Evaluation of Measurement Properties of Patient-Reported Outcome Measures After Rhinoplasty

Zijl, Floris V.W.J. van; Mokkink, Lidwine B.; Haagsma, Juanita A.; Datema, Frank R.

doi:10.1001/jamafacial.2018.1639

Cited by 41 publications

(29 citation statements)

References 55 publications

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“…This is further supported by a recent systematic review of 33 studies that utilised 12 different measurement tools; the authors reported that the FACE-Q and the Standardized Cosmesis and Health Nasal Outcomes Survey aesthetic subscale were the best measures of outcomes in aesthetic surgical procedures. 30…”

Section: Discussionmentioning

confidence: 99%

Post-rhinoplasty outcomes in an Indian population assessed using the FACE-Q appraisal scales: a prospective observational study

et al. 2020

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ObjectivesThe primary goal of rhinoplasty is patient satisfaction and improved quality of life. The present study was conducted to assess patient satisfaction with face and nose appearance, and quality of life after rhinoplasty.MethodsPatients presenting for rhinoplasty completed the FACE-Q survey. This is a new instrument that measures patient-reported outcomes in those undergoing aesthetic procedures. The FACE-Q scales include satisfaction with facial appearance overall, satisfaction with the nose, psychological well-being, psychosocial distress and social function.ResultsSixty-five patients completed the FACE-Q at pre-operative and at post-operative follow-up visits. Post-operative scores increased significantly in terms of: satisfaction with facial appearance (p < 0.0001, t = 15.639, degrees of freedom = 64); social function (p < 0.0001, t = 12.208, degrees of freedom = 64); psychosocial distress (p < 0.0001, t = 13.864, degrees of freedom = 64); psychological function (p < 0.0001, t = 12.681, degrees of freedom = 64); and satisfaction with nose (p < 0.0001, t = 16.421, degrees of freedom = 64). Most patients reported more than 79 per cent satisfaction with the post-operative outcome.ConclusionThe FACE-Q is an adequate instrument for determining successful aesthetic surgery based on patient satisfaction.

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Section: Discussionmentioning

confidence: 99%

Post-rhinoplasty outcomes in an Indian population assessed using the FACE-Q appraisal scales: a prospective observational study

et al. 2020

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“…1) was created specifically to aid surgeons in assessing both nasal obstruction symptoms and nasal cosmesis in rhinoplasty patients. Among the quality-of-life (QOL) instruments' currently available for both aesthetic and functional rhinoplasty, the SCHNOS, which has been developed with a robust development technique, 3 is more precise, 2 more comprehensive, 4 and has been the most extensively validated. [5][6][7][8][9][10] The SCHNOS-O can be utilized as both a clinical and a screening tool for nasal obstruction, and the SCHNOS-C is a reliable clinical tool for cosmetic outcomes.…”

Section: Introductionmentioning

confidence: 99%

Natural History of the Standardized Cosmesis and Health Nasal Outcomes Survey After Rhinoplasty

et al. 2020

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Objectives/Hypothesis To explore the natural history of nasal obstruction and cosmesis following rhinoplasty by utilizing the Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS). Study Design Retrospective chart study. Methods This study was carried out at a tertiary referral center, preoperative and postoperative Nasal Obstruction Symptom Evaluation (NOSE), SCHNOS‐Obstruction (SCHNOS‐O), and SCHNOS‐Cosmesis (SCHNOS‐C) scores in patients who underwent rhinoplasty for functional, cosmetic, or both reasons from June 2017 to May 2019 were reviewed and analyzed. Postoperative intervals were defined as <2 months, 2 to 5 months, 5 to 8 months, 8 to 12 months, and >12 months. Results A total of 302 patients (67% women), with a mean age (standard deviation [SD]) of 35 (13) years, who underwent rhinoplasty for functional (90, 30%), cosmetic (124, 41%), and combined functional and cosmetic (88, 29%) reasons, met inclusion criteria. The mean follow‐up period (SD, range) was 5 months (4.2 months, 13 days–1.8 years). Compared to the preoperative mean NOSE score, SCHNOS‐ O, and SCHNOS‐C scores, postoperative mean scores for the functional and combined subgroup were significantly lower (P < .05) across all five postoperative intervals. In the cosmetic subgroup, postoperative mean SCHNOS‐C scores were significantly lower (P < .05) across all postoperative intervals compared to the mean preoperative scores. Conclusions The natural history of the SCHNOS‐O and SCHNOS‐C score in patients who underwent rhinoplasty demonstrates 1) after functional rhinoplasty, an improvement in nasal breathing symptoms is attained as early as <2 months postoperatively; and 2) after cosmetic rhinoplasty, an improvement in nasal cosmesis is seen as early as <2 months postoperatively. These improvements in nasal breathing and cosmesis are sustained through a follow‐up interval >12 months. Level of Evidence 4 Laryngoscope, 131:E116–E123, 2021

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“…6 As a specific patient reported measure of nasal obstruction it is validated for both septoplasty and septorhinoplasty 6,8,9 and van Zijl et al identified it as the most suitable PROM to measure functional outcomes. 10 Interestingly, the results of objective measures of obstruction often correlate poorly with subjective NOSE scores, and so the NOSE Scale is frequently the primary outcome measure for surgical treatment of nasal obstruction. 11 In the literature, there is limited normative data to provide perspective on the recent changes to MBS funding.…”

Section: Introductionmentioning

confidence: 99%

Normative data for the Nasal Obstruction Symptom Evaluation Scale in the general Australian population

Stefani

Baxter

Crittenden

et al. 2020

ANZ Journal of Surgery

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Background: Recent changes to the Australian Medicare Benefits Scheme have introduced the NOSE Score as a criteria threshold for funding rhinoplasty. On review of the literature, however, there is minimal normative Nasal Obstruction Symptom Evaluation (NOSE) score data to provide context for these changes. Methods: Participants were recruited according to the general Australian population distribution of age (18-65 years), gender and geographical locations using the market research company Pureprofile. The data included demographic details, risk factors for nasal obstruction such as smoking, obstructive sleep apnoea, use of continuous positive airway pressure, history of nasal trauma, operations to the nose and a history of cleft lip/palate and each participant completed the NOSE Scale. Analysis of data included descriptive statistics, independent t-tests and one-way analysis of variances to assess differences in NOSE scores between risk factors. Results: The NOSE score was completed by 247 males and 255 females with a mean age of 41(AE13.39) years. The cohort had a mean NOSE score of 16 (AE18.89) with a range from 0 to 95. A total of 48 respondents had a NOSE score greater than the Medicare threshold of >45. Cleft lip/palate, obstructive sleep apnoea and continuous positive airway pressure use were shown to have a statistically significant impact on NOSE score while other variables including body mass index, gender, smoking, location and other surgery to the nose were not shown to significantly impact results. Conclusions: This study found that 9.6% of the general Australian population would have a NOSE score >45 and qualify for the Medicare Benefits Scheme rhinoplasty benefit.

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Evaluation of Measurement Properties of Patient-Reported Outcome Measures After Rhinoplasty

Cited by 41 publications

References 55 publications

Post-rhinoplasty outcomes in an Indian population assessed using the FACE-Q appraisal scales: a prospective observational study

Post-rhinoplasty outcomes in an Indian population assessed using the FACE-Q appraisal scales: a prospective observational study

Natural History of the Standardized Cosmesis and Health Nasal Outcomes Survey After Rhinoplasty

Normative data for the Nasal Obstruction Symptom Evaluation Scale in the general Australian population

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