Characteristics of cataract surgery patients influencing patient satisfaction scores

J Cataract Refract Surg. 2019 Apr;45(4):437-442. doi: 10.1016/j.jcrs.2018.11.031. Epub 2019 Feb 27.


Purpose: To determine factors that influence patient satisfaction scores in individuals who have recently had cataract surgery.

Setting: Byers Eye Institute, Palo Alto, California, USA.

Design: Prospective case series.

Methods: Selected questions from the Press Ganey survey and the National Eye Institute Visual Function Questionnaire-25 were administered to each patient immediately after completion of a clinic visit. The correlation between patient-specific variables and the answer to the survey question "likelihood of recommending our practice to others," a surrogate for overall patient satisfaction, was assessed using the Student t test. A logistical regression model was used to adjust for potentially confounding variables.

Results: One hundred forty-three patients were recruited from 4 providers; 57 (39.8%) were men, and the mean age was 70.0 years ± 11.6 (SD). The main outcome was the proportion of scores less than 5, or "very good," for the likelihood of recommending the practice to others. There was a statistically significant association between a non-5 patient satisfaction score and self-reported ethnicity of Asian or Pacific Islander compared with other ethnicities (odds ratio [OR], 2.3; 95% confidence interval [CI], 1.0-5.1; P = .049); other possible correlates were not statistically significant. The relationship persisted after adjustment for potential confounding variables (OR, 2.6; 95% CI, 1.1-6.3; P = .027).

Conclusion: In postoperative cataract patients, Asian or Pacific Islander ethnicity, a factor out of the control of the provider and clinic staff, was associated with a lower overall Press Ganey patient satisfaction score compared with patients of all other ethnicities.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Cataract Extraction / statistics & numerical data*
  • Cross-Sectional Studies
  • Ethnic Groups
  • Female
  • Humans
  • Likelihood Functions
  • Male
  • Middle Aged
  • Odds Ratio
  • Patient Satisfaction / ethnology
  • Patient Satisfaction / statistics & numerical data*
  • Prospective Studies
  • Sickness Impact Profile
  • Surveys and Questionnaires
  • Visual Acuity / physiology
  • Young Adult