Validation of a Unilateral Cleft Lip Surgical Outcomes Evaluation Scale for Surgeons and Laypersons
(2017) In Plastic and Reconstructive Surgery - Global Open 5(9).- 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... (More)
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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- author
- Campbell, Alex ; Restrepo, Carolina ; Deshpande, Gaurav ; Tredway, Caroline ; Bernstein, Sarah M. ; Patzer, Rachel ; Wendby, Lisa and Schonmeyr, Bjorn LU
- publishing date
- 2017-09-01
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Plastic and Reconstructive Surgery - Global Open
- volume
- 5
- issue
- 9
- article number
- e1472
- publisher
- Lippincott Williams & Wilkins
- external identifiers
-
- pmid:29062644
- scopus:85032433434
- ISSN
- 2169-7574
- DOI
- 10.1097/GOX.0000000000001472
- language
- English
- LU publication?
- no
- id
- 7b5c682a-2b1c-4d61-8738-ec9bcb2588d1
- date added to LUP
- 2017-11-20 14:26:17
- date last changed
- 2024-05-13 00:52:20
@article{7b5c682a-2b1c-4d61-8738-ec9bcb2588d1, abstract = {{<p>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.</p>}}, author = {{Campbell, Alex and Restrepo, Carolina and Deshpande, Gaurav and Tredway, Caroline and Bernstein, Sarah M. and Patzer, Rachel and Wendby, Lisa and Schonmeyr, Bjorn}}, issn = {{2169-7574}}, language = {{eng}}, month = {{09}}, number = {{9}}, publisher = {{Lippincott Williams & Wilkins}}, series = {{Plastic and Reconstructive Surgery - Global Open}}, title = {{Validation of a Unilateral Cleft Lip Surgical Outcomes Evaluation Scale for Surgeons and Laypersons}}, url = {{http://dx.doi.org/10.1097/GOX.0000000000001472}}, doi = {{10.1097/GOX.0000000000001472}}, volume = {{5}}, year = {{2017}}, }