Kontrola kvalitete dela v okviru ESCRS

The European Cataract Outcome Study in E ye S urgery Centre dr. Pfeifer Marija Ana Schwarzbartl Pfeifer Vladimir Pfeifer Eye Surgery Centre dr. Pfeifer, Ljubljana, Slovenija

The long-term goals of the European Cataract Outcome Study are:
- to reflect the outcome of routine medical care in Europe concerning cataract surgery
- to form a European basis for quality assurance of cataract surgery at individual departments in different countries
- to promote quality improvement and provide a benchmarking for comparing and demonstrating good practice
to stimulate the diffusion of good technology in cataract surgery care

Participating countries and units in the ECOS 1995-2006.
Australia 1
Belgium 2
Bulgaria 2
Czech Republic 5
Croatia 1
Denmark 11
Finland 1
France 3
Germany 1
Holland 11
Hungary 2
Ireland 3
Israel 2
Italy 4
Latvia 1
Lithuania 1
Norway 9
Oman 1
Portugal 1
Romania 1
Serbia-Montenegro 1
Slovakia 2
Slovenia 1
Spain 3
Sweden 6
Switzerland 1
United Kingdom 12
90 units from 27 countries

The European Cataract Outcome Study 1995-2006 Change in surgical technique (%).

The European Cataract Outcome Study 1998-2006 Complications during surgery (%).

Trends in Cataract Surgery as reflected by ECOS
Preop VA rising
Ocular co-morbidity 35-40% stable
Second-eye surgery 40% stable
Phaco% 98% stable
Foldable IOL 95% rising
Drop anaesthesia 82% rising
In-patient surgery 11% sinking

Trends in Cataract Surgery as reflected by ECOS
Surgical complications 3% sinking?
Difference target-final refraction 0.6 D stable
Induced astigmatism (Naeser) 0.5 D sinking
Difference in refraction between
the eyes after 1 st -eye surgery 1.5 D stable
Difference in refraction between
the eyes after 2nd-eye surgery 0.72 D stable
Postoperative VA surgery eye stable

The European Cataract Outcome Study 2006 Results of participating units

The European Cataract Outcome Study 2006 Variation in pre-operative conditions

The European Cataract Outcome Study 2006 Mean age. Mean value all patients: 75 years. (OKC dr. Pfeifer No. 13)

The European Cataract Outcome Study 2006 Second-eye surgery in per cent of all surgeries. Mean value: 41.6%. (OKC dr. Pfeifer No. 3)

The European Cataract Outcome Study 2006 Ocular co-morbidity in the eye to be operated on. Mean value: 37.8%. (OKC dr. Pfeifer No. 33)

The European Cataract Outcome Study 2006 Difficult surgery in %. Mean value: 16.8%. (OKC dr. Pfeifer No. 25)

The European Cataract Outcome Study 2006 Variation in surgical technique

The European Cataract Outcome Study 2006 Phaco procedures in per cent of all. Mean value: 97.7%. (OKC dr. Pfeifer No. 35)

The European Cataract Outcome Study 2006 Foldable IOL in %. Mean value: 94.8% (OKC dr. Pfeifer No. 35)

The European Cataract Outcome Study 2006 Variation in performance

The European Cataract Outcome Study 2006 In-patient surgery in per cent. Mean value: 11.5%. (OKC dr. Pfeifer No. 9)

The European Cataract Outcome Study 2006 Local anaesthesia by drops in per cent. Mean value: 82.1%. (OKC dr. Pfeifer No. 35)

The European Cataract Outcome Study 2006 Follow-up cases in per cent of operated cases. Mean value: 88.3%. (OKC dr. Pfeifer No. 14)

The European Cataract Outcome Study 2006 Variation in surgical outcomes

The European Cataract Outcome Study 2006 Complications on day 1 in per cent. (OKC dr. Pfeifer No. 2)

The European Cataract Outcome Study 2006 Post-operative complications in per cent. Mean value: 3.4%. (OKC dr. Pfeifer No. 9 )

The European Cataract Outcome Study 2006 Difference between target and final refraction in D. Average: 0.6 D. (OKC dr. Pfeifer No. 3)

The European Cataract Outcome Study 200 6 Difference in refraction (spherical equivalent) between the eyes after 1st eye surgery. Mean value: 1.45 D. (OKC dr. Pfeifer No. 15)

The European Cataract Outcome Study 2006 Difference in refraction (spherical equivalent) between the eyes after 2nd eye surgery. Mean value: 0.72 D. (OKC dr. Pfeifer NO. 24)

The European Cataract Outcome Study 2006 Induced astigmatism in diopters ( Naeser polar value) . Mean value: 0.36 D. (OKC dr. Pfeifer No. 5)

The European Cataract Outcome Study 2006 Post-op. VA  0.5 in the operated eye in per cent. Mean value: 91.6%. ( OKC dr. Pfeifer No. 20)

The European Cataract Outcome Study 2006 UCVA ≥0,5 mean value 73.6% (OKC dr. Pfeifer No. 33)

Conclusion
Number of patients included in this study from our unit is very high (273), so the results are very objective.
In Eye Surgery Centre Dr. Pfeifer the results of cataract surgery are excellent in comparing to other 90 units from 27 countries from Europe.

Kontrola kvalitete dela v okviru ESCRS

by okc on Oct 10, 2008

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