Quality of Life of Medically Versus Surgically Treated Glaucoma Patients

PURPOSE:To assess and compare the impact of medical and surgical glaucoma treatments on patients’ health-related Quality of Life (QoL). MATERIALS AND METHODS:We used the 25-question version of the National Eye Institute Visual Functioning Questionnaire (NEI VFQ-25) for this cross-sectional study. Pa...

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Veröffentlicht in:Journal of glaucoma 2013-06, Vol.22 (5), p.369-373
Hauptverfasser: Paletta Guedes, Ricardo Augusto, Paletta Guedes, Vanessa Maria, Freitas, Sirley Maria, Chaoubah, Alfredo
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container_end_page 373
container_issue 5
container_start_page 369
container_title Journal of glaucoma
container_volume 22
creator Paletta Guedes, Ricardo Augusto
Paletta Guedes, Vanessa Maria
Freitas, Sirley Maria
Chaoubah, Alfredo
description PURPOSE:To assess and compare the impact of medical and surgical glaucoma treatments on patients’ health-related Quality of Life (QoL). MATERIALS AND METHODS:We used the 25-question version of the National Eye Institute Visual Functioning Questionnaire (NEI VFQ-25) for this cross-sectional study. Patients were divided into 3 groups1 (medical treatment); 2 (surgical treatment), and 3 (medical and surgical treatment). Comparisons among groups were carried out for demographic and clinical characteristics and for the NEI VFQ-25 scores. RESULTS:Of the 240 invited patients, 225 were enrolled for this study. Groups were homogenous for age, sex, race, type of glaucoma, and level of education. The mean overall score was 78.46, 65.85, and 60.51 for groups 1, 2, and 3, respectively (P
doi_str_mv 10.1097/IJG.0b013e31824ceb8b
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MATERIALS AND METHODS:We used the 25-question version of the National Eye Institute Visual Functioning Questionnaire (NEI VFQ-25) for this cross-sectional study. Patients were divided into 3 groups1 (medical treatment); 2 (surgical treatment), and 3 (medical and surgical treatment). Comparisons among groups were carried out for demographic and clinical characteristics and for the NEI VFQ-25 scores. RESULTS:Of the 240 invited patients, 225 were enrolled for this study. Groups were homogenous for age, sex, race, type of glaucoma, and level of education. The mean overall score was 78.46, 65.85, and 60.51 for groups 1, 2, and 3, respectively (P&lt;0.001). Type of therapy, visual acuity, and comorbidity were associated with QoL scores. When controlled by glaucoma stages, surgery had a negative impact on the QoL only in early glaucoma. CONCLUSIONS:Glaucoma surgery is associated with a lower QoL in patients with early glaucoma due mainly to the psychological burden. In moderate and advanced glaucomas, the QoL scores did not differ between the surgical and the medical therapy groups.</description><identifier>ISSN: 1057-0829</identifier><identifier>EISSN: 1536-481X</identifier><identifier>DOI: 10.1097/IJG.0b013e31824ceb8b</identifier><identifier>PMID: 22407390</identifier><language>eng</language><publisher>United States: Lippincott Williams &amp; Wilkins, Inc</publisher><subject>Aged ; Antihypertensive Agents - therapeutic use ; Cross-Sectional Studies ; Female ; Filtering Surgery ; Glaucoma - drug therapy ; Glaucoma - psychology ; Glaucoma - surgery ; Glaucoma - therapy ; Humans ; Intraocular Pressure - physiology ; Male ; Quality of Life - psychology ; Sickness Impact Profile ; Surveys and Questionnaires ; Visual Acuity - physiology</subject><ispartof>Journal of glaucoma, 2013-06, Vol.22 (5), p.369-373</ispartof><rights>2013 Lippincott Williams &amp; Wilkins, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c422b-d676d88f531240699e0ee9d04b843341f763f8dce66f459ccf8835a468842dcf3</citedby><cites>FETCH-LOGICAL-c422b-d676d88f531240699e0ee9d04b843341f763f8dce66f459ccf8835a468842dcf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22407390$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Paletta Guedes, Ricardo Augusto</creatorcontrib><creatorcontrib>Paletta Guedes, Vanessa Maria</creatorcontrib><creatorcontrib>Freitas, Sirley Maria</creatorcontrib><creatorcontrib>Chaoubah, Alfredo</creatorcontrib><title>Quality of Life of Medically Versus Surgically Treated Glaucoma Patients</title><title>Journal of glaucoma</title><addtitle>J Glaucoma</addtitle><description>PURPOSE:To assess and compare the impact of medical and surgical glaucoma treatments on patients’ health-related Quality of Life (QoL). MATERIALS AND METHODS:We used the 25-question version of the National Eye Institute Visual Functioning Questionnaire (NEI VFQ-25) for this cross-sectional study. Patients were divided into 3 groups1 (medical treatment); 2 (surgical treatment), and 3 (medical and surgical treatment). Comparisons among groups were carried out for demographic and clinical characteristics and for the NEI VFQ-25 scores. RESULTS:Of the 240 invited patients, 225 were enrolled for this study. Groups were homogenous for age, sex, race, type of glaucoma, and level of education. The mean overall score was 78.46, 65.85, and 60.51 for groups 1, 2, and 3, respectively (P&lt;0.001). Type of therapy, visual acuity, and comorbidity were associated with QoL scores. When controlled by glaucoma stages, surgery had a negative impact on the QoL only in early glaucoma. CONCLUSIONS:Glaucoma surgery is associated with a lower QoL in patients with early glaucoma due mainly to the psychological burden. In moderate and advanced glaucomas, the QoL scores did not differ between the surgical and the medical therapy groups.</description><subject>Aged</subject><subject>Antihypertensive Agents - therapeutic use</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Filtering Surgery</subject><subject>Glaucoma - drug therapy</subject><subject>Glaucoma - psychology</subject><subject>Glaucoma - surgery</subject><subject>Glaucoma - therapy</subject><subject>Humans</subject><subject>Intraocular Pressure - physiology</subject><subject>Male</subject><subject>Quality of Life - psychology</subject><subject>Sickness Impact Profile</subject><subject>Surveys and Questionnaires</subject><subject>Visual Acuity - physiology</subject><issn>1057-0829</issn><issn>1536-481X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM1OwzAQhC0EoqXwBgjlyCXFf3GcI6qgLSoCREHcIsdZ04DTFDtW1bcnVQsHDpxmtZqZXX0InRM8JDhLr6Z34yEuMGHAiKRcQyGLA9QnCRMxl-TtsJtxksZY0qyHTrz_wJhiSskx6lHKccoy3EeTp6Bs1W6ixkSzysBW76GstLJ2E72C88FHz8G97zdzB6qFMhpbFXRTq-hRtRUsW3-KjoyyHs72OkAvtzfz0SSePYyno-tZrDmlRVyKVJRSmoSR7geRZYABshLzQnLGODGpYEaWGoQwPMm0NlKyRHEhJaelNmyALne9K9d8BfBtXldeg7VqCU3wOWFJyjNOhOysfGfVrvHegclXrqqV2-QE51uGeccw_8uwi13sL4SihvI39AOtM8idYd3YtiP0acMaXL4AZdvF_93f-JGAEw</recordid><startdate>201306</startdate><enddate>201306</enddate><creator>Paletta Guedes, Ricardo Augusto</creator><creator>Paletta Guedes, Vanessa Maria</creator><creator>Freitas, Sirley Maria</creator><creator>Chaoubah, Alfredo</creator><general>Lippincott Williams &amp; Wilkins, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201306</creationdate><title>Quality of Life of Medically Versus Surgically Treated Glaucoma Patients</title><author>Paletta Guedes, Ricardo Augusto ; Paletta Guedes, Vanessa Maria ; Freitas, Sirley Maria ; Chaoubah, Alfredo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c422b-d676d88f531240699e0ee9d04b843341f763f8dce66f459ccf8835a468842dcf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Antihypertensive Agents - therapeutic use</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Filtering Surgery</topic><topic>Glaucoma - drug therapy</topic><topic>Glaucoma - psychology</topic><topic>Glaucoma - surgery</topic><topic>Glaucoma - therapy</topic><topic>Humans</topic><topic>Intraocular Pressure - physiology</topic><topic>Male</topic><topic>Quality of Life - psychology</topic><topic>Sickness Impact Profile</topic><topic>Surveys and Questionnaires</topic><topic>Visual Acuity - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Paletta Guedes, Ricardo Augusto</creatorcontrib><creatorcontrib>Paletta Guedes, Vanessa Maria</creatorcontrib><creatorcontrib>Freitas, Sirley Maria</creatorcontrib><creatorcontrib>Chaoubah, Alfredo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of glaucoma</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Paletta Guedes, Ricardo Augusto</au><au>Paletta Guedes, Vanessa Maria</au><au>Freitas, Sirley Maria</au><au>Chaoubah, Alfredo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quality of Life of Medically Versus Surgically Treated Glaucoma Patients</atitle><jtitle>Journal of glaucoma</jtitle><addtitle>J Glaucoma</addtitle><date>2013-06</date><risdate>2013</risdate><volume>22</volume><issue>5</issue><spage>369</spage><epage>373</epage><pages>369-373</pages><issn>1057-0829</issn><eissn>1536-481X</eissn><abstract>PURPOSE:To assess and compare the impact of medical and surgical glaucoma treatments on patients’ health-related Quality of Life (QoL). 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subjects Aged
Antihypertensive Agents - therapeutic use
Cross-Sectional Studies
Female
Filtering Surgery
Glaucoma - drug therapy
Glaucoma - psychology
Glaucoma - surgery
Glaucoma - therapy
Humans
Intraocular Pressure - physiology
Male
Quality of Life - psychology
Sickness Impact Profile
Surveys and Questionnaires
Visual Acuity - physiology
title Quality of Life of Medically Versus Surgically Treated Glaucoma Patients
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