制定角膜移植的优先标准并分析实施后与手术相关的因素。
Creation of priority criteria for corneal transplantation and analysis of factors associated with surgery following implementation.
作者信息
Courtright P, Poon C I, Richards J S, Chow D L, Ottenbreit G, Holland S P
机构信息
British Columbia Centre for Epidemiologic & International Ophthalmology, Department of Ophthalmology, University of British Columbia, Vancouver.
出版信息
Can J Public Health. 1997 Sep-Oct;88(5):320-4. doi: 10.1007/BF03403898.
PURPOSE
We sought to test the effectiveness and application of a system for prioritizing corneal disease patients for corneal transplantation.
METHODS
All patients wait-listed for corneal transplantation in British Columbia in April 1995 were followed for 10 months to determine whether they received surgery and to assess the application of recently introduced priority criteria.
RESULTS
The factors that determined whether a patient had surgery were as follows: having vision in one eye only, being female, having progressive disease, and experiencing pain. The surgeon involved was also a factor. Overall, the priority system did not adequately predict who had surgery and who did not have surgery.
CONCLUSIONS
The priority system needs to be re-structured to reduce the contribution of months waited and to more adequately take into account patient need. Furthermore, its application by individual surgeons needs to be strengthened.
目的
我们试图测试一种用于对角膜疾病患者进行角膜移植优先排序的系统的有效性和应用情况。
方法
对1995年4月在不列颠哥伦比亚省等待角膜移植的所有患者进行了10个月的随访，以确定他们是否接受了手术，并评估最近引入的优先标准的应用情况。
结果
决定患者是否接受手术的因素如下：仅一只眼睛有视力、女性、患有进行性疾病以及经历疼痛。所涉及的外科医生也是一个因素。总体而言，优先系统未能充分预测谁接受了手术以及谁未接受手术。
结论
优先系统需要重新构建，以减少等待时间的影响，并更充分地考虑患者需求。此外，需要加强个别外科医生对该系统的应用。
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