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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
Published in: journal Ophthalmic Epidemiology, Volume 12, Issue 2 April 2005 , pages 81 - 90
Subject: Ophthalmology;
Formats available: HTML (English) : PDF (English)
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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.
Keywords: Cataract surgery; EQ-5D; prioritization; Cataract Priority Criteria Score; visual function
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