Exploring patient preferences for intraocular lenses selection in age-related cataract: a discrete choice experiment study
IntroductionThis study investigates the preferences of cataract patients in East China regarding intraocular lenses (IOLs).MethodsA Discrete Choice Experiment (DCE) was conducted using a questionnaire that included various IOLs attributes. Participants made choices based on different combinations of...
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Frontiers Media S.A.
2025-02-01
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| Series: | Frontiers in Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2025.1446715/full |
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| author | Qiaolin Zhu Qiaolin Zhu Qiaolin Zhu Qianqian Sun Qianqian Sun Qianqian Sun Yujia Huo Yujia Huo Yujia Huo Xiaoling Yang Xiaoling Yang Xiaoling Yang Hehe Huang Hehe Huang Hehe Huang Shanshan Qian Shanshan Qian Shanshan Qian Wenjing Lin Wentao Yan Wentao Yan Wentao Yan |
| author_facet | Qiaolin Zhu Qiaolin Zhu Qiaolin Zhu Qianqian Sun Qianqian Sun Qianqian Sun Yujia Huo Yujia Huo Yujia Huo Xiaoling Yang Xiaoling Yang Xiaoling Yang Hehe Huang Hehe Huang Hehe Huang Shanshan Qian Shanshan Qian Shanshan Qian Wenjing Lin Wentao Yan Wentao Yan Wentao Yan |
| author_sort | Qiaolin Zhu |
| collection | DOAJ |
| description | IntroductionThis study investigates the preferences of cataract patients in East China regarding intraocular lenses (IOLs).MethodsA Discrete Choice Experiment (DCE) was conducted using a questionnaire that included various IOLs attributes. Participants made choices based on different combinations of these attributes, and the data were analyzed using multinomial logit models (MNL) and latent class analysis (LCA) to identify preference heterogeneity.ResultsA total of 200 cataract patients (mean age 66.2 years, 58.5% female) participated in the study. The most influential factors in IOL selection were cost, followed by presbyopia correction, with a preference for multifocal IOLs (trifocal and bifocal), spherical aberration correction, and astigmatism correction. High cost and a higher probability of adverse visual phenomena negatively affected preferences. The inclusion of blue-blocking functionality and the surgeon’s recommendation had minimal influence on patient choice. LCA revealed three distinct preference groups: Class 1 (“Aberration Correction Seekers”) preferred aspheric IOLs, Class 2 (“Presbyopia and Blue-Blocking Enthusiasts”) favored multifocal IOLs, and Class 3 (“Astigmatism and Cost-Sensitive Patients”) preferred toric IOLs. Multinomial logistic regression analysis further showed that male patients were more likely to choose toric IOLs, while individuals with higher education levels were significantly less likely to prefer multifocal IOLs.ConclusionThis study highlights significant heterogeneity in cataract patient preferences for IOLs attributes. Cost was the most critical factor, followed by presbyopia and aberration correction. Men favored toric IOLs and exhibited sensitivity to cost, while highly educated individuals preferred multifocal IOLs less. These findings underscore the need for personalized IOLs recommendations and signal opportunities for innovation and customization in the IOLs industry. |
| format | Article |
| id | doaj-art-86cbd5a6d05d4089bb4c2fc3549ddc8d |
| institution | Kabale University |
| issn | 2296-858X |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Medicine |
| spelling | doaj-art-86cbd5a6d05d4089bb4c2fc3549ddc8d2025-02-12T07:25:34ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-02-011210.3389/fmed.2025.14467151446715Exploring patient preferences for intraocular lenses selection in age-related cataract: a discrete choice experiment studyQiaolin Zhu0Qiaolin Zhu1Qiaolin Zhu2Qianqian Sun3Qianqian Sun4Qianqian Sun5Yujia Huo6Yujia Huo7Yujia Huo8Xiaoling Yang9Xiaoling Yang10Xiaoling Yang11Hehe Huang12Hehe Huang13Hehe Huang14Shanshan Qian15Shanshan Qian16Shanshan Qian17Wenjing Lin18Wentao Yan19Wentao Yan20Wentao Yan21National Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, ChinaNational Engineering Research Center of Ophthalmology and Optometry, Eye Hospital, Wenzhou Medical University, Wenzhou, ChinaState Key Laboratory of Ophthalmology, Optometry and Vision Science, Eye Hospital, Wenzhou Medical University, Wenzhou, ChinaNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, ChinaNational Engineering Research Center of Ophthalmology and Optometry, Eye Hospital, Wenzhou Medical University, Wenzhou, ChinaState Key Laboratory of Ophthalmology, Optometry and Vision Science, Eye Hospital, Wenzhou Medical University, Wenzhou, ChinaNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, ChinaNational Engineering Research Center of Ophthalmology and Optometry, Eye Hospital, Wenzhou Medical University, Wenzhou, ChinaState Key Laboratory of Ophthalmology, Optometry and Vision Science, Eye Hospital, Wenzhou Medical University, Wenzhou, ChinaNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, ChinaNational