Department of Oral and Maxillofacial Surgery, Stomatological Hospital and Dental School of Tongji University, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Shanghai, China.
Department of Oral and Maxillofacial Surgery, Stomatological Hospital and Dental School of Tongji University, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Shanghai, China.
J Dent. 2023 Nov;138:104669. doi: 10.1016/j.jdent.2023.104669. Epub 2023 Aug 20.
This study aimed to develop a new patient-reported outcome measure (PROM) to systematically and scientifically evaluate patients' subjective feelings after orthognathic surgery.
A literature review and semi-structured interviews were conducted to construct a conceptual framework and an item pool, followed by expert and patient surveys for measure construction. We conducted a clinical investigation to test the feasibility, reliability, and content validity of this measure.
The conceptual framework included four domains: psychological health, physiological health, social function, and satisfaction, and 33 items were included in the survey. Following the expert analysis, 31 items remained in the draft. The clinical investigation showed a 100% recovery and completion rate and good reliability, with Cronman-Brown formula coefficients of 0.893 and 0.944, respectively.
A new outcome measure to evaluate patients' subjective feelings after orthognathic surgery was successfully developed, and the clinical investigation demonstrated that the PROM had satisfactory feasibility, reliability, and validity. Further studies are possible based on our PROM, and data on a larger scale may reveal more information on patients' subjective feelings about orthognathic surgery.
The novel PROM provides a systematic and scientific way to evaluate the patient's subjective feelings to help surgeons obtain complete patient-reported information after orthognathic surgery. Additionally, standardised multicentre research on patients' subjective feelings using our PROM is possible and could improve the effectiveness of the evaluation and help maintain treatment quality.
本研究旨在开发一种新的患者报告结局测量（PROM），以系统和科学地评估正颌手术后患者的主观感受。
通过文献回顾和半结构式访谈构建概念框架和条目池，然后进行专家和患者调查以构建测量工具。我们进行了临床研究来测试该测量工具的可行性、可靠性和内容效度。
概念框架包括四个领域：心理健康、生理健康、社会功能和满意度，调查包括 33 个条目。经过专家分析，31 个条目保留在草案中。临床研究显示，该测量工具具有 100%的回收率和完成率，以及良好的可靠性，Cronman-Brown 公式系数分别为 0.893 和 0.944。
成功开发了一种用于评估正颌手术后患者主观感受的新结局测量工具，临床研究表明，该 PROM 具有令人满意的可行性、可靠性和有效性。基于我们的 PROM，可以进行进一步的研究，更大规模的数据可能会揭示更多关于患者对正颌手术主观感受的信息。
新的 PROM 提供了一种系统和科学的方法来评估患者的主观感受，帮助外科医生在正颌手术后获得完整的患者报告信息。此外，使用我们的 PROM 对患者的主观感受进行标准化的多中心研究是可能的，这可以提高评估的有效性，并有助于维持治疗质量。
