Department of Otolaryngology - Head and Neck Surgery, Harvard Medical School, Massachusetts Eye and Ear, Boston, Massachusetts.
Department of Otolaryngology - Head and Neck Surgery, Oregon Health and Science University, Portland, Oregon.
Facial Plast Surg. 2023 Oct;39(5):517-526. doi: 10.1055/s-0043-1769806. Epub 2023 Jun 8.
Patient-reported outcome metrics (PROMs) are increasingly utilized to capture data about patients' quality of life. PROMs play an important role in the value-based health care movement by providing a patient-centered metric of quality. There are many barriers to the implementation of PROMs, and widespread adoption requires buy-in from numerous stakeholders including patients, clinicians, institutions, and payers. Several validated PROMs have been utilized by facial plastic surgeons to measure both functional and aesthetic outcomes among rhinoplasty patients. These PROMs can help clinicians and rhinoplasty patients participate in shared decision making (SDM), a process via which clinicians and patients arrive at treatment decisions together through a patient-centered approach. However, widespread adoption of PROMs and SDM has not yet been achieved. Further work should focus on overcoming barriers to implementation and engaging key stakeholders to increase the utilization of PROMs in rhinoplasty.
患者报告的结局指标（PROMs）越来越多地被用于收集有关患者生活质量的数据。PROMs 通过提供以患者为中心的质量衡量标准，在基于价值的医疗保健运动中发挥着重要作用。实施 PROMs 存在许多障碍，广泛采用需要包括患者、临床医生、机构和支付方在内的众多利益相关者的认可。一些经过验证的 PROMs 已被面部整形外科医生用于衡量鼻整形术患者的功能和美学结果。这些 PROMs 可以帮助临床医生和鼻整形术患者参与共同决策（SDM），这是一种通过患者为中心的方法，让临床医生和患者共同制定治疗决策的过程。然而，PROMs 和 SDM 的广泛采用尚未实现。进一步的工作应侧重于克服实施障碍，并让关键利益相关者参与进来，以增加 PROMs 在鼻整形术中的应用。
