Cataract surgery outcomes in Portugal

Cataract surgery

Cataract is a disease inevitable with age, which may affect negatively people's quality of life and their vision. Cataract surgery has evolved in recent years, it is the most performed surgery worldwide and one of the most cost-effective.

Portugal is the country with the highest rate of cataract operations in Europe, with 14 surgeries per 1,000 inhabitants, and the volume of surgeries increased from 14.226 in 1993 to 146.958 in 2015.

It is critical to generate and publish information of the value that patients are having with this treatment in the country.

Outcomes

Number of patients

Total number of patients submitted to cataract surgery.
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Total patients

Number of surgeries

Total number of eyes operated to cataract surgery by laterality.
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Total surgeries

Surgery Outcomes

Outcomes reported by patients (Catquest-9SF total score)

Catquest-9SF total score before and after cataract surgery, showing how cataract surgery affected patients vision-related activity, measured by the questionnaire Catquest 9SF.
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Pre surgery
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Post surgery

Outcomes reported by patients (Catquest-9SF individual question score)

Average score for each Catquest-9SF question before and after surgery, showing how cataract surgery affected patients vision-related activity by activity (question).

Difficulties in general

Question 1
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Pre op
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Pos op

Satisfaction with vision

Question 2
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Pre op
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Reading

Question 3
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Pre op
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Pos op

Face recognition

Question 4
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Pre op
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Pos op

Check prices at the supermarket

Question 5
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Pre op
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Pos op

See for walking on uneven surfaces

Question 6
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Pre op
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Pos op

See for handicrafts

Question 7
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Pre op
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Pos op

Read subtitles on TV

Question 8
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Pre op
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Pos op

See to engage in hobbies

Question 9
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Pre op
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Pos op

Percentage of patients who improved after surgery

Percentage of patients who improved, worsened or maintained their vision-related activity after surgery, according to Catquest 9SF
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Post-surgery corrected distance visual acuity

Percentage of surgeries with corrected distance visual acuity above 0.5D and 1D after surgery.
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Prediction error

Percentage of surgeries with prediction error within 0.5D and 1D
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Complications

Intra-surgery complications

Percentages of surgeries with complications during surgery by complication type.
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Post-surgery complications

Percentages of surgeries with complications after surgery by complication type.
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Lens type

Lens type

Percentage of surgeries with each lens type.
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Catquest-9SF total score

Surgery impact on vision-related activity by lens type.
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Post-surgery corrected distance visual acuity

Percentage of surgeries with corrected distance visual acuity above 0.5D and 1D after surgery, by lens type.
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Technical factors

Surgeries with technical factors

Percentage of surgeries with technical factors that increase surgical difficulty

Our population

Gender distribution

Percentage of patients submitted to cataract surgery by gender.
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Age and gender distribution

Percentage of patients submitted to cataract surgery by age class and gender.
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Prevalence of Ocular Comorbidities

Percentage of surgeries in patients with ocular comorbidites in the operated eye.