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白内障手术患者报告的视觉功能结果:Catquest-9SF 问卷的测试-重测信度。

Patient-reported visual function outcome in cataract surgery: test-retest reliability of the Catquest-9SF questionnaire.

机构信息

St. Erik Eye Hospital, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.

Department of Clinical Sciences, Ophthalmology, Faculty of Medicine, Lund University, Lund, Sweden.

出版信息

Acta Ophthalmol. 2020 Dec;98(8):828-832. doi: 10.1111/aos.14461. Epub 2020 May 14.

Abstract

PURPOSE

To study the test-retest reliability of the Catquest-9SF questionnaire in cataract surgery.

METHODS

A single-centre prospective non-randomized test-retest study was conducted using the Swedish National Cataract Register and the Catquest-9SF questionnaire, which is a valid patient-reported outcome measurement tool developed and used for evaluating quality and visual disability outcome in cataract surgery. Consecutive patients (n = 144) scheduled for cataract surgery completed the Catquest-9SF twice before surgery, with a minimum of 7 days and a maximum of 14 days between the two questionnaires. A rating scale model was constructed on the basis of the questionnaires from the first measurement and used to generate scores for both the first and second measurements. The consistency was investigated by calculating intraclass correlation, Pearson correlation and a Bland-Altman plot. Internal consistency was measured using Cronbach's alpha.

RESULTS

Analyses showed an intraclass correlation of 0.93 (95% confidence interval: 0.90-0.95), a Pearson correlation of 0.93 and Cronbach's alpha of 0.94. The results fit well in a Bland-Altman plot.

CONCLUSION

The test-retest reliability of the Swedish Catquest-9SF is excellent. Along with previous knowledge, this supports continued use of the Catquest-9SF in evaluating quality and outcome in cataract surgery.

摘要

目的

研究白内障手术中 Catquest-9SF 问卷的重测信度。

方法

采用瑞典国家白内障登记处和 Catquest-9SF 问卷进行单中心前瞻性非随机重测研究。Catquest-9SF 是一种有效的患者报告结局测量工具,用于评估白内障手术的质量和视觉障碍结局。连续患者(n=144)在手术前两次完成 Catquest-9SF,两次问卷之间的最小间隔为 7 天,最大间隔为 14 天。根据第一次测量的问卷构建评分量表模型,并用于生成第一次和第二次测量的分数。通过计算组内相关系数、Pearson 相关系数和 Bland-Altman 图来研究一致性。采用 Cronbach's alpha 评估内部一致性。

结果

分析显示组内相关系数为 0.93(95%置信区间:0.90-0.95),Pearson 相关系数为 0.93,Cronbach's alpha 为 0.94。结果在 Bland-Altman 图中拟合良好。

结论

瑞典 Catquest-9SF 的重测信度极好。结合以往的知识,这支持在白内障手术中继续使用 Catquest-9SF 来评估质量和结局。

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