Patient-Reported Outcome Measures (PROM) After Endoscopic and Open Correction of Sagittal Suture Synostosis-In Comparison With Surgeons' and Lay Persons' Assessment.

IF 1 4区 医学 Q3 SURGERY
Matthias Schulz, Maria Renninger, Gesa Cohrs, Valentina Pennacchietti, Ahmed El-Garci, Andreas Schaumann, Tobias Ebker, Ulrich-Wilhelm Thomale
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Abstract

Objective: The presented study compares the qualitative subjective outcome assessment after open and endoscopic-assisted correction of sagittal suture synostosis by 3 evaluating groups.

Methods: The assessment of the postoperative outcome of 3 groups-parents, surgeons and lay persons ("neutrals")-was evaluated by answering items of a patient-reported outcome measurement (PROM) questionnaire. Furthermore, a subjective outcome assessment was performed by the group of surgeons with the ERN CRANIO photo score for sagittal synostosis.

Results: The PROM assessment of all 3 evaluating groups demonstrated a significant reduction of the severity of the sagittal synostosis phenotype after open and endoscopic-assisted correction without any difference between both techniques. Although there was a significant correlation of the outcome assessment of all 3 groups, parents scored the postoperative phenotype significantly better than the group of surgeons and "neutrals". The assessment by the 3 evaluating groups showed a significant correlation, which was highest between the groups of surgeons and the groups of "neutrals" Correspondingly, there was a significant improvement of the ERN CRANIO photo score by the group of surgeons without any difference between both operative techniques and a high correlation between the PROM and the ERN Cranio photo score assessment by the surgeons.

Conclusion: Both open and endoscopic-assisted correction of sagittal suture synostosis provided significant improvement of the phenotype in the PROM assessment of parents, surgeons and "neutrals" without difference between the 2 operative techniques. The combination of PROM assessment by parents and the ERN CRANIO photo score evaluation performed by health care professionals offers an effective assessment for subjective qualitative judgment of the severity of sagittal synostosis.

内窥镜和开放式矢状缝合矫正术后患者报告的预后指标(PROM)——与外科医生和非专业人士的评估比较。
目的:比较3个评价组对切开和内镜辅助下矢状缝口滑膜闭锁矫正术后定性的主观评价。方法:通过回答患者报告结果测量(PROM)问卷的项目来评估三组患者(家长、外科医生和非专业人士)的术后结果。此外,由一组外科医生使用ERN颅io照片评分对矢状关节缝闭塞进行主观结果评估。结果:所有3个评估组的PROM评估显示,在开放和内窥镜辅助矫正后,矢状关节缝闭塞表型的严重程度显著降低,两种技术之间没有任何差异。虽然3组预后评估存在显著相关性,但父母对术后表型的评分明显优于手术组和“中性”组。3个评价组的评价结果均具有显著的相关性,其中手术组与“中性”组之间的相关性最高,相应的,手术组的ERN CRANIO照片评分均有显著的改善,两种手术技术之间无差异,手术组的PROM与ERN CRANIO照片评分之间存在较高的相关性。结论:切开和内窥镜辅助下矢状缝缝愈合矫正术均能显著改善胎膜早破父母、外科医生和“中性”的表型,两种术式间无差异。结合家长的胎膜早破评估和医护人员的ERN CRANIO照片评分评估,可对矢状面滑膜闭闭的严重程度进行有效的主观定性判断。
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来源期刊
CiteScore
1.70
自引率
11.10%
发文量
968
审稿时长
1.5 months
期刊介绍: ​The Journal of Craniofacial Surgery serves as a forum of communication for all those involved in craniofacial surgery, maxillofacial surgery and pediatric plastic surgery. Coverage ranges from practical aspects of craniofacial surgery to the basic science that underlies surgical practice. The journal publishes original articles, scientific reviews, editorials and invited commentary, abstracts and selected articles from international journals, and occasional international bibliographies in craniofacial surgery.
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