Engineering Research Center of Ophthalmology and Optometry, Eye Hospital, Wenzhou Medical University, Wenzhou, ChinaState Key Laboratory of Ophthalmology, Optometry and Vision Science, Eye Hospital, Wenzhou Medical University, Wenzhou, ChinaNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, ChinaNational Engineering Research Center of Ophthalmology and Optometry, Eye Hospital, Wenzhou Medical University, Wenzhou, ChinaState Key Laboratory of Ophthalmology, Optometry and Vision Science, Eye Hospital, Wenzhou Medical University, Wenzhou, ChinaNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, ChinaNational Engineering Research Center of Ophthalmology and Optometry, Eye Hospital, Wenzhou Medical University, Wenzhou, ChinaState Key Laboratory of Ophthalmology, Optometry and Vision Science, Eye Hospital, Wenzhou Medical University, Wenzhou, ChinaDepartment of Gynaecological Oncology, Wenzhou Central Hospital, Wenzhou, ChinaNational Clinical Research Center for Ocular Diseases, Eye Hospital, Wenzhou Medical University, Wenzhou, ChinaNational Engineering Research Center of Ophthalmology and Optometry, Eye Hospital, Wenzhou Medical University, Wenzhou, ChinaState Key Laboratory of Ophthalmology, Optometry and Vision Science, Eye Hospital, Wenzhou Medical University, Wenzhou, ChinaIntroductionThis study investigates the preferences of cataract patients in East China regarding intraocular lenses (IOLs).MethodsA Discrete Choice Experiment (DCE) was conducted using a questionnaire that included various IOLs attributes. Participants made choices based on different combinations of these attributes, and the data were analyzed using multinomial logit models (MNL) and latent class analysis (LCA) to identify preference heterogeneity.ResultsA total of 200 cataract patients (mean age 66.2 years, 58.5% female) participated in the study. The most influential factors in IOL selection were cost, followed by presbyopia correction, with a preference for multifocal IOLs (trifocal and bifocal), spherical aberration correction, and astigmatism correction. High cost and a higher probability of adverse visual phenomena negatively affected preferences. The inclusion of blue-blocking functionality and the surgeon’s recommendation had minimal influence on patient choice. LCA revealed three distinct preference groups: Class 1 (“Aberration Correction Seekers”) preferred aspheric IOLs, Class 2 (“Presbyopia and Blue-Blocking Enthusiasts”) favored multifocal IOLs, and Class 3 (“Astigmatism and Cost-Sensitive Patients”) preferred toric IOLs. Multinomial logistic regression analysis further showed that male patients were more likely to choose toric IOLs, while individuals with higher education levels were significantly less likely to prefer multifocal IOLs.ConclusionThis study highlights significant heterogeneity in cataract patient preferences for IOLs attributes. Cost was the most critical factor, followed by presbyopia and aberration correction. Men favored toric IOLs and exhibited sensitivity to cost, while highly educated individuals preferred multifocal IOLs less. These findings underscore the need for personalized IOLs recommendations and signal opportunities for innovation and customization in the IOLs industry.https://www.frontiersin.org/articles/10.3389/fmed.2025.1446715/fulldiscrete choice experimentcataracthealth economicspatient preferencesintraocular lenses |
| spellingShingle | Qiaolin Zhu Qiaolin Zhu Qiaolin Zhu Qianqian Sun Qianqian Sun Qianqian Sun Yujia Huo Yujia Huo Yujia Huo Xiaoling Yang Xiaoling Yang Xiaoling Yang Hehe Huang Hehe Huang Hehe Huang Shanshan Qian Shanshan Qian Shanshan Qian Wenjing Lin Wentao Yan Wentao Yan Wentao Yan Exploring patient preferences for intraocular lenses selection in age-related cataract: a discrete choice experiment study Frontiers in Medicine discrete choice experiment cataract health economics patient preferences intraocular lenses |
| title | Exploring patient preferences for intraocular lenses selection in age-related cataract: a discrete choice experiment study |
| title_full | Exploring patient preferences for intraocular lenses selection in age-related cataract: a discrete choice experiment study |
| title_fullStr | Exploring patient preferences for intraocular lenses selection in age-related cataract: a discrete choice experiment study |
| title_full_unstemmed | Exploring patient preferences for intraocular lenses selection in age-related cataract: a discrete choice experiment study |
| title_short | Exploring patient preferences for intraocular lenses selection in age-related cataract: a discrete choice experiment study |
| title_sort | exploring patient preferences for intraocular lenses selection in age related cataract a discrete choice experiment study |
| topic | discrete choice experiment cataract health economics patient preferences intraocular lenses |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2025.1446715/full |
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