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采用患者报告结局测量评估上睑下垂手术的结局:时间效应的探索。

Outcomes of ptosis surgery assessed using a patient-reported outcome measure: an exploration of time effects.

机构信息

Department of Ophthalmology, King's College London, St Thomas' Hospital Campus, , London, UK.

出版信息

Br J Ophthalmol. 2014 Mar;98(3):387-90. doi: 10.1136/bjophthalmol-2013-303946. Epub 2013 Dec 16.

Abstract

AIMS

To explore effects of time following ptosis surgery on patient-reported quality-of-life outcomes.

METHODS

The Glasgow Benefit Inventory (GBI), a validated, postinterventional questionnaire was administered to consecutive adults undergoing ptosis surgery on the operating list of one surgeon over a 30-month period. Patients who were not contactable or unable to provide answers were excluded. Mean scores of patients grouped by time since surgery were compared (unpaired t test and Westlake intervals to test equivalence).

RESULTS

Of 63 consecutive patients, 50 (79%) were included. Mean age was 63 years. Mean time since surgery was 561 days (range 21-973). There was no significant difference in mean total scores of patients assessed less than 18 months since surgery compared with those assessed later (p=0.544). Distributions of total scores were similar. No significant differences were found for subscores or when patients were divided into three groups according to time after surgery. Multivariate logistic regression revealed no significant effect of time since surgery. Trends were seen with regard to age and type of operation, but did not reach significance.

CONCLUSIONS

Patient-perceived benefit following ptosis surgery shows stability with time, as assessed using the GBI. Future studies could explore correlations with age and type of surgery.

摘要

目的

探讨上睑下垂手术后时间对患者报告生活质量结果的影响。

方法

使用经过验证的术后干预性问卷——格拉斯哥效益量表(GBI),对在一位外科医生手术名单上连续接受上睑下垂手术的成年患者进行调查。排除无法联系或无法提供答案的患者。比较按手术时间分组的患者的平均得分(未配对 t 检验和韦斯特莱克区间测试等价性)。

结果

63 例连续患者中,50 例(79%)被纳入研究。平均年龄为 63 岁。平均手术时间为 561 天(范围为 21-973)。术后 18 个月内评估的患者与术后更久评估的患者的总评分平均值之间无显著差异(p=0.544)。总评分的分布相似。当根据手术后时间将患者分为三组时,各亚评分或总评分均无显著差异。多变量逻辑回归显示,手术时间无显著影响。年龄和手术类型存在趋势,但未达到显著水平。

结论

使用 GBI 评估,上睑下垂手术后患者感知的获益随时间保持稳定。未来的研究可以探索与年龄和手术类型的相关性。

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