validation of a unilateral cleft lip surgical outcomes evaluation scale for surgeons and laypersons
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2017
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Abstract
Background:. A standardized evaluation tool is needed for the assessment of surgical outcomes in cleft lip surgery. Current scales for evaluating unilateral cleft lip/nose (UCL/N) aesthetic outcomes are limited in their reliability, ease of use, and application. The Unilateral Cleft Lip Surgical Outcomes Evaluation (UCL SOE) scale measures symmetry of 4 components and sums these for a total score. The purpose of this study was to validate the SOE as a reliable tool for use by both surgeons and laypersons.
Methods:. Twenty participants (9 surgeons and 12 laypeople) used the SOE to evaluate 25 sets of randomly selected presurgical and postsurgical standardized photographs of UCL/N patients. Interrater reliability for surgeon and laypeople was determined using an intraclass correlation coefficient (ICC).
Results:. Individual surgeons and laypeople both reached an ICC in the "fair to good" range (ICC = 0.42 and 0.59, respectively). Averaging 2 evaluators in the surgeon group improved the ICC to 0.58 and in the laypeople group to 0.74, respectively. Averaging 3 evaluators increased the ICC for surgeons to the "good" range (ICC = 0.71) and the ICC for laypeople to the "very good" range (ICC = 0.82).
Conclusions:. Surgeon and layperson raters can reliably use the SOE to assess the aesthetics results after surgical repair of UCL/N, and improved reliability and reproducibility is achieved by averaging the scores of multiple reviewers.
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md2017plasticvalidation
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| Authors | ;Alex Campbell, MD;Carolina Restrepo, MD;Gaurav Deshpande, MDS;Caroline Tredway, MD;Sarah M. Bernstein, MD, MHA;Rachel Patzer, PhD, MPH;Lisa Wendby;Bjorn Schonmeyr, MD, PhD |
| Journal | current therapeutic research, clinical and experimental |
| Year | 2017 |
| DOI |
10.1097/GOX.0000000000001472
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| URL | |
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