Patient-reported outcomes in facial reconstruction: Assessment of face-Q scales and predictors of satisfaction

Adekunle Elegbede, Sara Mermulla, Silviu C. Diaconu, Colton McNichols, Yuanyuan Liang, Fan Liang, Yvonne M. Rasko, Michael Grant, Arthur J. Nam

Research output: Contribution to journalArticle

Abstract

Background: There is a paucity of patient-reported outcome measures for facial trauma reconstruction. To measure satisfaction and health-related quality of life (HRQOL), following repair of traumatic facial fractures, we used the FACE-Q, a set of patient-reported outcome instruments designed for aesthetic facial surgery. As a step toward validating the scales for facial trauma, we evaluated their reliability. Methods: This is a prospective study of patients following primary repair of traumatic facial fractures at a level 1 trauma center from 2016 to 2018. Six FACE-Q scales with relevance to the facial trauma population were completed by patients at their 1-month postoperative visits. Predictors of satisfaction were examined using multiple linear regression models. Reliability of the scales in this population was evaluated using psychometric methods. Results: One hundred eighty-five participants fulfilled inclusion criteria. Mean scores for the 6 scales ranged from 59 (SD = 15) for Recovery-Early Life Impact to 94 (SD = 13) for Satisfaction with Medical Team. Predictors of lower satisfaction and/ or HRQOL include current tobacco smoking status, mandibulomaxillary fixation, and Le Fort pattern fractures. All scales were found to have good to excellent reliability (Cronbach's alpha = 0.824-0.969). Conclusions: Following repair of facial fractures, patient-reported outcomes can be reliably measured using FACE-Q scales. On average, patients report poor health-related quality of life in the early postoperative period. Predictors of low satisfaction and/or poor HRQOL include current smoking habit, mandibulomaxillary fixation, and Le Fort fractures.

Original languageEnglish (US)
Article numbere2004
JournalPlastic and Reconstructive Surgery - Global Open
Volume6
Issue number12
DOIs
StatePublished - Jan 1 2018
Externally publishedYes

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Quality of Life
Linear Models
Wounds and Injuries
Smoking
Trauma Centers
Plastic Surgery
Postoperative Period
Psychometrics
Population
Habits
Patient Reported Outcome Measures
Prospective Studies

ASJC Scopus subject areas

  • Surgery

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Patient-reported outcomes in facial reconstruction : Assessment of face-Q scales and predictors of satisfaction. / Elegbede, Adekunle; Mermulla, Sara; Diaconu, Silviu C.; McNichols, Colton; Liang, Yuanyuan; Liang, Fan; Rasko, Yvonne M.; Grant, Michael; Nam, Arthur J.

In: Plastic and Reconstructive Surgery - Global Open, Vol. 6, No. 12, e2004, 01.01.2018.

Research output: Contribution to journalArticle

Elegbede, Adekunle ; Mermulla, Sara ; Diaconu, Silviu C. ; McNichols, Colton ; Liang, Yuanyuan ; Liang, Fan ; Rasko, Yvonne M. ; Grant, Michael ; Nam, Arthur J. / Patient-reported outcomes in facial reconstruction : Assessment of face-Q scales and predictors of satisfaction. In: Plastic and Reconstructive Surgery - Global Open. 2018 ; Vol. 6, No. 12.
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abstract = "Background: There is a paucity of patient-reported outcome measures for facial trauma reconstruction. To measure satisfaction and health-related quality of life (HRQOL), following repair of traumatic facial fractures, we used the FACE-Q, a set of patient-reported outcome instruments designed for aesthetic facial surgery. As a step toward validating the scales for facial trauma, we evaluated their reliability. Methods: This is a prospective study of patients following primary repair of traumatic facial fractures at a level 1 trauma center from 2016 to 2018. Six FACE-Q scales with relevance to the facial trauma population were completed by patients at their 1-month postoperative visits. Predictors of satisfaction were examined using multiple linear regression models. Reliability of the scales in this population was evaluated using psychometric methods. Results: One hundred eighty-five participants fulfilled inclusion criteria. Mean scores for the 6 scales ranged from 59 (SD = 15) for Recovery-Early Life Impact to 94 (SD = 13) for Satisfaction with Medical Team. Predictors of lower satisfaction and/ or HRQOL include current tobacco smoking status, mandibulomaxillary fixation, and Le Fort pattern fractures. All scales were found to have good to excellent reliability (Cronbach's alpha = 0.824-0.969). Conclusions: Following repair of facial fractures, patient-reported outcomes can be reliably measured using FACE-Q scales. On average, patients report poor health-related quality of life in the early postoperative period. Predictors of low satisfaction and/or poor HRQOL include current smoking habit, mandibulomaxillary fixation, and Le Fort fractures.",
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AU - McNichols, Colton

AU - Liang, Yuanyuan

AU - Liang, Fan

AU - Rasko, Yvonne M.

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