Survey of Patient Understanding and Satisfaction in Glaucoma Filtering Surgery.

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Bibliographic Details
Title: Survey of Patient Understanding and Satisfaction in Glaucoma Filtering Surgery.
Authors: Akkouche F; Department of Ophthalmology, Ambroise Paré Hospital, AP-HP, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France., Bastelica P; Department of Ophthalmology, Ambroise Paré Hospital, AP-HP, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France; Department of Ophthalmology III, Quinze-Vingts National Ophthalmology Hospital, IHU FOReSight, Paris, France; Quinze-Vingts National Ophthalmology Hospital, IHU FOReSight, INSERM-DGOS CIC 1423, Paris, France. Electronic address: pbastelica@15-20.fr., Baudouin C; Department of Ophthalmology, Ambroise Paré Hospital, AP-HP, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France; Department of Ophthalmology III, Quinze-Vingts National Ophthalmology Hospital, IHU FOReSight, Paris, France; Quinze-Vingts National Ophthalmology Hospital, IHU FOReSight, INSERM-DGOS CIC 1423, Paris, France., Sable S; Assistance Publique-Hôpitaux de Paris, Unit of Clinical Epidemiology, Robert Debré children's hospital, University of Paris, Inserm U1123 and CIC 1426, Paris, France., Labbe A; Department of Ophthalmology, Ambroise Paré Hospital, AP-HP, University of Versailles Saint-Quentin-en-Yvelines, Versailles, France; Department of Ophthalmology III, Quinze-Vingts National Ophthalmology Hospital, IHU FOReSight, Paris, France; Quinze-Vingts National Ophthalmology Hospital, IHU FOReSight, INSERM-DGOS CIC 1423, Paris, France.
Source: Ophthalmology. Glaucoma [Ophthalmol Glaucoma] 2025 Nov-Dec; Vol. 8 (6), pp. 634-642. Date of Electronic Publication: 2025 Jun 18.
Publication Type: Journal Article; Multicenter Study; Observational Study
Language: English
Journal Info: Publisher: Elsevier Inc Country of Publication: United States NLM ID: 101730510 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2589-4196 (Electronic) Linking ISSN: 25894196 NLM ISO Abbreviation: Ophthalmol Glaucoma Subsets: MEDLINE
Imprint Name(s): Original Publication: New York : Elsevier Inc., [2018]-
MeSH Terms: Patient Satisfaction*/statistics & numerical data , Glaucoma*/surgery , Glaucoma*/psychology , Filtering Surgery*/psychology , Comprehension*, Humans ; Male ; Female ; Surveys and Questionnaires ; Middle Aged ; Aged ; Intraocular Pressure/physiology ; Adult ; Aged, 80 and over
Abstract: Objectives: To assess patients' understanding of glaucoma surgery and their postoperative satisfaction, to study the factors that may influence them, and to investigate correlations between these 2 determining factors.
Design: A multicenter observational study.
Subjects: Patients scheduled for glaucoma filtration surgery were included.
Methods: Participants responded preoperatively to a questionnaire developed after literature review, evaluating their understanding of the surgery, and to a second questionnaire evaluating their postoperative satisfaction, between 2 and 3 months after surgery.
Main Outcome Measures: The primary outcomes were the mean scores for preoperative understanding and postoperative satisfaction. The influence of demographic, clinical, and surgical factors on comprehension and satisfaction was analyzed using univariate and multivariate models.
Results: In this study, 97 patients responded to the questionnaire evaluating their understanding of the surgery preoperatively. Postoperative satisfaction could be evaluated in 86 of them. The mean understanding score was 13.4 ± 5.4 (out of 25). Level of education (P < 0.01) and reading the French Society of Ophthalmology's information form on glaucoma filtering surgery (P < 0.05) were statistically correlated with a better understanding after multivariate analysis. The mean postoperative satisfaction score was 7.13 ± 3.0 (out of 10). Needling (P < 0.01) and resumption of hypotensive treatment (P < 0.001) were statistically correlated with poorer satisfaction after multivariate analysis. In addition, poorer preoperative understanding was correlated with lower postoperative satisfaction with a Pearson coefficient of 0.42 (95% confidence interval: 0.23-0.57 [P < 0.01]).
Conclusions: Overall, patient understanding was limited, and poor understanding negatively influenced postoperative satisfaction.
Financial Disclosure(s): The author(s) have no proprietary or commercial interest in any materials discussed in this article.
(Copyright © 2025 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.)
Contributed Indexing: Keywords: Glaucoma; Glaucoma filtering surgery; Patient comprehension; Patient understanding
Entry Date(s): Date Created: 20250624 Date Completed: 20251121 Latest Revision: 20251121
Update Code: 20251122
DOI: 10.1016/j.ogla.2025.06.007
PMID: 40553991
Database: MEDLINE
Description
Abstract:Objectives: To assess patients' understanding of glaucoma surgery and their postoperative satisfaction, to study the factors that may influence them, and to investigate correlations between these 2 determining factors.<br />Design: A multicenter observational study.<br />Subjects: Patients scheduled for glaucoma filtration surgery were included.<br />Methods: Participants responded preoperatively to a questionnaire developed after literature review, evaluating their understanding of the surgery, and to a second questionnaire evaluating their postoperative satisfaction, between 2 and 3 months after surgery.<br />Main Outcome Measures: The primary outcomes were the mean scores for preoperative understanding and postoperative satisfaction. The influence of demographic, clinical, and surgical factors on comprehension and satisfaction was analyzed using univariate and multivariate models.<br />Results: In this study, 97 patients responded to the questionnaire evaluating their understanding of the surgery preoperatively. Postoperative satisfaction could be evaluated in 86 of them. The mean understanding score was 13.4 ± 5.4 (out of 25). Level of education (P &lt; 0.01) and reading the French Society of Ophthalmology's information form on glaucoma filtering surgery (P &lt; 0.05) were statistically correlated with a better understanding after multivariate analysis. The mean postoperative satisfaction score was 7.13 ± 3.0 (out of 10). Needling (P &lt; 0.01) and resumption of hypotensive treatment (P &lt; 0.001) were statistically correlated with poorer satisfaction after multivariate analysis. In addition, poorer preoperative understanding was correlated with lower postoperative satisfaction with a Pearson coefficient of 0.42 (95% confidence interval: 0.23-0.57 [P &lt; 0.01]).<br />Conclusions: Overall, patient understanding was limited, and poor understanding negatively influenced postoperative satisfaction.<br />Financial Disclosure(s): The author(s) have no proprietary or commercial interest in any materials discussed in this article.<br /> (Copyright © 2025 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.)
ISSN:2589-4196
DOI:10.1016/j.ogla.2025.06.007