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Visual Field Outcome Reporting in Neurosurgery: Lessons Learned from a Prospective, Multicenter Study of Transsphenoidal Pituitary Surgery.

التفاصيل البيبلوغرافية
العنوان: Visual Field Outcome Reporting in Neurosurgery: Lessons Learned from a Prospective, Multicenter Study of Transsphenoidal Pituitary Surgery.
المؤلفون: Mooney MA; Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA., Herro AM; Horizon Eye Specialists and Lasik Center, Phoenix, Arizona, USA., Fintelmann RE; Biltmore Eye Physicians, Phoenix, Arizona, USA., Mayberg MR; Department of Neurological Surgery, University of Washington School of Medicine, Seattle, Washington, USA., Barkhoudarian G; Pacific Brain Tumor Center and Pituitary Disorders Program, John Wayne Cancer Institute at Providence St. John's Health Center, Santa Monica, California, USA., Gardner PA; Department of Neurological Surgery, University of Pittsburgh Medical Center, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA., Prevedello DM; Department of Neurological Surgery, The Ohio State University, Columbus, Ohio, USA., Chicoine MR; Department of Neurological Surgery, Washington University School of Medicine, St. Louis, Missouri, USA., Kelly DF; Pacific Brain Tumor Center and Pituitary Disorders Program, John Wayne Cancer Institute at Providence St. John's Health Center, Santa Monica, California, USA., Chandler JP; Department of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA., Jahnke H; Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA., White WL; Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA., Little AS; Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA. Electronic address: neuropub.little@barrowneuro.org.
المصدر: World neurosurgery [World Neurosurg] 2018 Dec; Vol. 120, pp. e326-e332. Date of Electronic Publication: 2018 Aug 23.
نوع المنشور: Journal Article; Multicenter Study
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: United States NLM ID: 101528275 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-8769 (Electronic) Linking ISSN: 18788750 NLM ISO Abbreviation: World Neurosurg Subsets: MEDLINE
أسماء مطبوعة: Original Publication: New York : Elsevier
مواضيع طبية MeSH: Neurosurgical Procedures* , Sphenoid Bone* , Visual Fields*, Adenoma/*surgery , Pituitary Neoplasms/*surgery , Vision Disorders/*diagnosis , Visual Field Tests/*standards, Adenoma/complications ; Adult ; Aged ; Female ; Humans ; Male ; Middle Aged ; Pituitary Neoplasms/complications ; Prospective Studies ; Reproducibility of Results ; Retrospective Studies ; Vision Disorders/epidemiology ; Vision Disorders/etiology ; Vision Disorders/physiopathology
مستخلص: Objective: Visual field (VF) outcomes are commonly reported in neurosurgical case series; however, substantial variability can exist in VF testing and outcome reporting. We aimed to evaluate the challenges of VF testing and to develop detailed recommendations for VF outcome reporting by analyzing results from an ongoing, multicenter study of transsphenoidal pituitary surgery.
Methods: VF testing results were collected during a prospective, multicenter clinical trial evaluating patient outcomes after transsphenoidal surgery for nonfunctioning pituitary adenomas (TRANSSPHER). Two independent ophthalmologists reviewed reliability and outcomes of all VF studies. Preoperative and postoperative VF studies were evaluated individually and as preoperative/postoperative pairs.
Results: Suboptimal perimetry field settings were reported in 37% of VF studies. Automated reliability criteria flagged 25%-29% of VF studies as unreliable, whereas evaluation by 2 independent ophthalmologists flagged 16%-28%. Agreement between automated criteria and raters for VF reliability was inconsistent (κ coefficients = 0.55-0.83), whereas agreement between the 2 raters was substantial to almost perfect (κ coefficients = 0.78-0.83). Most patients demonstrated improvement after surgery (rater 1, 67%; rater 2, 60%), with substantial rater agreement on outcomes for paired examinations (κ coefficient = 0.62).
Conclusions: VF outcome studies demonstrated significant variability of test parameters and patient performance. Perimetry field settings varied among patients and for some patients varied preoperatively versus postoperatively. Reliance on automated criteria alone could not substitute for independent ophthalmologist review of test reliability. Standardized guidelines for VF data collection and reporting could increase reliability of results and allow better comparisons of outcomes in future studies.
(Copyright © 2018 Elsevier Inc. All rights reserved.)
فهرسة مساهمة: Keywords: Guidelines; Outcome reporting; Pituitary; Transsphenoidal; Visual field
تواريخ الأحداث: Date Created: 20180826 Date Completed: 20190102 Latest Revision: 20190102
رمز التحديث: 20231215
DOI: 10.1016/j.wneu.2018.08.069
PMID: 30144606
قاعدة البيانات: MEDLINE
الوصف
تدمد:1878-8769
DOI:10.1016/j.wneu.2018.08.069