scholarly journals Validity of the French version of Catquest-9SF and use of an electronic notepad for entering patient-reported outcome measures

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Gregory Katz ◽  
Alexandra Rouquette ◽  
François Lignereux ◽  
Thierry Mourgues ◽  
Michel Weber ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Psychometric Properties ◽  
Rasch Analysis ◽  
Item Difficulty ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Good Precision ◽  
French Version ◽  
Patient Reported ◽  
Before And After

Abstract Background The Catquest-9SF questionnaire is a patient reported outcome measure that quantifies the visual benefits from cataract surgery. The purpose of this study was to translate and adapt the Catquest-9SF questionnaire for France, to assess its psychometric properties via Rasch analysis, and to assess its validity when completed using an electronic notepad. Methods The Catquest-9SF questionnaire was translated following the guidelines of the International Society for Pharmacoeconomics and Outcomes Research. Catquest-9SF and clinical data were collected from patients before and after routine cataract surgery. All questionnaire data were collected via an electronic notepad. Rasch analysis was performed to assess psychometric properties, and sensitivity to change was analysed for patients with complete paired pre- and post-operative questionnaires. Results A complete filled-in preoperative questionnaire was obtained for 848 patients. Rasch analysis showed good precision (person separation: 2.32, person reliability: 0.84), ordered category probability curves, no item misfit, and unidimensionality. The respondents were slightly more able than the level of item difficulty (targeting: −1.12 logits). Sensitivity was analysed on 211 paired questionnaires, and the postoperative questionnaires showed a clear ceiling effect. The effect size was 2.6. The use of an electronic notepad for completing the questionnaire worked out very well after some adjustments. Conclusions The French version of Catquest-9SF has good psychometric properties and is suitable for use in French-speaking patients. The use of the Catquest-9SF questionnaire in an electronic format showed good validity.

scholarly journals A pain relieving reimbursement program? Effects of a value-based reimbursement program on patient reported outcome measures

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Thérèse Eriksson ◽  
Hans Tropp ◽  
Ann-Britt Wiréhn ◽  
Lars-Åke Levin
Keyword(s):  
Outcome Measures ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Lumbar Spine Surgery ◽  
A Value ◽  
Level Data ◽  
Patient Reported ◽  
Before And After ◽  
Cherry Picking ◽  
Inpatient And Outpatient Care

Abstract Background Value-based reimbursement programs have become increasingly common. However, little is known about the effect of such programs on patient reported outcomes. Thus, the aim of this study was to analyze the effect of introducing a value-based reimbursement program on patient reported outcome measures and to explore whether a selection bias towards less complicated patients occurred. Methods This is a retrospective observational study with a before and after design based on the introduction of a value-based reimbursement program in Region Stockholm, Sweden. We analyzed patient level data from inpatient and outpatient care of patients undergoing lumbar spine surgery during 2006–2015. Patient reported outcome measures used was Global Assessment, EQ-5D-3L and Oswestry Disability Index. The case-mix of surgically treated patients was analyzed using medical and socioeconomic factors. Results The value-based reimbursement program did not have any effect on targeted or non-targeted patient reported outcome measures. Moreover, the share of surgically treated patients with risk factors such as having comorbidities and being born outside of Europe increased after the introduction. Hence, the value-based reimbursement program did not encourage discrimination against sicker patients. However, the income was higher among patients surgically treated after the introduction of the value-based reimbursement. This indicates that a value-based reimbursement program may contribute to increased inequalities in access to healthcare. Conclusions The value-based reimbursement program did not have any effect on patient reported outcome measures. Our study contributes to the understanding of the effects of a value-based reimbursement program on patient reported outcome measures and to what extent cherry-picking arises.

Psychometric properties of 3 patient-reported outcome measures for the assessment of shoulder disability after neck dissection

Head & Neck ◽  
2015 ◽  
Vol 38 (1) ◽  
pp. 102-110 ◽  
Author(s):  
Martijn M. Stuiver ◽  
Marieke R. ten Tusscher ◽  
Anita van Opzeeland ◽  
Wim Brendeke ◽  
Robert Lindeboom ◽  
...  
Keyword(s):  
Psychometric Properties ◽  
Neck Dissection ◽  
Outcome Measures ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Patient Reported ◽  
Shoulder Disability

scholarly journals Physician and patient concordance in reporting of appropriateness and prioritization for cataract surgery

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253210
Author(s):  
Matthew B. Schlenker ◽  
Saba Samet ◽  
Morgan Lim ◽  
Chelsea D’Silva ◽  
Robert J. Reid ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Low Income ◽  
Explanatory Power ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Clinical Criteria ◽  
Corrected Visual Acuity ◽  
Patient Reported ◽  
Multivariable Regression

Background/Aims Determine the association between physician-deemed and patient-reported appropriateness and prioritization for cataract surgery. Methods Prospective cohort study of 471 patients of 7 ophthalmologists referred for cataract surgery. Ophthalmologists rated patients for cataract surgery appropriateness and prioritization using a visual analogue scale of 0–10 preoperatively. All patients completed the eCAPS Quality of Life (QoL), while 313 completed the Catquest-9SF and EQ-5D questionnaires. Regression analyses were applied to determine demographic, clinical and patient-reported outcome measures (PROMs) associated with appropriateness and prioritization. Results Two clinical factors (study eye and fellow eye best-corrected visual acuity (BCVA)), 2 eCAPS (night driving difficulty, ability to take care of local errands), and 2 Catquest-9SF PROMs (recognizing faces, seeing to walk on uneven ground) were associated with appropriateness. In multivariable regression, the rating physician, 2 clinical criteria (study eye BCVA, anticipated postoperative BCVA) and 1 eCAPS QoL (night driving difficulty) were associated with appropriateness. Prioritization was associated with low income, 8 clinical criteria, 9 eCAPS, 5 Catquest-9SF, and 1 EQ-5D PROMs. In multivariable regression, 1 clinical criterion (study eye BCVA), 2 eCAPS QoL (night driving difficulty, ability to take care of local errands), and 2 Catquest-9SF PROMs (seeing prices, seeing to walk on uneven ground) were significantly associated. Conclusions The eCAPS and Catquest-9SF questionnaires show some concordance with physician-deemed appropriateness, and more with prioritization. Binary conversions of PROM scales provide similar modelling, with minimal loss of explanatory power. As physician-deemed appropriateness and prioritization do not completely capture the patient perspective, PROMs may have a role in cataract surgery decision-making frameworks.

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