based on the ICHOM standard for cataract, to measure clinical variables (e.g. visual acuity) and QoL (CATQUEST-9SF) before and after surgery, and cost of treatment. The results were explored by means of a paired-sample t-test, considering normality assumptions. Results: Data refers to 268 patients (73 P25-P75:32¿95 years old), regarding 374 eyes. The cataract surgery had a positive effect on visual acuity (p < 0.001), refraction (right and left cylinder; p < 0.001) and all QoL dimensions. The vast majority of patients, around 98%, reported improvements in QoL. Based on IPO-Porto administrative records, the direct cost of treating cataracts (per eye) is of 500¤, representing a total cost of 187,000¤ for the number of patients operated herein. Conclusion: This study reports the successful implementation of the ICHOM standard set for cataracts in a Portuguese institution and confirms that cataract surgery provides a rapid visual recovery, with excellent visual outcomes and minimal complications in most patients, while also having a positive impact on patients¿ quality of life. © 2021, The Author(s).

Language: English

Type (Professor's evaluation): Scientific