随机对照试验的系统审查 关于患者报告的鼻整形术结果的随机对照试验
Ankur Khajuria1, Roshan S Rupra2, Kian Daneshi3
1Kellogg College, University of Oxford, Oxford, UK; Department of Surgery & Cancer, Imperial College London, London, UK.
Plastic and reconstructive surgery
|October 10, 2025
概括
鼻整形手术患者报告的结果测量 (PROM) 缺乏标准化. 虽然FACE-Q在审美评估方面表现出色,但它未能捕捉到关键的功能结果,需要改进或专门的工具.
科学领域:
- 整形外科 整形外科 整形外科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 健康 结果 研究 研究 结果
背景情况:
- 患者报告的结果测量 (PROM) 对于评估鼻整形结果至关重要.
- 目前,没有专门用于鼻整形的普遍接受和验证的PROM存在.
- 现有的PROM可能无法充分捕捉鼻整形结果的美学和功能方面.
研究的目的:
- 系统地审查用于鼻整形研究的现有PROM.
- 确定当前PROM中关于审美和功能结果评估的差距.
- 评估已识别的用于鼻整形的PROM的稳定性和适用性.
主要方法:
- 在多个数据库 (MEDLINE,Embase,Google Scholar等) 进行了符合PRISMA的系统审查. ) 的情况.
- 一个先验的协议注册 (CRD42024513514) 确保了系统的方法.
- 偏差风险和研究质量分别使用Cochrane的偏差风险工具和GRADE工具进行评估.
主要成果:
- 分析了12项随机对照试验,涉及743名患者.
- 确定了十个不同的PROM;FACE-Q满足了21个开发标准中的19个.
- FACE-Q在评估鼻气道功能和呼吸等关键功能结果方面表现出局限性.
结论:
- 在用于鼻整形研究的PROM中存在显著的异质性.
- 目前的PROM,包括强大的FACE-Q,不足以全面评估美观和功能性鼻整形的结果.
- 显然需要开发或改进专门的PROM,以满足全方位的鼻整形患者需求.
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