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Validation of a Unilateral Cleft Lip Surgical Outcomes Evaluation Scale for Surgeons and Laypersons

Campbell, Alex; Restrepo, Carolina; Deshpande, Gaurav; Tredway, Caroline; Bernstein, Sarah M.; Patzer, Rachel; Wendby, Lisa and Schonmeyr, Bjorn LU (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
publishing date
type
Contribution to journal
publication status
published
subject
in
Plastic and Reconstructive Surgery - Global Open
volume
5
issue
9
external identifiers
  • 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
2018-01-07 12:26:12
@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>},
  articleno    = {e1472},
  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},
  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},
  volume       = {5},
  year         = {2017},
}