Cataract Surgery Guidelines And Outcomes Workshop Before the Special Committ

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Cataract Surgery Guidelines And Outcomes Workshop Before the Special Committ
United States Congress Senate Special Committee
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However, because inappropriateness has not been clearly defmed, the survey results show different amounts of questionable surgery based on different criteria for app. Opriateness.
If the criterion is that any level of problem with either symptoms or functions (even those tlie patient considers slight) is sufficient to warrant surgery, responses to the gad survey show that very few surgeries (2. 5 percent) were inappropriate. If the criterion is functional impairment (as it is in the American Ac
...ademy of Opthalmology guidelines), then 6 percent of respondents' surgeries were inappropriate. This estimate is based on the proportion of patients who indicated they had no limitations in any of the 12 functional activities included in the gao survey before their cataract surgeries.
If the criterion for inappropriateness escalates from "no problem" to "slight problem, " then 16 percent of surgeries were questionable. This proportion corresponds to the 16 percent of patients who indicated they had no more than "slight" problems with eitlier symptoms or functions prior to surgery.


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