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Reporting Outcomes and Outcome Measures in Open Rhinoplasty: A Systematic Review.
Yusuf Hassan1, Cameron F Leveille1, Lucas Gallo1
1McMaster University, Hamilton, Ontario, Canada.
Aesthetic Surgery Journal
|May 4, 2019
Summary
Rhinoplasty studies lack standardized outcome reporting, hindering comparisons. A unified core outcome set is crucial for evaluating surgical techniques and improving patient care in rhinoplasty.
Area of Science:
- Plastic Surgery
- Evidence-Based Medicine
- Health Outcomes Research
Background:
- Comparative rhinoplasty studies show similar outcomes across techniques.
- Variations in reporting make cross-study comparisons and statistical analysis challenging.
Purpose of the Study:
- To identify all outcomes and outcome measures used in evaluating rhinoplasty results.
- To address the need for standardized assessment in rhinoplasty research.
Main Methods:
- Systematic review of MEDLINE and EMBASE databases.
- Inclusion of primary open rhinoplasty trials with at least 20 adult patients.
- Analysis of 72 studies meeting inclusion criteria.
Main Results:
- Identified 53 unique outcomes and 55 outcome measures across 6 domains.
- Nasal-specific and generic instruments were used, alongside author-generated tools.
- Only Rhinoplasty Outcomes Evaluation, Sino-Nasal Outcome Test-22, and FACE-Q demonstrated adequate psychometric properties.
Conclusions:
- Significant heterogeneity exists in rhinoplasty outcome assessment.
- A standardized core outcome set is urgently needed for comparable research.
- Standardization will facilitate evidence-based comparisons of rhinoplasty techniques.
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