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Patient Reported Outcomes Measure following Cataract Surgery using the Catquest-9SF Questionnaire in a US Veterans Health Administration Population

Flood, Justin ; Koul, Roshni ; Lundström, Mats LU and Raju, Jhansi (2025) In Journal of Cataract and Refractive Surgery Publish Ahead of Print.
Abstract

Purpose: – To validate the Catquest-9SF survey in a US Veteran population while assessing how cataract surgery impacts quality of life from the patient’s perspective.Setting: – Edward Hines Jr. VA Hospital. Hines, IL, USA.Design: – A prospective survey study of Veteran patients undergoing cataract surgery, gauging pre- and post-operative responses to questions regarding vision-related daily tasks.Methods: – Recruitment selected for all Veteran patients undergoing routine cataract surgery without a second simultaneous ophthalmic surgery. Patients who experienced complications during surgery were excluded. Outcomes were measured using the Catquest-9SF questionnaire and post-operative visual acuity.Results: – A total of 257 Veterans were... (More)

Purpose: – To validate the Catquest-9SF survey in a US Veteran population while assessing how cataract surgery impacts quality of life from the patient’s perspective.Setting: – Edward Hines Jr. VA Hospital. Hines, IL, USA.Design: – A prospective survey study of Veteran patients undergoing cataract surgery, gauging pre- and post-operative responses to questions regarding vision-related daily tasks.Methods: – Recruitment selected for all Veteran patients undergoing routine cataract surgery without a second simultaneous ophthalmic surgery. Patients who experienced complications during surgery were excluded. Outcomes were measured using the Catquest-9SF questionnaire and post-operative visual acuity.Results: – A total of 257 Veterans were included in this study. Rasch person-measure estimates improved from −1.37 to −4.22 logits (Δ 2.85 logits), indicating higher visual functioning after cataract surgery. The Catquest-9SF demonstrated satisfactory Rasch performance (ordered thresholds; person reliability 0.83; person-separation 2.25; first contrast eigenvalue 1.65). Mean LogMAR visual acuity improved from 0.41 ± 0.34 to 0.18 ± 0.22 (mean change: –0.23; p < 0.01).Conclusions: – To our knowledge, this is the first use of the Catquest-9SF questionnaire as a PROM tool to investigate cataract surgery outcomes among US Veterans. This study found that the Catquest-9SF satisfied validation criteria in a US Veteran population and found cataract surgery to improve patient reported outcomes, regardless of comorbidity.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
cataract surgery, Catquest-9SF, Patient reported outcomes measures (PROMs), Rasch analysis, Veterans health
in
Journal of Cataract and Refractive Surgery
volume
Publish Ahead of Print
publisher
Elsevier
external identifiers
  • scopus:105027401890
  • pmid:41423839
ISSN
0886-3350
DOI
10.1097/j.jcrs.0000000000001863
language
English
LU publication?
yes
id
bdf5e4b8-2f5d-4058-b3a2-a421eb9e686b
date added to LUP
2026-02-13 14:45:39
date last changed
2026-02-13 14:46:21
@article{bdf5e4b8-2f5d-4058-b3a2-a421eb9e686b,
  abstract     = {{<p>Purpose: – To validate the Catquest-9SF survey in a US Veteran population while assessing how cataract surgery impacts quality of life from the patient’s perspective.Setting: – Edward Hines Jr. VA Hospital. Hines, IL, USA.Design: – A prospective survey study of Veteran patients undergoing cataract surgery, gauging pre- and post-operative responses to questions regarding vision-related daily tasks.Methods: – Recruitment selected for all Veteran patients undergoing routine cataract surgery without a second simultaneous ophthalmic surgery. Patients who experienced complications during surgery were excluded. Outcomes were measured using the Catquest-9SF questionnaire and post-operative visual acuity.Results: – A total of 257 Veterans were included in this study. Rasch person-measure estimates improved from −1.37 to −4.22 logits (Δ 2.85 logits), indicating higher visual functioning after cataract surgery. The Catquest-9SF demonstrated satisfactory Rasch performance (ordered thresholds; person reliability 0.83; person-separation 2.25; first contrast eigenvalue 1.65). Mean LogMAR visual acuity improved from 0.41 ± 0.34 to 0.18 ± 0.22 (mean change: –0.23; p &lt; 0.01).Conclusions: – To our knowledge, this is the first use of the Catquest-9SF questionnaire as a PROM tool to investigate cataract surgery outcomes among US Veterans. This study found that the Catquest-9SF satisfied validation criteria in a US Veteran population and found cataract surgery to improve patient reported outcomes, regardless of comorbidity.</p>}},
  author       = {{Flood, Justin and Koul, Roshni and Lundström, Mats and Raju, Jhansi}},
  issn         = {{0886-3350}},
  keywords     = {{cataract surgery; Catquest-9SF; Patient reported outcomes measures (PROMs); Rasch analysis; Veterans health}},
  language     = {{eng}},
  publisher    = {{Elsevier}},
  series       = {{Journal of Cataract and Refractive Surgery}},
  title        = {{Patient Reported Outcomes Measure following Cataract Surgery using the Catquest-9SF Questionnaire in a US Veterans Health Administration Population}},
  url          = {{http://dx.doi.org/10.1097/j.jcrs.0000000000001863}},
  doi          = {{10.1097/j.jcrs.0000000000001863}},
  volume       = {{Publish Ahead of Print}},
  year         = {{2025}},
}