Sligo University Hospital, The Mall, Rathquarter, Sligo, F91 H684, Ireland.
Ir J Med Sci. 2023 Aug;192(4):1987-1991. doi: 10.1007/s11845-022-03175-8. Epub 2022 Sep 29.
Studies published from hospitals in other countries have reported rates of between 69 and 90% of cataract referrals being listed for surgery (1-3). This potentially represents unnecessary outpatient appointments, time off work and transport costs for patients and carers (2).
Our first primary endpoint was to assess the number of cataract referrals listed for surgery. Our second primary endpoint was to assess the number of cataract referrals which included the following: (i) that visual loss from the cataract resulted in a detrimental effect on the patient's lifestyle, (ii) that the patient was willing to have surgery and (iii) that the patient was symptomatic from their cataract.
This project followed the Declaration of Helsinki. This was a retrospective study.
Between February 2021 and February 2022, 198 patients were seen in Mr. PM's cataract clinic. Overall, 129 patients (67.5%) were listed for cataract surgery. Forty-seven referrals (23.7%) reported that the cataract was having a detrimental effect on the patient's life and these patients were more likely to be listed for surgery (93.6% vs. 59.2%, p = 0.00). Twenty-five referrals (12.6%) reported that the patient was willing to undergo surgery and these patients were more likely to be listed for surgery (88% vs. 64.8%, p = 0.02). A total of 130 referrals (65.7%) reported that the patient was symptomatic from their cataract and these patients were more likely to be listed for surgery (81.5% vs. 38.3%, p = 0.00).
It is possible that an appropriately focussed referral form will aid in triaging cataract referrals and potentially reduce unnecessary appointments.
其他国家医院发表的研究报告称，白内障转诊患者中有 69%至 90%被列入手术名单（1-3）。这可能代表着患者及其护理人员需要进行不必要的门诊预约、请假和交通费用（2）。
我们的首要终点是评估列入手术名单的白内障转诊数量。我们的次要终点是评估白内障转诊的数量，包括以下内容：（i）白内障引起的视力丧失对患者的生活方式产生不利影响，（ii）患者愿意接受手术，以及（iii）患者因白内障出现症状。
该项目遵循《赫尔辛基宣言》。这是一项回顾性研究。
在 2021 年 2 月至 2022 年 2 月期间，共有 198 名患者在 PM 先生的白内障诊所就诊。总体而言，有 129 名患者（67.5%）被列入白内障手术名单。有 47 份转诊报告称白内障对患者的生活产生了不利影响，这些患者更有可能被列入手术名单（93.6%比 59.2%，p=0.00）。有 25 份转诊报告称患者愿意接受手术，这些患者更有可能被列入手术名单（88%比 64.8%，p=0.02）。共有 130 份转诊报告称患者因白内障出现症状，这些患者更有可能被列入手术名单（81.5%比 38.3%，p=0.00）。
适当聚焦的转诊表可能有助于对白内障转诊进行分诊，并可能减少不必要的预约。
