PMID: 8594503Feb 1, 1996Paper

Assessment of appropriateness of cataract surgery at ten academic medical centers in 1990

Ophthalmology
J K TobacmanR Brook

Abstract

To develop criteria for the appropriateness of cataract surgery (extracapsular cataract extraction or phacoemulsification with planned implantation of a posterior chamber intraocular lens) and to apply these criteria to patients from ten academic medical centers. The study is a retrospective case series from ten academic medical centers. One thousand one hundred thirty-nine patients who had had cataract surgery in 1990 at the medical centers were selected randomly. Patients, identified by specific ICD-9-CM or CPT-4 codes, had no other ocular surgery performed at the same time as cataract surgery. Rates of inappropriate, uncertain, appropriate, and appropriate and crucial surgeries were determined by application of the criteria established by a multidisciplinary expert panel. Approximately 2% of the procedures were classified as inappropriate, after adjusting for missing or nonspecific visual function by use of discriminant analysis. Ninety-one percent of the procedures were classified as appropriate (52%) or appropriate and crucial (39%). Seven percent were designated as uncertain, either due to a median rating in the uncertain range or to disagreement in ratings among the panelists. Significant variation occurred in the result...Continue Reading

References

Jul 1, 1986·American Journal of Public Health·R E ParkD H Solomon
Oct 21, 1993·The New England Journal of Medicine·C E Phelps
Feb 10, 1993·JAMA : the Journal of the American Medical Association·L L LeapeR H Brook

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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
Mar 4, 2006·BMC Health Services Research·José Ma QuintanaInmaculada Aróstegui
Mar 4, 2006·BMC Health Services Research·José Ma QuintanaUNKNOWN IRYSS-Appropriateness Cataract Group
Dec 25, 2004·Journal of Cataract and Refractive Surgery·Chet K Pager
Oct 27, 2009·Journal of Glaucoma·Paul P LeeUNKNOWN IOP Consensus Panel
Jun 21, 2011·American Journal of Ophthalmology·Jose M QuintanaUNKNOWN Investigacion En Resultados Y Servicios De Salud - Cataract Group
Nov 12, 2010·Journal of Cataract and Refractive Surgery·José M QuintanaUNKNOWN IRYSS-Cataract Group
Apr 27, 2010·Ophthalmology·José M QuintanaUNKNOWN IRYSS-Cataract Group
Nov 1, 2008·Ophthalmology·Jose M QuintanaUNKNOWN IRYSS-Cataract Group
Nov 11, 2005·The Milbank Quarterly·Mark A SchusterRobert H Brook
Sep 18, 2010·Journal of Evaluation in Clinical Practice·César LlorenteUNKNOWN IRYSS-Cataract Group
Oct 3, 2006·Journal of Cataract and Refractive Surgery·Stephen A ObstbaumUNKNOWN European Society of Cataract and Refractive Surgeons
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
Jan 15, 2008·American Journal of Ophthalmology·Kuldev SinghUNKNOWN Glaucoma Modified RAND-Like Methodology Group
Jan 5, 2002·Medical Decision Making : an International Journal of the Society for Medical Decision Making·J K TobacmanM B Zimmerman
Apr 16, 2003·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Joanne K TobacmanRobert H Brook
Aug 16, 2018·Journal of the Optical Society of America. A, Optics, Image Science, and Vision·Clemente Paz-Filgueira, Elisa M Colombo
Oct 23, 2004·Clinical & Experimental Ophthalmology·Chet K Pager, Peter J McCluskey

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