Prioritization of cataract surgery: Visual analogue scale versus scoring system
Background: The purpose of the present paper was to evaluate the variability of using a visual analogue scale (VAS) and to assess the feasibility of a priority‐setting scoring system for prioritizing elective cataract surgery. Methods: Consecutive cases listed for cataract surgery were prospective...
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| Veröffentlicht in: | ANZ journal of surgery 2005-07, Vol.75 (7), p.587-592 |
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| creator | Wong, Victoria W. Y. Lai, Timothy Y. Y. Lam, Philip T. H. Lam, Dennis S. C. |
| description | Background: The purpose of the present paper was to evaluate the variability of using a visual analogue scale (VAS) and to assess the feasibility of a priority‐setting scoring system for prioritizing elective cataract surgery.
Methods: Consecutive cases listed for cataract surgery were prospectively recruited. Ophthalmologists listed patients to undergo early or normal surgery and were asked to rate the urgency of surgery using a VAS. Patients were then reassessed and a cataract surgery prioritization (CSP) score was calculated based on the New Zealand priority criteria for cataract surgery. Correlation coefficients between VAS and CSP scores were calculated to determine the variability among ophthalmologists in using the VAS in prioritizing surgery. Further analyses were performed to assess the potential impact of implementing the CSP system.
Results: A total of 326 patients were recruited. There was a positive correlation between VAS and CSP scores (Spearman ρ= 0.407, P |
| doi_str_mv | 10.1111/j.1445-2197.2005.03436.x |
| format | Article |
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Methods: Consecutive cases listed for cataract surgery were prospectively recruited. Ophthalmologists listed patients to undergo early or normal surgery and were asked to rate the urgency of surgery using a VAS. Patients were then reassessed and a cataract surgery prioritization (CSP) score was calculated based on the New Zealand priority criteria for cataract surgery. Correlation coefficients between VAS and CSP scores were calculated to determine the variability among ophthalmologists in using the VAS in prioritizing surgery. Further analyses were performed to assess the potential impact of implementing the CSP system.
Results: A total of 326 patients were recruited. There was a positive correlation between VAS and CSP scores (Spearman ρ= 0.407, P < 0.001). A high degree of variation among ophthalmologists in the use of VAS was found. Patients with poor binocular vision were not listed as early, whereas patients with poor vision in the eye listed for cataract surgery but good vision in the fellow eye were more likely to be prioritized to have early operation. These findings suggest that patients with severe impairment in binocular visual function were not adequately accounted for during cataract surgery listing.
Conclusions: The use of a VAS for prioritizing cataract surgery may be suboptimal due to high subjectivity. Adoption of an objective criteria‐validated priority‐setting scoring system may allow better stratification of patients to ensure better service provision.</description><identifier>ISSN: 1445-1433</identifier><identifier>EISSN: 1445-2197</identifier><identifier>DOI: 10.1111/j.1445-2197.2005.03436.x</identifier><identifier>PMID: 15972053</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Pty</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Cataract Extraction ; cataract surgery ; Feasibility Studies ; Female ; health-care system ; Humans ; Male ; Middle Aged ; Pain Measurement ; prioritization ; Prospective Studies ; Severity of Illness Index ; visual analogue scale ; waiting list ; Waiting Lists</subject><ispartof>ANZ journal of surgery, 2005-07, Vol.75 (7), p.587-592</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4056-211a6f9658da5d50f9ca2b587a60ae9d36e55517d29ce3e82ef70db4bb7ca72f3</citedby><cites>FETCH-LOGICAL-c4056-211a6f9658da5d50f9ca2b587a60ae9d36e55517d29ce3e82ef70db4bb7ca72f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1445-2197.2005.03436.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1445-2197.2005.03436.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15972053$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wong, Victoria W. Y.</creatorcontrib><creatorcontrib>Lai, Timothy Y. Y.</creatorcontrib><creatorcontrib>Lam, Philip T. H.</creatorcontrib><creatorcontrib>Lam, Dennis S. C.</creatorcontrib><title>Prioritization of cataract surgery: Visual analogue scale versus scoring system</title><title>ANZ journal of surgery</title><addtitle>ANZ J Surg</addtitle><description>Background: The purpose of the present paper was to evaluate the variability of using a visual analogue scale (VAS) and to assess the feasibility of a priority‐setting scoring system for prioritizing elective cataract surgery.
Methods: Consecutive cases listed for cataract surgery were prospectively recruited. Ophthalmologists listed patients to undergo early or normal surgery and were asked to rate the urgency of surgery using a VAS. Patients were then reassessed and a cataract surgery prioritization (CSP) score was calculated based on the New Zealand priority criteria for cataract surgery. Correlation coefficients between VAS and CSP scores were calculated to determine the variability among ophthalmologists in using the VAS in prioritizing surgery. Further analyses were performed to assess the potential impact of implementing the CSP system.
Results: A total of 326 patients were recruited. There was a positive correlation between VAS and CSP scores (Spearman ρ= 0.407, P < 0.001). A high degree of variation among ophthalmologists in the use of VAS was found. Patients with poor binocular vision were not listed as early, whereas patients with poor vision in the eye listed for cataract surgery but good vision in the fellow eye were more likely to be prioritized to have early operation. These findings suggest that patients with severe impairment in binocular visual function were not adequately accounted for during cataract surgery listing.
