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Patient-reported Outcomes in Facial Reconstruction: Assessment of FACE-Q Scales and Predictors of Satisfaction
- Source :
- Plastic and Reconstructive Surgery Global Open, Plastic and Reconstructive Surgery, Global Open, Vol 6, Iss 12, p e2004 (2018)
- Publication Year :
- 2018
- Publisher :
- Wolters Kluwer Health, 2018.
-
Abstract
- Background:. There is a paucity of patient-reported outcome measures for facial trauma reconstruction. To measure satisfaction and health-related quality of life (HRQOL), following repair of traumatic facial fractures, we used the FACE-Q, a set of patient-reported outcome instruments designed for aesthetic facial surgery. As a step toward validating the scales for facial trauma, we evaluated their reliability. Methods:. This is a prospective study of patients following primary repair of traumatic facial fractures at a level 1 trauma center from 2016 to 2018. Six FACE-Q scales with relevance to the facial trauma population were completed by patients at their 1-month postoperative visits. Predictors of satisfaction were examined using multiple linear regression models. Reliability of the scales in this population was evaluated using psychometric methods. Results:. One hundred eighty-five participants fulfilled inclusion criteria. Mean scores for the 6 scales ranged from 59 (SD = 15) for Recovery-Early Life Impact to 94 (SD = 13) for Satisfaction with Medical Team. Predictors of lower satisfaction and/or HRQOL include current tobacco smoking status, mandibulomaxillary fixation, and Le Fort pattern fractures. All scales were found to have good to excellent reliability (Cronbach’s alpha = 0.824–0.969). Conclusions:. Following repair of facial fractures, patient-reported outcomes can be reliably measured using FACE-Q scales. On average, patients report poor health-related quality of life in the early postoperative period. Predictors of low satisfaction and/or poor HRQOL include current smoking habit, mandibulomaxillary fixation, and Le Fort fractures.
- Subjects :
- Facial trauma
medicine.medical_specialty
education.field_of_study
business.industry
Trauma center
Population
lcsh:Surgery
MEDLINE
lcsh:RD1-811
030230 surgery
medicine.disease
03 medical and health sciences
0302 clinical medicine
Cronbach's alpha
Quality of life
030220 oncology & carcinogenesis
Physical therapy
Medicine
Surgery
Original Article
business
Prospective cohort study
education
Reliability (statistics)
Subjects
Details
- Language :
- English
- ISSN :
- 21697574
- Volume :
- 6
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- Plastic and Reconstructive Surgery Global Open
- Accession number :
- edsair.doi.dedup.....4bd36cde45ff8e88f5ff75b13661ef51