Brazilian Center for Studies in Dermatology, Porto Alegre, Brazil.
Cosmetic Laser Dermatology, San Diego, California.
Dermatol Surg. 2019 Aug;45 Suppl 1:S2-S11. doi: 10.1097/DSS.0000000000001993.
New treatment methods for cellulite require globally accepted scales for aesthetic research and patient evaluation.
To develop a set of grading scales for objective assessment of cellulite dimples on female buttocks and thighs and assess their reliability and validity.
Two photonumeric grading scales were created and validated for dimples in the buttocks in female patients: Cellulite Dimples-At Rest, and Cellulite Dimples-Dynamic. Sixteen aesthetic experts rated photographs of 50 women in 2 validation sessions. Responses were analyzed to assess inter-rater and intra-rater reliability.
Overall inter-rater reliability and intra-rater reliability were both "almost perfect" (≥0.81, intraclass correlation efficient and weighted kappa) for the At Rest scale. For the Dynamic scale, inter-rater reliability and intra-rater reliability were "substantial" (0.61-0.80). There was a high correlation between the cellulite scales and body mass index, age, weight, and skin laxity assessments.
Consistent outcomes between raters and by individual raters at 2 time points confirm the reliability of the cellulite dimple grading scales for buttocks and thighs in female patients and suggest they will be a valuable tool for use in research and clinical practice.
新的治疗方法需要为美容研究和患者评估制定全球公认的标准。
制定一套评估女性臀部和大腿部脂肪团酒窝的客观评估分级量表，并评估其可靠性和有效性。
为女性患者臀部的脂肪团酒窝创建了两种二维数字分级量表：静止状态下的脂肪团酒窝和动态下的脂肪团酒窝。16 名美学专家在 2 次验证会议上对 50 名女性的照片进行了评分。分析了这些反应，以评估组内和组间的可靠性。
对于静止状态下的脂肪团酒窝量表，整体组内和组间可靠性均为“几乎完美”（≥0.81，组内相关效率和加权kappa）。对于动态脂肪团酒窝量表，组内和组间可靠性均为“显著”（0.61-0.80）。脂肪团量表与身体质量指数、年龄、体重和皮肤松弛度评估之间存在高度相关性。
评分者之间以及个别评分者在 2 个时间点的结果一致，证实了女性患者臀部和大腿脂肪团酒窝分级量表的可靠性，并表明它们将成为研究和临床实践中非常有价值的工具。
