Department of Otorhinolaryngology and Head and Neck Surgery, Erasmus Medical Center, Rotterdam, The Netherlands.
Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Sveti Duh, Zagreb, Croatia.
Facial Plast Surg Aesthet Med. 2022 May-Jun;24(3):207-212. doi: 10.1089/fpsam.2020.0549. Epub 2021 Feb 22.
Self-assessment provides valuable feedback in the life-long process of mastering rhinoplasty. This study presents a method to measure and evaluate data-based performance of a single surgeon using a web-based dashboard. In this prospective analytic cohort study, all patients referred to the senior author for functional-aesthetic (revision) rhinoplasty between April 2014 and September 2020 are included. Patients completed the Nasal Obstruction Symptom Evaluation (NOSE) scale, Utrecht Questionnaire (UQ), and visual analog scales before and after rhinoplasty. Questionnaire scores were exported to a customized web-based dashboard: the rhinoplasty health care monitor. Supported by real-time graphic output, this monitor automatically analyzes functional and aesthetic outcomes. Of 603 referred patients, 363 were eligible for rhinoplasty. Mean NOSE scale scores decreased from 66.6 ± 23.5 to 23.2 ± 24.0 ( < 0.001), and mean UQ scores decreased from 12.2 ± 6.3 to 7.1 ± 3.9 ( < 0.001) 1 year after surgery. The rhinoplasty health care monitor visualizes numerous outcome parameters that help the surgeon to analyze results, identify learning needs, and detect trends in performance development. This automated outcome dashboard transparently measures individual surgeon performance. Gauging performance provides means to enhance surgical development and, consequently, patient satisfaction.
自我评估在掌握鼻整形术的终身过程中提供了有价值的反馈。本研究提出了一种使用基于网络的仪表板来衡量和评估单个外科医生数据驱动表现的方法。在这项前瞻性分析队列研究中，纳入了 2014 年 4 月至 2020 年 9 月期间所有因功能美学（修复）鼻整形术转介给资深作者的患者。患者在鼻整形术前和术后完成鼻部阻塞症状评估量表（NOSE）、乌得勒支问卷（UQ）和视觉模拟量表。问卷评分被导出到一个定制的基于网络的仪表板：鼻整形保健监测器。该监测器通过实时图形输出提供支持，自动分析功能和美学结果。在 603 名转介患者中，有 363 名符合鼻整形术条件。术后 1 年，NOSE 量表评分从 66.6±23.5 降至 23.2±24.0（ < 0.001），UQ 评分从 12.2±6.3 降至 7.1±3.9（ < 0.001）。鼻整形保健监测器可视化了许多结果参数，帮助外科医生分析结果、确定学习需求并检测绩效发展趋势。这种自动化的结果仪表板透明地衡量了外科医生的个人表现。评估绩效为增强手术发展和提高患者满意度提供了手段。
