Stewart Michael G, Porter Jennifer P
The Bobby R. Alford Department of Otorhinolaryngology and Communicative Sciences, Baylor College of Medicine, Houston, TX 77030, USA.
Facial Plast Surg. 2002 May;18(2):73-6. doi: 10.1055/s-2002-32196.
Outcomes research examines the delivery of medical care from the patient's perspective, using unique instruments and methodologies. Outcome studies can measure the effectiveness of treatments or interventions in individual patients or in large populations, using prospective observational research designs. The steps in performing outcomes research are as follows: identify and define the disease or procedure of interest, create a staging system for disease severity, identify important co-morbid conditions, choose or design an outcomes instrument to measure treatment outcomes, and design a study to assess outcomes prospectively. Although there is currently a dearth of outcomes instruments available for use in facial plastic and reconstructive surgery, some new instruments are being developed, and even using existing tools outcomes research should prove to be a valuable research tool for facial plastic surgeons to demonstrate improved quality of life and functional status in their patients.
结果研究从患者角度审视医疗服务的提供情况，采用独特的工具和方法。结果研究可运用前瞻性观察性研究设计，衡量个体患者或大量人群中治疗或干预措施的有效性。开展结果研究的步骤如下：确定并界定感兴趣的疾病或手术，创建疾病严重程度分期系统，识别重要的共病情况，选择或设计一种结果测量工具以评估治疗结果，以及设计一项前瞻性研究来评估结果。尽管目前面部整形与重建外科可用的结果测量工具匮乏，但一些新工具正在研发中，而且即便使用现有工具，结果研究对于面部整形外科医生而言也应是一种有价值的研究工具，用以证明其患者的生活质量和功能状态得到了改善。
