Pavicic Tatjana, Pooth Rainer, Prinz Valentina, Cajkovsky Mia, Green Jeremy B, Hernandez Claudia A, Mueller Daniel S, Sattler Sonja, Klepetko Heike, Day Doris, Kerscher Martina, Suwanchinda Atchima, Cotofana Sebastian, Frank Konstantin, Fabi Sabrina G
Private Practice for Dermatology & Aesthetics Dr. Tatjana Pavicic, Munich, Germany.
ICA Aesthetic Navigation GmbH, Frankfurt, Germany.
J Cosmet Dermatol. 2022 Jan;21(1):158-166. doi: 10.1111/jocd.14643. Epub 2021 Dec 5.
The objective of this investigation was to create and validate 5-point photonumeric scales for the assessment of dynamic crow's feet, static crow's feet, and infraorbital hollows.
Three novel 5-point photonumeric scales were created by a medical team. A total of 12 raters from all over the world performed a digital validation, and a total of 5 raters a live validation of the created scale.
The statistical analysis revealed almost perfect intra-rater and inter-rater reliability in the digital validation of the scales for the assessment of static and dynamic crow's feet as well as infraorbital hollows. In the live validation, both crow's feet scales showed almost perfect intra-rater reliability, while the Croma Infraorbital Hollow Assessment Scale showed substantial intra-rater reliability. Inter-rater reliability was substantial for all three scales in the live validation. All three scales, the Croma Dynamic Crow's Feet Assessment Scale, Croma Static Crow's Feet Assessment Scale, and Croma Infraorbital Hollow Assessment Scale, were validated digitally and in a live setting.
The created scales to assess infraorbital hollowing, dynamic and static crow's feet have been shown to provide substantial to almost perfect agreement in the digital and live validation and can thus be considered as helpful tools in the clinical and research setting. While technical methods and appliances to assess the degrees of severity of age-dependent features are advancing, validated scales are of great importance due to their ease of use and, as shown by the validations, reliability, and reproducibility.
本研究的目的是创建并验证用于评估动态鱼尾纹、静态鱼尾纹和眶下凹陷的5分数字量表。
一个医疗团队创建了三个新的5分数字量表。来自世界各地的12名评估者进行了数字验证，另有5名评估者对创建的量表进行了现场验证。
统计分析显示，在评估静态和动态鱼尾纹以及眶下凹陷的量表数字验证中，评估者内和评估者间的信度几乎完美。在现场验证中，两个鱼尾纹量表的评估者内信度几乎完美，而Croma眶下凹陷评估量表的评估者内信度较高。在现场验证中，所有三个量表的评估者间信度都较高。Croma动态鱼尾纹评估量表、Croma静态鱼尾纹评估量表和Croma眶下凹陷评估量表这三个量表均在数字环境和现场环境中得到了验证。
所创建的用于评估眶下凹陷、动态和静态鱼尾纹的量表在数字验证和现场验证中显示出较高到几乎完美的一致性，因此可被视为临床和研究环境中的有用工具。虽然评估与年龄相关特征严重程度的技术方法和设备在不断进步，但经过验证的量表因其易用性以及验证所显示的可靠性和可重复性而具有重要意义。
