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

BMC Ophthalmology

Lara Queirós¹  Pedro Borges¹  José Lemos¹  Sérgio Estrela Silva¹  M. França¹  António Benevides de Melo¹  Paulo Freitas da Costa¹  Nuno Pereira¹  Francisco Nuno Rocha Gonçalves²  Patrícia Redondo³  Marina Borges³  Nazaré Carvalho⁴  Isabel Sequeira⁵ 

[1] Department of Ophthalmology, IPO-Porto;Luz Saúde;Management, Outcomes Research, and Economics in Healthcare Group;Outcomes Research Lab, Instituto Português de Oncologia do Porto Francisco Gentil (IPO-PORTO), Rua Dr. António Bernardino de Almeida;Quality and Patient Safety, IPO-Porto;

关键词: Outcomes assessment;    Ophthalmology;    Cataract;    Patient-reported outcomes measures;   

DOI  :  10.1186/s12886-021-01887-6

来源: DOAJ

【 摘 要 】

Abstract 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.

【 授权许可】

Unknown