Conclusions: The use of a VAS for prioritizing cataract surgery may be suboptimal due to high subjectivity. Adoption of an objective criteria‐validated priority‐setting scoring system may allow better stratification of patients to ensure better service provision.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cataract Extraction</subject><subject>cataract surgery</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>health-care system</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pain Measurement</subject><subject>prioritization</subject><subject>Prospective Studies</subject><subject>Severity of Illness Index</subject><subject>visual analogue scale</subject><subject>waiting list</subject><subject>Waiting Lists</subject><issn>1445-1433</issn><issn>1445-2197</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkEtP6zAQRi10Ee-_gLy6uwY7ju0GiQVCvKTyEq-lNXEmlUvagJ1Ay6_HoRVs8cZj-Tszo0MI5Szh8RxMEp5lcpDyXCcpYzJhIhMqma-RrZ-Pf6uaZ0Jsku0QJoxxpXK5QTa5zHXKpNgiN7feNd617hNa18xoU1ELLXiwLQ2dH6NfHNInFzqoKcygbsYd0mChRvqOPnQhPiI_G9OwCC1Od8l6BXXAvdW9Qx7PTh9OLgajm_PLk-PRwGZMqrggB1XlSg5LkKVkVW4hLeRQg2KAeSkUSim5LtPcosBhipVmZZEVhbag00rskP_Lvq--eeswtGbqgsW6hhk2XTBK50pIrmJwuAxa34TgsTKv3k3BLwxnppdpJqb3ZHpnppdpvmWaeUT3VzO6YorlL7iyFwNHy8CHq3Hx58bm-Pq-ryI_WPIuqpv_8OBf4v5CS_N8fW5GOhXPo6szcye-AKfnk2E</recordid><startdate>200507</startdate><enddate>200507</enddate><creator>Wong, Victoria W. Y.</creator><creator>Lai, Timothy Y. Y.</creator><creator>Lam, Philip T. H.</creator><creator>Lam, Dennis S. C.</creator><general>Blackwell Science Pty</general><scope>BSCLL</scope><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>200507</creationdate><title>Prioritization of cataract surgery: Visual analogue scale versus scoring system</title><author>Wong, Victoria W. Y. ; Lai, Timothy Y. Y. ; Lam, Philip T. H. ; Lam, Dennis S. C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4056-211a6f9658da5d50f9ca2b587a60ae9d36e55517d29ce3e82ef70db4bb7ca72f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cataract Extraction</topic><topic>cataract surgery</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>health-care system</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pain Measurement</topic><topic>prioritization</topic><topic>Prospective Studies</topic><topic>Severity of Illness Index</topic><topic>visual analogue scale</topic><topic>waiting list</topic><topic>Waiting Lists</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wong, Victoria W. Y.</creatorcontrib><creatorcontrib>Lai, Timothy Y. Y.</creatorcontrib><creatorcontrib>Lam, Philip T. H.</creatorcontrib><creatorcontrib>Lam, Dennis S. C.</creatorcontrib><collection>Istex</collection><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>ANZ journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wong, Victoria W. Y.</au><au>Lai, Timothy Y. Y.</au><au>Lam, Philip T. H.</au><au>Lam, Dennis S. C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prioritization of cataract surgery: Visual analogue scale versus scoring system</atitle><jtitle>ANZ journal of surgery</jtitle><addtitle>ANZ J Surg</addtitle><date>2005-07</date><risdate>2005</risdate><volume>75</volume><issue>7</issue><spage>587</spage><epage>592</epage><pages>587-592</pages><issn>1445-1433</issn><eissn>1445-2197</eissn><abstract>Background: The purpose of the present paper was to evaluate the variability of using a visual analogue scale (VAS) and to assess the feasibility of a priority‐setting scoring system for prioritizing elective cataract surgery.
Methods: Consecutive cases listed for cataract surgery were prospectively recruited. Ophthalmologists listed patients to undergo early or normal surgery and were asked to rate the urgency of surgery using a VAS. Patients were then reassessed and a cataract surgery prioritization (CSP) score was calculated based on the New Zealand priority criteria for cataract surgery. Correlation coefficients between VAS and CSP scores were calculated to determine the variability among ophthalmologists in using the VAS in prioritizing surgery. Further analyses were performed to assess the potential impact of implementing the CSP system.
Results: A total of 326 patients were recruited. There was a positive correlation between VAS and CSP scores (Spearman ρ= 0.407, P < 0.001). A high degree of variation among ophthalmologists in the use of VAS was found. Patients with poor binocular vision were not listed as early, whereas patients with poor vision in the eye listed for cataract surgery but good vision in the fellow eye were more likely to be prioritized to have early operation. These findings suggest that patients with severe impairment in binocular visual function were not adequately accounted for during cataract surgery listing.
Conclusions: The use of a VAS for prioritizing cataract surgery may be suboptimal due to high subjectivity. Adoption of an objective criteria‐validated priority‐setting scoring system may allow better stratification of patients to ensure better service provision.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Pty</pub><pmid>15972053</pmid><doi>10.1111/j.1445-2197.2005.03436.x</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Aged Aged, 80 and over Cataract Extraction cataract surgery Feasibility Studies Female health-care system Humans Male Middle Aged Pain Measurement prioritization Prospective Studies Severity of Illness Index visual analogue scale waiting list Waiting Lists |
| title | Prioritization of cataract surgery: Visual analogue scale versus scoring system |
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