دورية أكاديمية
أعرض في EDS

Web-based telemonitoring of visual function and self-reported postoperative outcomes in cataract care: international multicenter randomized controlled trial.

التفاصيل البيبلوغرافية
العنوان: Web-based telemonitoring of visual function and self-reported postoperative outcomes in cataract care: international multicenter randomized controlled trial.
المؤلفون: Claessens JLJ; From the Department of Ophthalmology, University Medical Centre Utrecht, Utrecht, the Netherlands (Claessens, Imhof, Wisse); University Eye Clinic Maastricht, Maastricht University Medical Center+, Maastricht, the Netherlands (Wanten, Bauer, Nuijts); Oogcentrum Noordholland, Heerhugowaard, the Netherlands (Vrijman, Selek, Wouters); Department of Ophthalmology, Amphia Hospital, Breda, the Netherlands (Reus, van Dorst); Vienna Institute for Research in Ocular Surgery, a Karl Landsteiner Institute, Hanusch Hospital, Vienna, Austria (Findl, Ruiss); Eye Clinic Sulzbach, Knappschaft Hospital Saar, Sulzbach, Germany (Boden); Mount Saint Peter Eye Clinic, Trier, Germany (Januschowski)., Wanten JC, Bauer NJC, Nuijts RMMA, Vrijman V, Selek E, Wouters RJ, Reus NJ, van Dorst FJGM, Findl O, Ruiss M, Boden K, Januschowski K, Imhof SM, Wisse RPL
المصدر: Journal of cataract and refractive surgery [J Cataract Refract Surg] 2024 Sep 01; Vol. 50 (9), pp. 947-955.
نوع المنشور: Journal Article; Randomized Controlled Trial; Multicenter Study
اللغة: English
بيانات الدورية: Publisher: Wolters Kluwer on behalf of ASCRS and ESCRS Country of Publication: United States NLM ID: 8604171 Publication Model: Print Cited Medium: Internet ISSN: 1873-4502 (Electronic) Linking ISSN: 08863350 NLM ISO Abbreviation: J Cataract Refract Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: 2020- : [Hagerstown, MD] : Wolters Kluwer on behalf of ASCRS and ESCRS
Original Publication: [Fairfax, Va.] : American Society of Cataract and Refractive Surgery, [c1986-
مواضيع طبية MeSH: Visual Acuity*/physiology , Telemedicine* , Internet*, Humans ; Female ; Male ; Aged ; Middle Aged ; Cataract Extraction ; Self Report ; Surveys and Questionnaires ; Pseudophakia/physiopathology ; Refraction, Ocular/physiology ; Patient Reported Outcome Measures ; Phacoemulsification ; Lens Implantation, Intraocular ; Follow-Up Studies
مستخلص: Purpose: To compare web-based, self-administered follow-up after cataract surgery to conventional face-to-face follow-up.
Setting: Eye clinics in the Netherlands, Austria, and Germany.
Design: Randomized controlled trial with an embedded method comparison study (ClinicalTrials.gov: NCT04809402).
Methods: Routine patients with cataract were randomized into 2 groups: The telemonitoring group undertook web-based vision self-assessments and questionnaires from home, while the usual care group received conventional care. All participants had a 4- to 6-week postoperative clinic visit for safety and validation purposes. Outcomes included, the web test's accuracy for assessing postoperative visual acuity (VA) and refractive error, adverse event rates, and patient-reported outcome measurements (PROMs).
Results: 94 participants (188 eyes) were enrolled. Web-based uncorrected distance VA testing demonstrated a negligible mean difference (-0.03 ± 0.14 logMAR) when compared with conventional Early Treatment Diabetic Retinopathy Study chart testing, with 95% limits of agreement ranging from -0.30 to 0.24 logMAR. The web-based refraction assessment overestimated the postoperative refractive error (mean difference in spherical equivalent 0.15 ± 0.67 diopters), resulting in a poorer corrected distance VA compared with subjective refraction (mean 0.1 vs -0.1 logMAR). Rates of adverse events and unscheduled consultations were minimal across both groups. Preoperative and postoperative PROM questionnaires had a 100% response rate. Visual functioning (Catquest-9SF and National Eye Institute Visual Function Questionnaire-25) improved postoperatively (mean improvement -0.80 and 16.70, respectively) and did not significantly differ between the 2 groups.
