Assessing Quality of Vision in Cataract Surgery: A Randomized Trial of Digital vs. Paper-Based Questionnaires.

IF 2.6 3区 医学 Q2 OPHTHALMOLOGY
Adi Porat Rein, Mats Lundström, Mor M Dickman, Matan Rosen, Yaron Finkelman, Anastasia Semionov, David Zadok, Adi Abulafia
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Abstract

Purpose: To introduce a newly developed digital platform and compare its reliability and agreement with paper-based questionnaires for assessing quality of vision before and after cataract surgery.

Setting: University-affiliated ophthalmology department and private clinic.

Design: Prospective, randomized trial with parallel design of 1:1 allocation ratio without masking.

Methods: Between 11/2021 and 6/2023, patients from a preoperative cataract clinic, aged ≥21 years, with cataracts in both eyes and internet access were randomly assigned by "ALEA" software to complete Catquest-9SF and Quality-of-Vision (QoV) questionnaires before surgery and after second eye surgery via paper or a newly developed digital European Registry of Quality Outcomes in Cataract and Refractive Surgery (EUREQUO) platform. Statistical analyses evaluated agreement between methods, and validation was by Rasch analysis.

Results: Half (183/364, 50.3%) of the enrolled patients were allocated to digital questionnaires. After exclusion due to technical issues, missing questions, and withdrawal, 307/364 patients remained, of whom 159 (51.8%) filled in digital questionnaires. Half of all patients (n=154) underwent sequential surgeries on both eyes after a minimum one-month interval. Seventy-two (72/154, 46.8%) completed postoperative questionnaires. Comparative analysis found no significant differences between paper and digital methods. Catquest-9SF and QoV questionnaires demonstrated good precision and reliability (Rasch analysis). Postoperative vision improved at an average of 2.82 logits.

Conclusion: The newly developed digital EUREQUO platform for patient assessment of quality of vision before and after cataract surgery with the Catquest-9SF and QoV questionnaires, offers a reliable alternative to traditional paper-based questionnaires, enhancing convenience for patients and providers.

评估白内障手术视力质量:数字问卷与纸质问卷的随机试验。
目的:介绍一种新开发的数字平台,并比较其与纸质问卷评估白内障手术前后视力质量的可靠性和一致性。单位:学校附属眼科及私人诊所。设计:前瞻性,随机试验,平行设计,1:1分配比例,无掩蔽。方法:在2021年11月至2023年6月期间,通过“ALEA”软件随机分配来自术前白内障诊所、年龄≥21岁、双眼均有白内障且可上网的患者,通过纸质或新开发的数字欧洲白内障和屈光手术质量结局登记(EUREQUO)平台,在手术前和第二次眼科手术后完成Catquest-9SF和视力质量(QoV)问卷。统计分析评估方法间的一致性,采用Rasch分析进行验证。结果:一半(183/364,50.3%)的入组患者被分配到数字问卷。在排除技术问题、遗漏问题和退出后,364例患者中有307例保留下来,其中159例(51.8%)填写了数字问卷。所有患者中有一半(n=154)在至少间隔一个月后对双眼进行了连续手术。72例(72/154,46.8%)完成了术后问卷调查。对比分析发现,纸质方法和数字方法没有显著差异。Catquest-9SF和QoV问卷具有良好的准确性和信度(Rasch分析)。术后视力平均改善2.82 logits。结论:采用Catquest-9SF和QoV问卷对白内障术前术后患者进行视力质量评估的EUREQUO数字平台,为传统纸质问卷提供了可靠的替代方案,为患者和提供者提供了便利。
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来源期刊
CiteScore
5.60
自引率
14.30%
发文量
259
审稿时长
8.5 weeks
期刊介绍: The Journal of Cataract & Refractive Surgery (JCRS), a preeminent peer-reviewed monthly ophthalmology publication, is the official journal of the American Society of Cataract and Refractive Surgery (ASCRS) and the European Society of Cataract and Refractive Surgeons (ESCRS). JCRS publishes high quality articles on all aspects of anterior segment surgery. In addition to original clinical studies, the journal features a consultation section, practical techniques, important cases, and reviews as well as basic science articles.
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