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开发并验证临床医生和患者报告的光子数字量表，以评估臀部脂肪团严重程度。

Development and Validation Clinician and Patient Reported Photonumeric Scales to Assess Buttocks Cellulite Severity.

机构信息

AboutSkin Dermatology and DermSurgery, PC, Greenwood Village, Colorado.

Dermatology, University of California, Irvine, California.

出版信息

Dermatol Surg. 2020 Dec;46(12):1628-1635. doi: 10.1097/DSS.0000000000002756.

DOI:10.1097/DSS.0000000000002756
PMID:33009069
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7685927/
Abstract

BACKGROUND

The Clinician Reported Photonumeric Cellulite Severity Scale (CR-PCSS) and Patient Reported PCSS (PR-PCSS) are newly developed tools for assessing cellulite severity.

OBJECTIVE

To report on the reliability, validity, and ability to detect a change in cellulite severity on the buttocks of adult women with the CR-PCSS and PR-PCSS.

MATERIALS AND METHODS

Content validity of both scales was established through concept elicitation and cognitive interviews. Test-retest reliability was evaluated, and intra-rater (both scales) and inter-rater (CR-PCSS only) reliability were estimated using intraclass correlation coefficients (ICCs) for agreement and consistency. Ability to detect a change was determined using the Subject-Global Aesthetic Improvement Scale (GAIS) or Investigator-GAIS as anchors.

RESULTS

For the CR-PCSS (n = 6) at baseline and Day 2, the mean interrater ICCs were ≥0.70 and mean intrarater ICCs (95% confidence interval [CI]) were ≥0.81 (0.72-0.90) for both buttocks. For the PR-PCSS (n = 99) at baseline and Day 14, the mean test-retest reliability ICCs (95% CI) were ≥0.86 (0.79-0.91) for both buttocks. A clinically meaningful change was 1.0 point on the PR-PCSS and 1.0 on the CR-PCSS.

CONCLUSION

The CR-PCSS and PR-PCSS reliably assess cellulite severity of the buttocks and can detect a clinically meaningful change after treatment for cellulite.

摘要

背景

临床报告光子数字脂肪团严重程度量表（CR-PCSS）和患者报告 PCSS（PR-PCSS）是新开发的评估脂肪团严重程度的工具。

目的

报告 CR-PCSS 和 PR-PCSS 对成年女性臀部脂肪团严重程度的可靠性、有效性和变化检测能力。

材料和方法

通过概念启发和认知访谈确定了这两个量表的内容效度。评估了测试-重测信度，使用组内相关系数（ICC）评估了组内（两个量表）和组间（仅 CR-PCSS）的信度，以评估一致性。使用受试者总体美学改善量表（GAIS）或研究者 GAIS 作为锚定来确定检测变化的能力。

结果

对于 CR-PCSS（n = 6）在基线和第 2 天，臀部的平均组间 ICC 均≥0.70，平均组内 ICC（95%置信区间[CI]）均≥0.81（0.72-0.90）。对于 PR-PCSS（n = 99）在基线和第 14 天，臀部的平均测试-重测可靠性 ICC（95%CI）均≥0.86（0.79-0.91）。PR-PCSS 的临床有意义变化为 1.0 分，CR-PCSS 为 1.0 分。

结论

CR-PCSS 和 PR-PCSS 可靠地评估臀部脂肪团的严重程度，并且可以在治疗脂肪团后检测到临床有意义的变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0ba/7685927/663df48591ad/ds-46-1628-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0ba/7685927/92080e89f50b/ds-46-1628-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0ba/7685927/1442e558983b/ds-46-1628-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0ba/7685927/663df48591ad/ds-46-1628-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0ba/7685927/92080e89f50b/ds-46-1628-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0ba/7685927/1442e558983b/ds-46-1628-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0ba/7685927/663df48591ad/ds-46-1628-g003.jpg

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