PMID: 15227725Jul 1, 2004Paper

Appropriateness ratings in cataract surgery

Yonsei Medical Journal
Yoon Jung ChoiHyung Gon Kang

Abstract

This study aimed to evaluate the appropriateness of cataract surgery and identify the characteristics of patients and surgeons, clinical and functional outcomes, and surgical methods associated with appropriate cataract surgery. For this purpose, Korean cases of cataract surgery were rated as either 'necessity', 'appropriate', 'uncertain' or 'inappropriate', based on RAND/UCLA Ratings. For this assessment, the cases of 222 patients who underwent cataract surgery, on either one or both eyes, were studied. The surgeries were performed by 20 ophthalmologists practicing at one of fourteen medical institutions (university hospitals and general hospitals). Patients were interviewed and clinical data collected. The Doctors were questioned with self-entered questionnaire forms. The medical records were also examined to gain an understanding of the surgical process. The ratings were as follows: 30.6% (68 patients) of surgeries belonged to the bracket "necessity", 46.4% (103 patients) to "appropriate", 15.3% (34 patients) to "uncertain" and 7.7% (17 patients) to "inappropriate". In this study, "necessity" and "appropriate" were defined as "appropriate" (77.0%, 171 patients), and "uncertain" and "inappropriate" as "inappropriate" (23.0%, ...Continue Reading

Citations

Dec 9, 2009·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Nerea Fernández de LarreaUNKNOWN IRYSS Cataract Group
Jun 21, 2011·American Journal of Ophthalmology·Jose M QuintanaUNKNOWN Investigacion En Resultados Y Servicios De Salud - Cataract Group
Apr 27, 2010·Ophthalmology·José M QuintanaUNKNOWN IRYSS-Cataract Group
Jul 31, 2007·Public Health·C BroganL Mayhew
Mar 4, 2006·BMC Health Services Research·José Ma QuintanaInmaculada Aróstegui
Dec 6, 2014·Archivos de la Sociedad Española de Oftalmología·M J García-MartínJ M Gallardo
Jul 2, 2009·Yonsei Medical Journal·Yoon Jung Choi, Eun-Cheol Park
Mar 4, 2006·BMC Health Services Research·José Ma QuintanaUNKNOWN IRYSS-Appropriateness Cataract Group

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