Physicians around the world should begin tabulating their results according to common standards, an international committee has proposed.
“To compare outcomes between countries and thereby learn and improve processes, a common data set with common definitions is needed,” writes the committee of International Consortium for Health Outcomes Measurement (ICHOM).
The committee’s members include representatives of organizations already involved in collecting data on cataracts in Sweden, the United Kingdom,
Australia, India, Malaysia and the United States. They published their recommendations August 20 in JAMA Ophthalmology.
Many countries have already established registries of cataract surgery outcomes.
Among such past and present registries are the Swedish National Cataract Register, the European Registry of Quality Outcomes for Cataract and Refractive Surgery, the United Kingdom’s Cataract National Data Set, the Malaysian National Eye Database, the National Eye Outcomes Network in the United States, and the Aravind Cataract Registry in India.
The ICHOM standards include two dozen points that could be used to evaluate the success of phacoemulsification, sutured manual extracapsular cataract extraction, sutureless manual extracapsular cataract extraction, and intracapsular cataract extraction.