The Prioritization of Patients on Waiting Lists for Cataract Surgery: Validation of the Western Canada Waiting List Project Cataract Priority Criteria Tool
Authors:
Barbara L. Conner-Spady a;
Suren Sanmugasunderam b;
Paul Courtright c;
Drew Mildon b;
John J. McGurran d;
Tom W. Noseworthy a
| Affiliations: | a Western Canada Waiting List Project and the University of Calgary, Canada |
| b Department of Ophthalmology, University of British Columbia, Vancouver, BC, Canada | |
| c British Columbia Centre for Epidemiologic & International Ophthalmology and the Kilimanjaro Centre for Community Ophthalmology, Moshi, Tanzania | |
| d Western Canada Waiting List Project and Department of Public Health Sciences, University of Toronto, Toronto, Ont., Canada |
DOI:
10.1080/09286580590932770
Publication Frequency:
6 issues per year
Subject:
Ophthalmology;
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Abstract
Purpose: To assess the validity of the Cataract Priority Criteria Score (PCS), developed by the Western Canada Waiting List (WCWL) Project to determine patient prioritization for cataract surgery. Methods: Ophthalmologists assessed consecutive patients with the PCS and a visual analogue scale of urgency (VAS Urgency). Patients were mailed questionnaires pre- and post-surgery. Outcome measures were the Visual Function Assessment (VFA), EuroQol (EQ-5D), and best-corrected visual acuity. Results: The sample of 253 patients was 58% female (mean age, 73.7 years); 166 completed pre-and post-surgery VFA. The correlation of the PCS and VAS Urgency was 0.65 (p = 0.000). Adjusting for age, first or second eye surgery, and post-operative complication, the PCS predicted improvement in the VFA and visual acuity (p < .05). Conclusions: These data provide some evidence to support the convergent and predictive validity of the PCS. Multiple patient outcomes should be used in the evaluation of the validity of priority scores.
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| Keywords: Cataract surgery; EQ-5D; prioritization; Cataract Priority Criteria Score; visual function |
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