Jason Chami, Marc P. Chami, Harrison M. Khan, Donna Glenn, Kerrie A. Legg, Dominic McCall, John R. Grigg, Geoffrey T. Painter
{"title":"格里菲斯眼科项目在澳大利亚地区引入后患者报告的白内障结果","authors":"Jason Chami, Marc P. Chami, Harrison M. Khan, Donna Glenn, Kerrie A. Legg, Dominic McCall, John R. Grigg, Geoffrey T. Painter","doi":"10.1111/ajr.70088","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>To evaluate the effectiveness of the Griffith Ophthalmology Project in improving visual acuity and quality of life (QoL) among cataract surgery patients in regional New South Wales (NSW), Australia.</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>Retrospective observational study.</p>\n </section>\n \n <section>\n \n <h3> Setting</h3>\n \n <p>Griffith Base Hospital's Department of Ophthalmology in the Western Murrumbidgee Local Health District (MLHD).</p>\n </section>\n \n <section>\n \n <h3> Participants</h3>\n \n <p>The 135 patients (168 eyes) undergoing cataract surgery between March 2022 and July 2023 completed QoL surveys.</p>\n </section>\n \n <section>\n \n <h3> Main Outcome Measures</h3>\n \n <p>Changes in vision-related QoL (assessed by National Eye Institute Visual Function Questionnaire; NEI-VFQ), health-related QoL (assessed by EuroQol 5-Dimensional 5-Level survey; EQ-5D-5L), visual acuity, and surgical waiting times.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>Patients completed the NEI-VFQ and EQ-5D-5L surveys before and/or after surgery. Pre- and post-operative visual acuity and waiting list data were collected and analysed.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>EI-VFQ data showed significant enhancements in 11 of 12 QoL subscales (including social functioning and mental health) as well as the composite QoL score. EQ-5D-5L results indicated improvements in all five dimensions, with overall health-related QoL significantly increased. Visual acuity improved significantly, the surgical waitlist was reduced from 123 to 10 patients, and waiting times decreased from 15 to 2 months.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>The Griffith Ophthalmology Project significantly improved visual and QoL outcomes for cataract surgery patients in regional NSW and reduced surgical waiting times. This model of utilising visiting specialists and collaborative local support may serve as a template for sustainable regional healthcare services in Australia.</p>\n </section>\n </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"33 5","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.70088","citationCount":"0","resultStr":"{\"title\":\"Patient-Reported Cataract Outcomes After the Introduction of the Griffith Ophthalmology Project in Regional Australia\",\"authors\":\"Jason Chami, Marc P. Chami, Harrison M. Khan, Donna Glenn, Kerrie A. Legg, Dominic McCall, John R. Grigg, Geoffrey T. Painter\",\"doi\":\"10.1111/ajr.70088\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>To evaluate the effectiveness of the Griffith Ophthalmology Project in improving visual acuity and quality of life (QoL) among cataract surgery patients in regional New South Wales (NSW), Australia.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Design</h3>\\n \\n <p>Retrospective observational study.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Setting</h3>\\n \\n <p>Griffith Base Hospital's Department of Ophthalmology in the Western Murrumbidgee Local Health District (MLHD).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Participants</h3>\\n \\n <p>The 135 patients (168 eyes) undergoing cataract surgery between March 2022 and July 2023 completed QoL surveys.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Main Outcome Measures</h3>\\n \\n <p>Changes in vision-related QoL (assessed by National Eye Institute Visual Function Questionnaire; NEI-VFQ), health-related QoL (assessed by EuroQol 5-Dimensional 5-Level survey; EQ-5D-5L), visual acuity, and surgical waiting times.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>Patients completed the NEI-VFQ and EQ-5D-5L surveys before and/or after surgery. 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Patient-Reported Cataract Outcomes After the Introduction of the Griffith Ophthalmology Project in Regional Australia
Objective
To evaluate the effectiveness of the Griffith Ophthalmology Project in improving visual acuity and quality of life (QoL) among cataract surgery patients in regional New South Wales (NSW), Australia.
Design
Retrospective observational study.
Setting
Griffith Base Hospital's Department of Ophthalmology in the Western Murrumbidgee Local Health District (MLHD).
Participants
The 135 patients (168 eyes) undergoing cataract surgery between March 2022 and July 2023 completed QoL surveys.
Main Outcome Measures
Changes in vision-related QoL (assessed by National Eye Institute Visual Function Questionnaire; NEI-VFQ), health-related QoL (assessed by EuroQol 5-Dimensional 5-Level survey; EQ-5D-5L), visual acuity, and surgical waiting times.
Methods
Patients completed the NEI-VFQ and EQ-5D-5L surveys before and/or after surgery. Pre- and post-operative visual acuity and waiting list data were collected and analysed.
Results
EI-VFQ data showed significant enhancements in 11 of 12 QoL subscales (including social functioning and mental health) as well as the composite QoL score. EQ-5D-5L results indicated improvements in all five dimensions, with overall health-related QoL significantly increased. Visual acuity improved significantly, the surgical waitlist was reduced from 123 to 10 patients, and waiting times decreased from 15 to 2 months.
Conclusions
The Griffith Ophthalmology Project significantly improved visual and QoL outcomes for cataract surgery patients in regional NSW and reduced surgical waiting times. This model of utilising visiting specialists and collaborative local support may serve as a template for sustainable regional healthcare services in Australia.
期刊介绍：
The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.
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