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Outcome measurement in plastic surgery.

Justin C R Wormald1, Jeremy N Rodrigues1

  • 1Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Botnar Research Centre, Nuffield Orthopaedic Centre, Windmill Road, Oxford, UK.

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|December 14, 2017
PubMed
Summary

Patient-reported outcomes (PROs) are crucial in plastic surgery for measuring patient perspectives. Selecting validated patient-reported outcome measures (PROMs) ensures accurate assessment of function and cosmesis.

Keywords:
Patient outcome assessmentPatient-reported outcome measuresQuality of lifeTreatment outcome

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Area of Science:

  • Plastic Surgery
  • Health Outcomes Research
  • Patient-Centered Care

Background:

  • Traditional plastic surgery outcome measurement is often clinician-centered.
  • Increasing emphasis is placed on patient-reported outcomes (PROs) to capture patient perspectives directly.
  • Numerous high-quality patient-reported outcome measures (PROMs) exist across various fields, including plastic surgery.

Purpose of the Study:

  • To highlight the importance and application of PROMs in plastic surgery.
  • To guide the selection and rational design of appropriate PROMs for clinical practice and research.
  • To provide a framework for understanding and analyzing outcome measures in plastic surgery.

Main Methods:

  • Review of existing literature on PROMs in plastic surgery.
  • Classification of PROMs (disease-specific, domain-specific, etc.).
  • Discussion of criteria for selecting valid and suitable PROMs.

Main Results:

  • PROMs are valuable tools for diagnosis, treatment decisions, and cost-effectiveness analysis in plastic surgery.
  • Key considerations for PROM selection include suitability for purpose and validity.
  • Achieving patient-centered measurement aligned with clinical understanding is scientifically feasible.

Conclusions:

  • Appropriate selection and rational design of PROMs are critical for advancing plastic surgery research and practice.
  • Clinicians must critically evaluate PROM quality in their practice and when assessing evidence.
  • This overview offers a toolkit for plastic surgeons to effectively implement and analyze outcome measures.