Fleury Christopher M, Schwitzer Jonathan A, Hung Rex W, Baker Stephen B
Washington, D.C.
From the Department of Plastic Surgery, MedStar Georgetown University Hospital.
Plast Reconstr Surg. 2018 Jan;141(1):28e-33e. doi: 10.1097/PRS.0000000000003962.
Before creation and validation of the FACE-Q by Pusic et al., adverse event types and incidences following facial cosmetic procedures were objectively measured and reported by physicians, potentially leading to misrepresentation of the true patient experience. This article analyzes and compares adverse event data from both FACE-Q and recent review articles, incorporating patient-reported adverse event data to improve patient preparation for facial cosmetic procedures.
FACE-Q adverse event data were extracted from peer-reviewed validation articles for face lift, rhinoplasty, and blepharoplasty, and these data were compared against adverse effect risk data published in recent Continuing Medical Education/Maintenance of Certification and other articles regarding the same procedures.
The patient-reported adverse event data sets and the physician-reported adverse event data sets do contain overlapping elements, but each data set also contains unique elements. The data sets represent differing viewpoints. Furthermore, patient-reported outcomes from the FACE-Q provided incidence data that were otherwise previously not reported.
In the growing facial cosmetic surgery industry, patient perspective is critical as a determinant of success; therefore, incorporation of evidence-based patient-reported outcome data will not only improve patient expectations and overall experience, but will also reveal adverse event incidences that were previously unknown. Given that there is incomplete overlap between patient-reported and physician-reported adverse events, presentation of both data sets in the consultation setting will improve patient preparation. Furthermore, use of validated tools such as the FACE-Q will allow surgeons to audit themselves critically.
在Pusic等人创建并验证面部美容手术患者体验问卷（FACE-Q）之前，面部美容手术后的不良事件类型和发生率由医生进行客观测量和报告，这可能导致对患者真实体验的误报。本文分析并比较了FACE-Q和近期综述文章中的不良事件数据，纳入患者报告的不良事件数据，以帮助患者更好地为面部美容手术做好准备。
从经同行评审的面部提升术、隆鼻术和眼睑成形术验证文章中提取FACE-Q不良事件数据，并将这些数据与近期继续医学教育/认证维持文章及其他关于相同手术的文章中公布的不良反应风险数据进行比较。
患者报告的不良事件数据集和医生报告的不良事件数据集确实包含重叠元素，但每个数据集也包含独特元素。这些数据集代表了不同的观点。此外，FACE-Q中患者报告的结果提供了以前未报告的发生率数据。
在不断发展的面部美容手术行业中，患者的观点作为成功的决定因素至关重要；因此，纳入基于证据的患者报告结局数据不仅会改善患者的期望和整体体验，还会揭示以前未知的不良事件发生率。鉴于患者报告的不良事件和医生报告的不良事件之间存在不完全重叠，在咨询过程中同时呈现这两个数据集将有助于患者做好准备。此外，使用经过验证的工具，如FACE-Q，将使外科医生能够严格审视自己。
