The online version of this article (doi: 10.1186/s12886-017-0667-0) contains supplementary material, which is available to authorized users.
To determine alignment of proposed international standard outcomes sets for ophthalmic conditions to metrics currently reported by eye hospitals.
Mixed methods comparative benchmark study, including eight eye hospitals in Australia, India, Singapore, Sweden, U.K., and U.S. All are major international tertiary care and training centers in ophthalmology. Main outcome measure is consistency of ophthalmic outcomes measures reported.
International agreed standard outcomes (ICHOM) sets are available for cataract surgery (10 metrics) and macular degeneration (7 metrics). The eight hospitals reported 22 different metrics for cataract surgery and 2 for macular degeneration, which showed only limited overlap with the proposed ICHOM metrics. None of the hospitals reported patient reported visual functioning or vision-related quality of life outcomes measures (PROMs). Three hospitals (38%) reported rates for uncomplicated cataract surgeries only. There was marked variation in how and at what point postoperatively visual outcomes following cataract, cornea, glaucoma, strabismus and oculoplastics procedures were reported. Seven (87.5%) measured post-operative infections and four (50%) measured 30 day unplanned reoperation rates.
Outcomes reporting for ophthalmic conditions currently widely varies across hospitals internationally and does not include patient-reported outcomes. Reaching consensus on measures and consistency in data collection will allow meaningful comparisons and provide an evidence base enabling improved sharing of “best practices” to improve eye care globally. Implementation of international standards is still a major challenge and practice-based knowledge on measures should be one of the inputs of the international standardization process.
Additional file 1: Refractive and corneal outcomes reported by the hospitals. Description of date: 32 refractive and corneal outcomes reported by the hospitals. (DOCX 18 kb)
Additional file 2: Retinal outcomes reported by the hospitals. Description of data: 35 retinal outcomes reported by the hospitals. (DOCX 19 kb)
Additional file 3: Pediatrics and strabismus outcomes reported by the hospitals. Description of data: 15 Pediatrics and strabismus outcomes reported by the hospitals. (DOCX 17 kb)
Additional file 4: Cornea and glaucoma outcomes reported by the hospitals. Description of data: 29 cornea and glaucoma outcomes reported by the hospitals. (DOCX 20 kb)
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- Mapping standard ophthalmic outcome sets to metrics currently reported in eight eye hospitals
Dirk F. de Korne
Jennifer S. Weizer
Paul P. Lee
Simon P. Kelly
Sukhpal S. Sandhu
Joshua D. Stein
- BioMed Central