Division of Plastic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, L8N 3Z5, Canada; email:
Plastic and Reconstructive Surgery Service, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA; email:
Annu Rev Med. 2018 Jan 29;69:467-479. doi: 10.1146/annurev-med-060116-022831.
Satisfaction and improved quality of life are among the most important outcomes for patients undergoing plastic and reconstructive surgery for a variety of diseases and conditions. Patient-reported outcome measures (PROMs) are essential tools for evaluating the benefits of newly developed surgical techniques. Modern PROMs are being developed with new psychometric approaches, such as Rasch Measurement Theory, and their measurement properties (validity, reliability, responsiveness) are rigorously tested. These advances have resulted in the availability of PROMs that provide clinically meaningful data and effectively measure functional as well as psychosocial outcomes. This article guides the reader through the steps of creating a PROM and highlights the potential research and clinical uses of such instruments. Limitations of PROMs and anticipated future directions in this field are discussed.
满意度和生活质量的改善是接受各种疾病和状况的整形和重建手术的患者最重要的结果之一。患者报告的结果测量（PROM）是评估新开发的手术技术益处的重要工具。现代 PROM 采用新的心理计量学方法（如 Rasch 测量理论）进行开发，其测量特性（有效性、可靠性、响应性）得到了严格的测试。这些进展导致了能够提供有临床意义的数据并有效测量功能和心理社会结果的 PROM 的出现。本文指导读者创建 PROM 的步骤，并强调了此类工具的潜在研究和临床用途。还讨论了 PROM 的局限性以及该领域未来的预期方向。
