Barone M, Cogliandro A, Di Stefano N, Tambone V, Persichetti P
Plastic and Reconstructive Surgery Unit, Campus Bio-Medico University of Rome, Via Alvaro del Portillo 200, Rome, Italy.
Institute of Philosophy of Scientific and Technological Activity, Campus Bio-Medico University of Rome, Rome, Italy.
Eur Arch Otorhinolaryngol. 2017 Apr;274(4):1807-1811. doi: 10.1007/s00405-016-4359-9. Epub 2016 Oct 31.
The literature still lacks a review regarding PROs applied for rhinoplasty. Thus, we performed a systematic review of the literature to identify PROMs that assess patient satisfaction and quality of life after rhinoplasty. The aim of our study was to identify existing questionnaires and to summarize their development, psychometric properties, and content. A multi-step search of the web-based PubMed database from the National Library of Medicine was performed to identify PROMs that are designed to evaluate satisfaction and quality of life following rhinoplasty. Each potential PROM was examined by three independent reviewers for adherence to inclusion/exclusion criteria. Questionnaires included in the analysis were appraised for their adherence to international guidelines for the development and validation of health outcome questionnaires, as outlined by the Scientific Advisory Committee of the Medical Outcome Trust and the U.S. Food and Drug Administration. Our search generated a total of 457 articles, 351 that were retrieved in the primary search, and 106 that were found in the references of the first set of articles. The process of development and validation of each of the included PROMs was examined. Only ten of these were identified as surgery-specific questionnaires about rhinoplasty. These were divided into three categories: (1) functional self-assessment (Nasal Surgical Questionnaire, Nasal Obstruction Symptoms Evaluation Scale, and Nasal Obstruction Septoplasty Effectiveness); (2) aesthetic self-assessment (Utrecht Questionnaire, FACE-Q rhinoplasty module, Glasgow Benefit Inventory); and (3) aesthetic and functional self-assessment (Rhinoplasty Outcomes Evaluation), Functional Rhinoplasty Outcome Inventory 17, RHINO Scale, and Evaluation of Aesthetic Rhinoplasty Scale).
目前关于用于隆鼻手术的患者报告结局（PROs）仍缺乏相关综述。因此，我们对文献进行了系统综述，以确定评估隆鼻术后患者满意度和生活质量的患者报告结局测量工具（PROMs）。我们研究的目的是识别现有的问卷，并总结其发展历程、心理测量学特性及内容。我们对美国国立医学图书馆基于网络的PubMed数据库进行了多步骤检索，以识别旨在评估隆鼻术后满意度和生活质量的PROMs。每一个潜在的PROM都由三位独立评审员根据纳入/排除标准进行审查。对纳入分析的问卷按照医学结局信托科学咨询委员会和美国食品药品监督管理局概述的健康结局问卷开发和验证国际指南进行评估。我们的检索共获得457篇文章，其中351篇在初步检索中找到，106篇在第一组文章的参考文献中找到。我们对每一个纳入的PROM的开发和验证过程进行了审查。其中只有十份被确定为关于隆鼻手术的特定手术问卷。这些问卷分为三类：（1）功能自我评估（鼻外科问卷、鼻阻塞症状评估量表和鼻阻塞鼻中隔成形术效果量表）；（2）美学自我评估（乌得勒支问卷、FACE-Q隆鼻模块、格拉斯哥获益量表）；（3）美学和功能自我评估（隆鼻手术结局评估量表、功能性隆鼻手术结局量表17、鼻整形术量表和鼻整形美学评估量表）。
