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Development of a novel tool for patient-reported outcomes in refractive surgery reported in a contemporary private hospital group setting

Poster Details

First Author: J.Dermott UK

Co Author(s):    C. O'Donnell   A. Hartwig                 

Abstract Details

Purpose:

To describe of the development of an electronically administered questionnaire to obtain patient reported outcomes information after refractive surgery. To examine the practical relevance of the use of the tool in the private hospital group setting and report the results obtained.

Setting:

Optegra Eye Sciences, Optegra UK.

Methods:

Non-validated questionnaires relevant to the treatment type were self-administered to over 1000 refractive patients at their discharge visit. The questionnaire responses were stored in secure software on the cloud and administered via an internet-connected tablet. The outcome measures were responses outlining satisfaction with distance vision, also for intermediate and near vision for multifocal IOLs, patient comfort, spectacle independence, willingness to recommend quality of life and overall satisfaction. Responses were obtained separately for multifocal IOL and laser patients. The average time taken to obtain the responses was 142 seconds.

Results:

The number of patients who strongly agreed or agreed with the statement �â�€�œI am satisfied with my distance vision�â�€� was 96% of multifocal and 99% of laser patients. The number who strongly agreed or agreed with the statement �â�€�œI am satisfied with the outcome of my treatment�â�€� was 95% of multifocal and 99% of laser patients. 83% of multifocal patients agreed that they were spectacle independent for most normal tasks and 55% declared that they were free of glare and haloes. At least 97% in each category said that they would recommend the procedure to friends and family.

Conclusions:

This questionnaire appears to obtain a wide range of pertinent information regarding patient-reported outcomes. In a busy hospital group setting, administration of a prolonged questionnaire would impact upon the patient journey but the electronic tablet tool means that a large amount of data may be obtained and processed quickly and with ease. Work on a short validated version of the questionnaire is under way. Results have been collated and shared with treating surgeons for appraisal purposes. Satisfaction with laser vision correction and both multifocal or monofocal intraocular lens implantation was reported to be at a high level.

Financial Disclosure:

NONE

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