1. A Health-Related Quality of Life Measure for Patients Who Undergo Minimally Invasive Glaucoma Surgery
- Author
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Hays, Ron D, Tarver, Michelle E, Eydelman, Malvina, Spaeth, George L, Parke, David W, Singh, Kuldev, Nguyen, Don, Saltzmann, Robert M, Smith, Oluwatosin, Shaw, My Le, Rosenberg, Lisa, Seibold, Leo, Teymoorian, Savak, Provencher, Lorraine M, Bicket, Amanda K, Arora, Nitika, Junk, Anna K, Chaya, Craig, Salim, Sarwat, Kuo, Debbie, Weiner, Asher, Zhang, Ze, Rhee, Brian Francis Douglas, McMillan, Brian, Choo, Clara, Garris, Winston, Noecker, Rob, Fellman, Ronald, Caprioli, Joseph, Vold, Steven, Pasquale, Louis, Cui, Qi, and Mbagwu, Michael
- Subjects
Biomedical and Clinical Sciences ,Ophthalmology and Optometry ,Neurodegenerative ,Aging ,Eye Disease and Disorders of Vision ,Neurosciences ,Clinical Research ,Patient Safety ,Eye ,Good Health and Well Being ,Glaucoma Outcomes Survey Collaborative Study Group ,Clinical Sciences ,Opthalmology and Optometry ,Public Health and Health Services ,Ophthalmology & Optometry ,Ophthalmology and optometry - Abstract
PurposeTo develop a patient-reported outcome measure to assess the impact of glaucoma and treatment, including minimally invasive glaucoma surgery (MIGS).DesignObservational study before and after concomitant cataract and Food and Drug Administration-approved implantable MIGS device surgery.SettingSurvey administration was on a computer, iPad, or similar device.Patient population184 adults completed the baseline survey, 124 a survey 3 months after surgery, and 106 the 1-month test-retest reliability survey. The age range was 37 to 89 (average age = 72). Most were female (57%), non-Hispanic White (81%), and had a college degree (56%).Main outcome measuresThe Glaucoma Outcomes Survey (GOS) assesses functional limitations (27 items), vision-related symptoms (7 items), psychosocial issues (7 items), and satisfaction with microinvasive glaucoma surgery (1 item). These multiple-item scales were scored on a 0 to 100 range, with a higher score indicating worse health.ResultsInternal consistency reliability estimates ranged from 0.75 to 0.93, and 1-month test-retest intraclass correlations ranged from 0.83 to 0.92 for the GOS scales. Product-moment correlations among the scales ranged from 0.56 to 0.60. Improvement in visual acuity in the study eye from baseline to the 3-month follow-up was significantly related to improvements in GOS functional limitations (r = 0.18, P = .0485), vision-related symptoms (r = 0.19, P = .0386), and psychosocial concerns (r = 0.18, P = .0503). Responders to treatment ranged from 17% for vision-related symptoms to 48% for functional limitations.ConclusionsThis study supports using the GOS for ophthalmic procedures such as MIGS. Further evaluation of the GOS in different patient subgroups and clinical settings is needed.
- Published
- 2024