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Optimization of cataract surgery follow-up: A standard set of questions can predict unexpected management changes at postoperative week one
PURPOSE: There is limited evidence to inform the optimal follow-up schedule after cataract surgery. This study aims to determine whether a standardized question set can predict unexpected management changes (UMCs) at the postoperative week one (POW1) timepoint. SETTING: Massachusetts Eye and Ear, Ha...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6752806/ https://www.ncbi.nlm.nih.gov/pubmed/31536500 http://dx.doi.org/10.1371/journal.pone.0221243 |
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author | Moustafa, Giannis A. Borkar, Durga S. Borboli-Gerogiannis, Sheila Greenstein, Scott H. Lorch, Alice C. Vasan, Ryan A. Kloek, Carolyn E. |
author_facet | Moustafa, Giannis A. Borkar, Durga S. Borboli-Gerogiannis, Sheila Greenstein, Scott H. Lorch, Alice C. Vasan, Ryan A. Kloek, Carolyn E. |
author_sort | Moustafa, Giannis A. |
collection | PubMed |
description | PURPOSE: There is limited evidence to inform the optimal follow-up schedule after cataract surgery. This study aims to determine whether a standardized question set can predict unexpected management changes (UMCs) at the postoperative week one (POW1) timepoint. SETTING: Massachusetts Eye and Ear, Harvard Medical School. DESIGN: Prospective cohort study. METHODS: Two-hundred-and-fifty-four consecutive phacoemulsification cases having attended an examination between postoperative days 5–14. A set of 7 ‘Yes’ or ‘No’ questions were administered to all participants by a technician at the POW1 visit. Patient answers along with perioperative patient information were recorded and analyzed. Outcomes were the incidence of UMCs at POW1. RESULTS: The incidence of UMCs was zero in uneventful cataract cases with unremarkable history and normal postoperative day one exam if no positive answers were given with the question set demonstrating 100% sensitivity (p<0.0001). A test version with 5 questions was equally sensitive in detecting UMCs at POW1 after cataract surgery. CONCLUSION: In routine cataract cases with no positive answers to the current set of clinical questions, a POW1 visit is unlikely to result in a management change. This result offers the opportunity for eye care providers to risk-stratify patients who have had cataract surgery and individualize follow-up. |
format | Online Article Text |
id | pubmed-6752806 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-67528062019-09-27 Optimization of cataract surgery follow-up: A standard set of questions can predict unexpected management changes at postoperative week one Moustafa, Giannis A. Borkar, Durga S. Borboli-Gerogiannis, Sheila Greenstein, Scott H. Lorch, Alice C. Vasan, Ryan A. Kloek, Carolyn E. PLoS One Research Article PURPOSE: There is limited evidence to inform the optimal follow-up schedule after cataract surgery. This study aims to determine whether a standardized question set can predict unexpected management changes (UMCs) at the postoperative week one (POW1) timepoint. SETTING: Massachusetts Eye and Ear, Harvard Medical School. DESIGN: Prospective cohort study. METHODS: Two-hundred-and-fifty-four consecutive phacoemulsification cases having attended an examination between postoperative days 5–14. A set of 7 ‘Yes’ or ‘No’ questions were administered to all participants by a technician at the POW1 visit. Patient answers along with perioperative patient information were recorded and analyzed. Outcomes were the incidence of UMCs at POW1. RESULTS: The incidence of UMCs was zero in uneventful cataract cases with unremarkable history and normal postoperative day one exam if no positive answers were given with the question set demonstrating 100% sensitivity (p<0.0001). A test version with 5 questions was equally sensitive in detecting UMCs at POW1 after cataract surgery. CONCLUSION: In routine cataract cases with no positive answers to the current set of clinical questions, a POW1 visit is unlikely to result in a management change. This result offers the opportunity for eye care providers to risk-stratify patients who have had cataract surgery and individualize follow-up. Public Library of Science 2019-09-19 /pmc/articles/PMC6752806/ /pubmed/31536500 http://dx.doi.org/10.1371/journal.pone.0221243 Text en © 2019 Moustafa et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Moustafa, Giannis A. Borkar, Durga S. Borboli-Gerogiannis, Sheila Greenstein, Scott H. Lorch, Alice C. Vasan, Ryan A. Kloek, Carolyn E. Optimization of cataract surgery follow-up: A standard set of questions can predict unexpected management changes at postoperative week one |
title | Optimization of cataract surgery follow-up: A standard set of questions can predict unexpected management changes at postoperative week one |
title_full | Optimization of cataract surgery follow-up: A standard set of questions can predict unexpected management changes at postoperative week one |
title_fullStr | Optimization of cataract surgery follow-up: A standard set of questions can predict unexpected management changes at postoperative week one |
title_full_unstemmed | Optimization of cataract surgery follow-up: A standard set of questions can predict unexpected management changes at postoperative week one |
title_short | Optimization of cataract surgery follow-up: A standard set of questions can predict unexpected management changes at postoperative week one |
title_sort | optimization of cataract surgery follow-up: a standard set of questions can predict unexpected management changes at postoperative week one |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6752806/ https://www.ncbi.nlm.nih.gov/pubmed/31536500 http://dx.doi.org/10.1371/journal.pone.0221243 |
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