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Outcome audit in plastic surgery: the Cambridge Classification

S H Wood1, M N Tarar

  • 1Department of Plastic Surgery, Addenbrooke's Hospital, Cambridge, UK.

British Journal of Plastic Surgery
|March 1, 1994
PubMed
Summary

A new objective classification system for plastic surgery outcomes has been developed. This Cambridge Classification provides a standardized method for auditing results across all procedures, improving patient care evaluation.

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Area of Science:

  • Plastic Surgery
  • Medical Auditing
  • Outcome Measurement

Background:

  • Previous plastic surgery outcome audits were condition-specific.
  • A need existed for a universal classification system.
  • Addenbrooke's Hospital, Cambridge, addressed this gap.

Purpose of the Study:

  • To develop an objective, universally applicable outcome classification for plastic surgery.
  • To standardize the assessment of surgical results.
  • To facilitate comprehensive plastic surgery outcome audits.

Main Methods:

  • Developed a four-category outcome classification: aesthetic appearance, physical function, tumour clearance, and surgical complications.
  • Each category is graded from 1 (excellent) to 4 (requiring re-operation).

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  • The system is designed for ease of application to all patients.

    • Main Results:

    • The Cambridge Classification offers an objective and standardized approach to outcome assessment.
    • The system is applicable across all plastic surgery procedures.
    • It allows for clear grading of results from excellent to those needing re-operation.

    Conclusions:

    • The Cambridge Classification provides a robust framework for plastic surgery outcome audits.
    • Its universal applicability enhances the consistency and comparability of surgical results.
    • This system supports improved patient care and procedural evaluation.