Eyeworld

10 Ophthalmology Business • July 2017 Another study published in the British Journal of Ophthalmology found a disagreement in how visually im- paired (VI) children and their parents viewed the child's vision-related quality of life (VQoL) and functional vision (FV). 2 The study involved 99 children (10–15 years old) and their parents who took a child and proxy survey, respectively, that the investigators wrote included "novel instruments assessing VQoL and FV of children with VI—the vision-related quality of life instrument for children and young people (VQoL_CYP) and the functional vision questionnaire for children and young people (FVQ_ CYP), respectively." The researchers found that, on average, parents rated their child's vision-related quality of life and functional vision as lower than their child's rating. The investigators noted, however, that the range of dis- agreement between parents' ratings and children's ratings was wide, and parents overestimated and underes- timated their child's vision-related quality of life. They more consis- tently underestimated their child's functional vision, the study authors wrote. "These findings may have po- tentially important clinical implica- tions in the scenario of distress and depression in teenagers with rapid loss of vision and function; knowing the child-parent agreement is higher for this group may be helpful in the clinical monitoring of and research with children who may be too dis- tressed and thus potentially unable to self-report themselves at particular stages," the study authors wrote. What's more, the results show that "information provided by children and their parents should be viewed as being complementary, rather than interchangeable." OB References 1. Valikodath NG, et al. Agreement of ocular symptom reporting between patient-reported outcomes and medical records. JAMA Ophthal- mol. 2017;135:225–31. 2. Tadic V, et al. Do visually impaired chil- dren and their parents agree on the child's vision-related quality of life and functional vision? Br J Ophthalmol. 2017;101:244–50. Editors' note: Dr. Woodward has no financial interests related to her comments. Contact information Woodward: mariawoo@med.umich.edu continued from page 9 " The data captured in the electronic health record, if it is highly accurate, can be used to improve the quality of care that we deliver in a way that data captured on disparate paper charts never made possible. " —Maria Woodward, MD

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