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Patients’ Perceptions of Trichiasis Surgery: Results from the Partnership for Rapid Elimination of Trachoma (PRET) Surgery Clinical Trial

Purpose: While quality of life surveys have been conducted in trachomatous trichiasis (TT) surgery populations, little is known about patients’ perceptions of the surgical experience and outcomes. Methods: We interviewed a subset of Partnership for the Rapid Elimination of Trachoma (PRET) surgery tr...

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Autores principales: Oktavec, Kathleen C., Cassard, Sandra D., Harding, Jennifer C., Othman, Majid S., Merbs, Shannath L., West, Sheila K., Gower, Emily W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Informa Healthcare 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6176763/
https://www.ncbi.nlm.nih.gov/pubmed/25525820
http://dx.doi.org/10.3109/09286586.2014.988873
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author Oktavec, Kathleen C.
Cassard, Sandra D.
Harding, Jennifer C.
Othman, Majid S.
Merbs, Shannath L.
West, Sheila K.
Gower, Emily W.
author_facet Oktavec, Kathleen C.
Cassard, Sandra D.
Harding, Jennifer C.
Othman, Majid S.
Merbs, Shannath L.
West, Sheila K.
Gower, Emily W.
author_sort Oktavec, Kathleen C.
collection PubMed
description Purpose: While quality of life surveys have been conducted in trachomatous trichiasis (TT) surgery populations, little is known about patients’ perceptions of the surgical experience and outcomes. Methods: We interviewed a subset of Partnership for the Rapid Elimination of Trachoma (PRET) surgery trial participants 24 months after surgery. Questions focused on current ocular symptoms, perceived daily functioning, physical appearance, and overall perception of surgery. We stratified participants based on surgical outcomes: normal upper eyelid, postoperative TT, or eyelid contour abnormality (ECA) in one or both eyelids. We compared responses between sexes and surgical outcome groups using contingency tables and Fisher’s exact tests. Results: A total of 483 individuals participated and 86% were very satisfied with surgery results; 96% reported ocular symptom improvement. Participants with moderate to severe ECA or postoperative TT were more likely to report current ocular problems than those with normal eyelids (46% and 58% vs 34%, respectively; p = 0.01 for each comparison). The most common symptom among participants with moderate to severe postoperative TT was feeling lashes touching (blurred vision was the most common among participants with moderate to severe ECA). Overall, 83% stated surgery improved daily life; participants with ECA were less likely to report improvement than others (p = 0.002). Participants who had moderate or severe postoperative TT were least likely to state that they would undergo repeat surgery (80%), followed by participants with ECA (86%). Conclusions: Postoperative TT and ECA both reduced satisfaction with surgery, but appeared to influence different aspects of life. Improving surgical outcomes both by reducing recurrence rates and limiting ECAs are essential.
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spelling pubmed-61767632018-10-19 Patients’ Perceptions of Trichiasis Surgery: Results from the Partnership for Rapid Elimination of Trachoma (PRET) Surgery Clinical Trial Oktavec, Kathleen C. Cassard, Sandra D. Harding, Jennifer C. Othman, Majid S. Merbs, Shannath L. West, Sheila K. Gower, Emily W. Ophthalmic Epidemiol Original Articles Purpose: While quality of life surveys have been conducted in trachomatous trichiasis (TT) surgery populations, little is known about patients’ perceptions of the surgical experience and outcomes. Methods: We interviewed a subset of Partnership for the Rapid Elimination of Trachoma (PRET) surgery trial participants 24 months after surgery. Questions focused on current ocular symptoms, perceived daily functioning, physical appearance, and overall perception of surgery. We stratified participants based on surgical outcomes: normal upper eyelid, postoperative TT, or eyelid contour abnormality (ECA) in one or both eyelids. We compared responses between sexes and surgical outcome groups using contingency tables and Fisher’s exact tests. Results: A total of 483 individuals participated and 86% were very satisfied with surgery results; 96% reported ocular symptom improvement. Participants with moderate to severe ECA or postoperative TT were more likely to report current ocular problems than those with normal eyelids (46% and 58% vs 34%, respectively; p = 0.01 for each comparison). The most common symptom among participants with moderate to severe postoperative TT was feeling lashes touching (blurred vision was the most common among participants with moderate to severe ECA). Overall, 83% stated surgery improved daily life; participants with ECA were less likely to report improvement than others (p = 0.002). Participants who had moderate or severe postoperative TT were least likely to state that they would undergo repeat surgery (80%), followed by participants with ECA (86%). Conclusions: Postoperative TT and ECA both reduced satisfaction with surgery, but appeared to influence different aspects of life. Improving surgical outcomes both by reducing recurrence rates and limiting ECAs are essential. Informa Healthcare 2014-12-19 /pmc/articles/PMC6176763/ /pubmed/25525820 http://dx.doi.org/10.3109/09286586.2014.988873 Text en © 2014 Informa Healthcare USA, Inc. All rights reserved: reproduction in whole or part not permitted
spellingShingle Original Articles
Oktavec, Kathleen C.
Cassard, Sandra D.
Harding, Jennifer C.
Othman, Majid S.
Merbs, Shannath L.
West, Sheila K.
Gower, Emily W.
Patients’ Perceptions of Trichiasis Surgery: Results from the Partnership for Rapid Elimination of Trachoma (PRET) Surgery Clinical Trial
title Patients’ Perceptions of Trichiasis Surgery: Results from the Partnership for Rapid Elimination of Trachoma (PRET) Surgery Clinical Trial
title_full Patients’ Perceptions of Trichiasis Surgery: Results from the Partnership for Rapid Elimination of Trachoma (PRET) Surgery Clinical Trial
title_fullStr Patients’ Perceptions of Trichiasis Surgery: Results from the Partnership for Rapid Elimination of Trachoma (PRET) Surgery Clinical Trial
title_full_unstemmed Patients’ Perceptions of Trichiasis Surgery: Results from the Partnership for Rapid Elimination of Trachoma (PRET) Surgery Clinical Trial
title_short Patients’ Perceptions of Trichiasis Surgery: Results from the Partnership for Rapid Elimination of Trachoma (PRET) Surgery Clinical Trial
title_sort patients’ perceptions of trichiasis surgery: results from the partnership for rapid elimination of trachoma (pret) surgery clinical trial
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6176763/
https://www.ncbi.nlm.nih.gov/pubmed/25525820
http://dx.doi.org/10.3109/09286586.2014.988873
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