Can an appropriateness evaluation tool be used to prioritize patients on a waiting list for cataract extraction?

Hayas, Carlota Las; González, Nerea; Aguirre, Urko; Blasco, Juan Antonio; Elizalde, Belén; Perea, Emilio; Escobar, Antonio; Navarro, Gemma; Castells, Xavier; Quintana, José M.

doi:10.1016/j.healthpol.2009.11.022

Cited by 12 publications

(5 citation statements)

References 31 publications

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“…If fully implemented, this could mean an important step forward for value-based healthcare [66,67]. Different tools for the prioritization of cataract patients have been proposed in several countries (i.e., Canada, UK, Sweden, Spain, and New Zealand) [68][69][70][71][72][73][74][75]. Some of them combine clinical data (visual acuity and symptoms) with the social impact of the disease (self-care, driving) [67].…”

Section: Appropriateness and Prioritization Tools For Cataract Surgerymentioning

confidence: 99%

Rethinking Elective Cataract Surgery Diagnostics, Assessments, and Tools after the COVID-19 Pandemic Experience and Beyond: Insights from the EUROCOVCAT Group

Tognetto

Brézin

Cummings³

et al. 2020

Diagnostics

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The progressive deterioration of the visual function in patients on waiting lists for cataract surgery has a negative impact on their quality of life, especially in the elderly population. Patient waiting times for cataract surgeries in many healthcare settings have increased recently due to the prolonged stop or slowdown of elective cataract surgery as a result of coronavirus disease 19 (COVID-19). The aim of this review is to highlight the impact of such a “de-prioritization” of cataract surgery and to summarize some critical issues and useful hints on how to reorganize cataract pathways, with a special focus on perioperative diagnostic tools during the recovery phase and beyond. The experiences of a group of surgeons originating from nine different countries, named the European COVID-19 Cataract Group (EUROCOVCAT), have been combined with the literature and recommendations from scientific ophthalmic societies and healthcare institutions. Key considerations for elective cataract surgery should include the reduction of the number of unnecessary visits and examinations, adoption of precautionary measures, and implementation of telemedicine instruments. New strategies should be adopted to provide an adequate level of assistance and to guarantee safety conditions. Flexibility will be the watchword and regular updates would be necessary following scientific insights and the development of the pandemic.

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Section: Appropriateness and Prioritization Tools For Cataract Surgerymentioning

confidence: 99%

Rethinking Elective Cataract Surgery Diagnostics, Assessments, and Tools after the COVID-19 Pandemic Experience and Beyond: Insights from the EUROCOVCAT Group

Tognetto

Brézin

Cummings³

et al. 2020

Diagnostics

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show abstract

“…64,103,[126][127][128][129][130][131] The most common assumption for inappropriate surgery is a patient with VA above 20/40 (0.5) in both eyes. 64,103,[126][127][128][129][130][131] The most common assumption for inappropriate surgery is a patient with VA above 20/40 (0.5) in both eyes.…”

Section: Variability and Health Services Qualitymentioning

confidence: 99%

Clinical practice variation in cataract surgery

García-Martín

Giménez-Gómez

García-Catalán

et al. 2015

Archivos de la Sociedad Española de Oftalmología (English Editi

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“…Gutié rrez et al [15,16] validated a previously developed priority scoring system for timely access of cataract surgery in terms of clinical variables, potential gain in visual acuity, and related quality-of-life factors. They concluded that the use of a scoring tool could provide a more fair and rational way to prioritize patients for cataract extraction and therefore better meet subjective patient perception of waiting for cataract surgery [17]. Another Spanish study showed the use of a discreteevent simulation list prioritization system produced greater benefit than allocating surgery by wait time only [18,19].…”

Section: Recent Findingsmentioning

confidence: 99%