Explicit criteria for prioritization of cataract surgery

BMC Health Services Research
José Ma QuintanaIRYSS-Appropriateness Cataract Group

Abstract

Consensus techniques have been used previously to create explicit criteria to prioritize cataract extraction; however, the appropriateness of the intervention was not included explicitly in previous studies. We developed a prioritization tool for cataract extraction according to the RAND method. Criteria were developed using a modified Delphi panel judgment process. A panel of 11 ophthalmologists was assembled. Ratings were analyzed regarding the level of agreement among panelists. We studied the effect of all variables on the final panel score using general linear and logistic regression models. Priority scoring systems were developed by means of optimal scaling and general linear models. The explicit criteria developed were summarized by means of regression tree analysis. Eight variables were considered to create the indications. Of the 310 indications that the panel evaluated, 22.6% were considered high priority, 52.3% intermediate priority, and 25.2% low priority. Agreement was reached for 31.9% of the indications and disagreement for 0.3%. Logistic regression and general linear models showed that the preoperative visual acuity of the cataractous eye, visual function, and anticipated visual acuity postoperatively were the m...Continue Reading

References

Sep 17, 1994·BMJ : British Medical Journal·N R Hicks
Jan 11, 1997·BMJ : British Medical Journal·D C Hadorn, A C Holmes
Dec 11, 1985·International Journal of Technology Assessment in Health Care·R H BrookR E Park
Nov 23, 2000·The Medical Journal of Australia·C M Feek
Jan 9, 2001·Journal of Clinical Epidemiology·J M QuintanaA Arcelay
May 2, 2001·International Journal of Technology Assessment in Health Care·S M OishiA Fink
Jun 27, 2002·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Kennneth G RomanchukUNKNOWN Steering Committee of the Western Canada Waiting List Project
Feb 1, 2003·Journal of Evaluation in Clinical Practice·T W NoseworthyUNKNOWN Steering Committee of the Western Canada Waiting List Project
Apr 19, 2003·International Journal of Technology Assessment in Health Care·Sarah DerrettPeter Herbison
Mar 26, 2004·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Maria Pia FantiniRoberto Grilli
Apr 13, 2004·Arthritis and Rheumatism·Catherine H MacLeanJohn H Klippel
Apr 14, 2004·Archives of Ophthalmology·Nathan CongdonUNKNOWN Eye Diseases Prevalence Research Group
Jul 1, 2004·Yonsei Medical Journal·Yoon Jung ChoiHyung Gon Kang
Dec 29, 2004·Annals of Surgery·José Ma QuintanaAmaia Bilbao
Jul 2, 2009·Yonsei Medical Journal·Yoon Jung Choi, Eun-Cheol Park

❮ Previous
Next ❯

Citations

Feb 5, 2010·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Susana García GutiérrezUNKNOWN IRYSS Cataract Group
Apr 10, 2008·BMC Health Services Research·Alejandro AllepuzUNKNOWN Research Group on Support Instruments - IRYSS Network
Sep 18, 2010·Journal of Evaluation in Clinical Practice·César LlorenteUNKNOWN IRYSS-Cataract Group
Aug 14, 2009·Journal of Evaluation in Clinical Practice·Susana García GutiérrezUNKNOWN IRYSS Cataract Group
Apr 4, 2015·Chinese Medical Sciences Journal = Chung-kuo I Hsüeh K'o Hsüeh Tsa Chih·Xue-tao RenNing-pu Liu
Sep 8, 2017·Clinical & Experimental Ophthalmology·Vu Quang DoLisa Keay
Mar 5, 2015·Cornea·José A P GomesUNKNOWN Group of Panelists for the Global Delphi Panel of Keratoconus and Ectatic Diseases
Sep 1, 2012·Australian Health Review : a Publication of the Australian Hospital Association·Mark T SiddinsPerry Swanborough
Oct 8, 2020·Systematic Reviews·Julien DéryMarie-Eve Lamontagne
Dec 1, 2020·The Journal of the American Academy of Orthopaedic Surgeons·Edward Y ChengPaul Hoogervorst

❮ Previous
Next ❯

Software Mentioned

CART
Plus
SPSS
SAS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.