Conclusions: The patients with cataract in this study effectively provided postoperative outcome data using a web interface. Both conventional and web-based follow-ups yielded similar PROMs and adverse event rates. Future developments should reduce the variability in the web-based VA test and yield representative refraction outcomes.
(Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of ASCRS and ESCRS.)
References: Ophthalmol Ther. 2021 Dec;10(4):715-730. (PMID: 34169468)
Acta Ophthalmol. 2017 May;95(3):312-319. (PMID: 27775237)
J Cataract Refract Surg. 2004 Sep;30(9):1966-71. (PMID: 15342063)
Int J Health Care Qual Assur. 2016 May 9;29(4):407-16. (PMID: 27142949)
Int J Health Care Qual Assur. 2014;27(4):347-54. (PMID: 25076608)
Trans Am Ophthalmol Soc. 2009 Dec;107:311-24. (PMID: 20126505)
J Cataract Refract Surg. 2009 Mar;35(3):504-13. (PMID: 19251145)
Qual Life Res. 2011 Dec;20(10):1727-36. (PMID: 21479777)
J Am Optom Assoc. 1996 Oct;67(10):619-30. (PMID: 8942135)
Mil Med. 2018 Sep 1;183(9-10):e427-e433. (PMID: 29425312)
J Med Internet Res. 2019 Nov 8;21(11):e14808. (PMID: 31702560)
Ann Intern Med. 2013 Feb 5;158(3):200-7. (PMID: 23295957)
J Cataract Refract Surg. 2023 Jul 1;49(7):659-665. (PMID: 37010267)
Acta Ophthalmol Scand. 1999 Dec;77(6):673-6. (PMID: 10634561)
Lancet. 1986 Feb 8;1(8476):307-10. (PMID: 2868172)
Cureus. 2022 Feb 8;14(2):e22003. (PMID: 35340495)
Eye (Lond). 2011 Jul;25(7):929-36. (PMID: 21527959)
Eye (Lond). 2023 Jul;37(10):2069-2076. (PMID: 36274084)
J Cataract Refract Surg. 2015 Nov;41(11):2410-6. (PMID: 26703490)
J Med Internet Res. 2020 Oct 19;22(10):e17298. (PMID: 33074157)
J Cataract Refract Surg. 2023 Mar 1;49(3):278-284. (PMID: 36729837)
PLoS One. 2019 Sep 19;14(9):e0221243. (PMID: 31536500)
BMC Ophthalmol. 2023 Jan 30;23(1):41. (PMID: 36717799)
Health Serv Insights. 2024 Aug 11;17:11786329241271562. (PMID: 39139395)
Arch Ophthalmol. 1998 Nov;116(11):1496-504. (PMID: 9823352)
Graefes Arch Clin Exp Ophthalmol. 2019 Jul;257(7):1513-1517. (PMID: 31069515)
Am J Ophthalmol. 2019 Mar;199:94-100. (PMID: 30339795)
Br J Ophthalmol. 2001 Apr;85(4):432-6. (PMID: 11264133)
Graefes Arch Clin Exp Ophthalmol. 2019 Jun;257(6):1295-1301. (PMID: 30989362)
NPJ Digit Med. 2019 Aug 22;2:82. (PMID: 31453377)
سلسلة جزيئية: ClinicalTrials.gov NCT04809402
تواريخ الأحداث: Date Created: 20240529 Date Completed: 20240826 Latest Revision: 20240827
رمز التحديث: 20240827
مُعرف محوري في PubMed: PMC11338021
DOI: 10.1097/j.jcrs.0000000000001492
PMID: 38809014
قاعدة البيانات: MEDLINE
الوصف
تدمد:1873-4502
DOI:10.1097/j.jcrs.0000000000001492