Assessing Quality of Vision in Cataract Surgery : A Randomized Trial of Digital vs. Paper-Based Questionnaires
(2025) In Journal of Cataract and Refractive Surgery- Abstract
Purpose: To introduce a newly developed digital platform and compare its reliability and agreement with paper-based questionnaires for assessing quality of vision before and after cataract surgery. Setting: University-affiliated ophthalmology department and private clinic. Design: Prospective, randomized trial with parallel design of 1:1 allocation ratio without masking. Methods: Between 11/2021 and 6/2023, patients from a preoperative cataract clinic, aged ≥21 years, with cataracts in both eyes and internet access were randomly assigned by "ALEA"software to complete Catquest-9SF and Quality-of-Vision (QoV) questionnaires before surgery and after second eye surgery via paper or a newly developed digital European Registry of Quality... (More)
Purpose: To introduce a newly developed digital platform and compare its reliability and agreement with paper-based questionnaires for assessing quality of vision before and after cataract surgery. Setting: University-affiliated ophthalmology department and private clinic. Design: Prospective, randomized trial with parallel design of 1:1 allocation ratio without masking. Methods: Between 11/2021 and 6/2023, patients from a preoperative cataract clinic, aged ≥21 years, with cataracts in both eyes and internet access were randomly assigned by "ALEA"software to complete Catquest-9SF and Quality-of-Vision (QoV) questionnaires before surgery and after second eye surgery via paper or a newly developed digital European Registry of Quality Outcomes in Cataract and Refractive Surgery (EUREQUO) platform. Statistical analyses evaluated agreement between methods, and validation was by Rasch analysis. Results: Half (183/364, 50.3%) of the enrolled patients were allocated to digital questionnaires. After exclusion due to technical issues, missing questions, and withdrawal, 307/364 patients remained, of whom 159 (51.8%) filled in digital questionnaires. Half of all patients (n=154) underwent sequential surgeries on both eyes after a minimum one-month interval. Seventy-two (72/154, 46.8%) completed postoperative questionnaires. Comparative analysis found no significant differences between paper and digital methods. Catquest-9SF and QoV questionnaires demonstrated good precision and reliability (Rasch analysis). Postoperative vision improved at an average of 2.82 logits. Conclusion: The newly developed digital EUREQUO platform for patient assessment of quality of vision before and after cataract surgery with the Catquest-9SF and QoV questionnaires, offers a reliable alternative to traditional paper-based questionnaires, enhancing convenience for patients and providers.
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- author
- Rein, Adi Porat ; Lundström, Mats LU ; Dickman, Mor M. ; Rosen, Matan ; Finkelman, Yaron ; Semionov, Anastasia ; Zadok, David and Abulafia, Adi
- organization
- publishing date
- 2025
- type
- Contribution to journal
- publication status
- epub
- subject
- keywords
- cataract, Catquest-9SF, digital-platform, EUREQUO, PROM, QOV, questionnaires
- in
- Journal of Cataract and Refractive Surgery
- article number
- 1642
- publisher
- Elsevier
- external identifiers
-
- pmid:39999203
- scopus:105001728888
- ISSN
- 0886-3350
- DOI
- 10.1097/j.jcrs.0000000000001642
- language
- English
- LU publication?
- yes
- id
- 868e923e-1cbe-4739-915d-9c90fdcfb2a0
- date added to LUP
- 2025-09-01 13:59:50
- date last changed
- 2025-09-01 14:00:38
@article{868e923e-1cbe-4739-915d-9c90fdcfb2a0,
abstract = {{<p>Purpose: To introduce a newly developed digital platform and compare its reliability and agreement with paper-based questionnaires for assessing quality of vision before and after cataract surgery. Setting: University-affiliated ophthalmology department and private clinic. Design: Prospective, randomized trial with parallel design of 1:1 allocation ratio without masking. Methods: Between 11/2021 and 6/2023, patients from a preoperative cataract clinic, aged ≥21 years, with cataracts in both eyes and internet access were randomly assigned by "ALEA"software to complete Catquest-9SF and Quality-of-Vision (QoV) questionnaires before surgery and after second eye surgery via paper or a newly developed digital European Registry of Quality Outcomes in Cataract and Refractive Surgery (EUREQUO) platform. Statistical analyses evaluated agreement between methods, and validation was by Rasch analysis. Results: Half (183/364, 50.3%) of the enrolled patients were allocated to digital questionnaires. After exclusion due to technical issues, missing questions, and withdrawal, 307/364 patients remained, of whom 159 (51.8%) filled in digital questionnaires. Half of all patients (n=154) underwent sequential surgeries on both eyes after a minimum one-month interval. Seventy-two (72/154, 46.8%) completed postoperative questionnaires. Comparative analysis found no significant differences between paper and digital methods. Catquest-9SF and QoV questionnaires demonstrated good precision and reliability (Rasch analysis). Postoperative vision improved at an average of 2.82 logits. Conclusion: The newly developed digital EUREQUO platform for patient assessment of quality of vision before and after cataract surgery with the Catquest-9SF and QoV questionnaires, offers a reliable alternative to traditional paper-based questionnaires, enhancing convenience for patients and providers.</p>}},
author = {{Rein, Adi Porat and Lundström, Mats and Dickman, Mor M. and Rosen, Matan and Finkelman, Yaron and Semionov, Anastasia and Zadok, David and Abulafia, Adi}},
issn = {{0886-3350}},
keywords = {{cataract; Catquest-9SF; digital-platform; EUREQUO; PROM; QOV; questionnaires}},
language = {{eng}},
publisher = {{Elsevier}},
series = {{Journal of Cataract and Refractive Surgery}},
title = {{Assessing Quality of Vision in Cataract Surgery : A Randomized Trial of Digital vs. Paper-Based Questionnaires}},
url = {{http://dx.doi.org/10.1097/j.jcrs.0000000000001642}},
doi = {{10.1097/j.jcrs.0000000000001642}},
year = {{2025}},
}