A Proposed Intervention to Decrease Resident-Performed Cataract Surgery Cancellation

NCT02621840 | Completed

• 2 other identifiers: IRB 14-41415072
• Study Type: interventional
• Target: 442
• Locations: 1 country
• Sites: 1

Brief Summary

The investigators aim to investigate the impact of mandating on-site pre-admission testing on cataract cancellation rates in a randomized, prospective, intervention study. Cataract extraction is the most commonly performed ocular surgery making surgical training an integral component of ophthalmology residency. Patient cancellation of surgery results in a financial burden to the institution and a loss of essential educational experiences for the residents. An earlier study explored variables impacting cancellation rates and identified incomplete pre-admission testing as a major contributing factor to surgery cancellation. Patients will be randomized to either 1) the intervention group where on-site pre-admission testing will be mandated or 2) the control group, where on-site pre-admission testing will be offered but not mandated. Cancellation rates will be collected prospectively and statistical analysis utilized to evaluate the significance of intervention.

Conditions

Cataract

Outcome Measures

Primary Outcomes (1)

• Cataract Surgery Adherence Rate

  The adherence rate to cataract surgery will be assessed in the usual care and intervention groups and compared.

  Through study completion, an average of 1 year

Secondary Outcomes (2)

• Correlation between Cataract Surgery Adherence and Demographic/Clinical Characteristics

  Through study completion, an average of 1 year

• Cost Analysis

  Through study completion, an average of 1 year

Study Arms (2)

Intervention

EXPERIMENTAL

Patients in the intervention group will be mandated to complete the PAT with Dr. Koka. After scheduling the surgery with the surgical coordinator, intervention patients will be required to go directly to Dr. Koka's office, to complete all necessary pre-operative steps.

Behavioral: Mandatory On-Site Pre-Admission Testing

Usual Care

NO INTERVENTION

Patients in the usual care group will be treated with the standard protocol that is currently utilized in the Wills Eye Hospital Cataract and Primary Eye Care (CPEC) Service. After scheduling the surgery with the surgical coordinator, the patient will be given pre-admission testing (PAT) paperwork to be completed. The patient schedules the PAT on his or her own with the primary care physician.The patient will be given the information for Dr. Koka's cardiology office if he or she has any problem getting the PAT done.

Interventions

Mandatory On-Site Pre-Admission Testing BEHAVIORAL

Intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Any patient scheduled for cataract surgery in the resident CPEC clinic at Wills Eye Hospital from the time period of 1/5/15 to 11/30/15.

You may not qualify if:

• All prisoners, nursing home, dialysis patients, and patients under 18 years of age will be excluded from the study.

Sponsors & Collaborators

• Wills Eye: lead

Study Sites (1)

Wills Eye Hospital

Philadelphia, Pennsylvania, 19107, United States

Location

MeSH Terms

Conditions

Cataract

Condition Hierarchy (Ancestors)

Lens Diseases; Eye Diseases

Study Officials

• Robert Bailey, MD

  Wills Eye Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 30, 2015
• First Posted: December 4, 2015
• Study Start: January 1, 2015
• Primary Completion: December 1, 2015
• Study Completion: December 1, 2015
• Last Updated: May 9, 2017

Record last verified: 2015-12

Data Sharing

• IPD Sharing: Will share

Locations

US (1)