Comparison of clinician- and patient-reported outcome measures in 95 abdominoplasty cases using BODY-Q and MCCRO-Q
Abstract/Summary: Patient-reported outcome measures (PROMs) and clinician-reported outcome measures (CROMs) are not routinely compared and they could be used to assess outcomes and aid patient selection and informed consent.Between July 2016 and February 2020, we performed a cohort study comparing P...
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Elsevier
2025-03-01
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| author | Samuel Thomas Kitching Claudia Rocco Rachel Harwood Gary Ross |
| author_facet | Samuel Thomas Kitching Claudia Rocco Rachel Harwood Gary Ross |
| author_sort | Samuel Thomas Kitching |
| collection | DOAJ |
| description | Abstract/Summary: Patient-reported outcome measures (PROMs) and clinician-reported outcome measures (CROMs) are not routinely compared and they could be used to assess outcomes and aid patient selection and informed consent.Between July 2016 and February 2020, we performed a cohort study comparing PROM versus CROM scores in 95 abdominoplasty cases with all patients undergoing psychological assessment using the Royal Free Hospital and Centre for Appearance Research (RoFCAR) screening tool.Patients and clinicians described significantly improved outcomes from an abdominoplasty procedure (p<0.001; p<0.001), and patients also derived psychological benefits with improved RoFCAR scores (p<0.001). Patients reported a significantly greater improvement between pre- and post-operative outcomes as compared to the clinicians (p=0.017). Clinicians reported worse outcomes in patients with body mass index >30 kg/m2 or patients who had >1000 g of excess fat tissue removed (p=0.005; p=0.017). Clinicians reported better outcomes in patients who achieved massive weight loss through diet and exercise as opposed to bariatric surgery (p=0.044). Patients who underwent concomitant surgical operation had significantly improved clinician-scored outcomes (p=0.047), and patients with post-operative complications achieved worse clinician-scored outcomes (p=0.036). Pre-operative and post-operative scarring, previous pregnancy, and age >50 years did not affect clinician-scored outcomes. None of the tested factors significantly affected how the patients scored these outcomes.We demonstrated that clinicians underestimate the improvement in outcomes described by the patients and they need to be aware of their selection bias when consulting with patients preoperatively, as patients reported improvement regardless of the pre-operative or post-operative variable tested. |
| format | Article |
| id | doaj-art-d8863b44b4a84663bfbe59f0dba3b984 |
| institution | Kabale University |
| issn | 2352-5878 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
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| series | JPRAS Open |
| spelling | doaj-art-d8863b44b4a84663bfbe59f0dba3b9842025-02-03T04:16:46ZengElsevierJPRAS Open2352-58782025-03-0143438457Comparison of clinician- and patient-reported outcome measures in 95 abdominoplasty cases using BODY-Q and MCCRO-QSamuel Thomas Kitching0Claudia Rocco1Rachel Harwood2Gary Ross3School of Medical Sciences, University of Manchester, Oxford Rd, Manchester, M14 4PX, UK; Corresponding author: Telephone (mobile): +44 07801586494Faculty of Social Sciences, University of Sheffield, Sheffield, S10 2SJ, UKStatistics Department, Research and Innovation, Manchester University NHS Foundation Trust, Manchester, M13 9PL, UKSchool of Biological Sciences, University of Manchester, Oxford Rd, Manchester, M13 9PL, UKAbstract/Summary: Patient-reported outcome measures (PROMs) and clinician-reported outcome measures (CROMs) are not routinely compared and they could be used to assess outcomes and aid patient selection and informed consent.Between July 2016 and February 2020, we performed a cohort study comparing PROM versus CROM scores in 95 abdominoplasty cases with all patients undergoing psychological assessment using the Royal Free Hospital and Centre for Appearance Research (RoFCAR) screening tool.Patients and clinicians described significantly improved outcomes from an abdominoplasty procedure (p<0.001; p<0.001), and patients also derived psychological benefits with improved RoFCAR scores (p<0.001). Patients reported a significantly greater improvement between pre- and post-operative outcomes as compared to the clinicians (p=0.017). Clinicians reported worse outcomes in patients with body mass index >30 kg/m2 or patients who had >1000 g of excess fat tissue removed (p=0.005; p=0.017). Clinicians reported better outcomes in patients who achieved massive weight loss through diet and exercise as opposed to bariatric surgery (p=0.044). Patients who underwent concomitant surgical operation had significantly improved clinician-scored outcomes (p=0.047), and patients with post-operative complications achieved worse clinician-scored outcomes (p=0.036). Pre-operative and post-operative scarring, previous pregnancy, and age >50 years did not affect clinician-scored outcomes. None of the tested factors significantly affected how the patients scored these outcomes.We demonstrated that clinicians underestimate the improvement in outcomes described by the patients and they need to be aware of their selection bias when consulting with patients preoperatively, as patients reported improvement regardless of the pre-operative or post-operative variable tested.http://www.sciencedirect.com/science/article/pii/S2352587825000038AbdominoplastyPatient-reportedClinician-reportedOutcome measure |
| spellingShingle | Samuel Thomas Kitching Claudia Rocco Rachel Harwood Gary Ross Comparison of clinician- and patient-reported outcome measures in 95 abdominoplasty cases using BODY-Q and MCCRO-Q JPRAS Open Abdominoplasty Patient-reported Clinician-reported Outcome measure |
| title | Comparison of clinician- and patient-reported outcome measures in 95 abdominoplasty cases using BODY-Q and MCCRO-Q |
| title_full | Comparison of clinician- and patient-reported outcome measures in 95 abdominoplasty cases using BODY-Q and MCCRO-Q |
| title_fullStr | Comparison of clinician- and patient-reported outcome measures in 95 abdominoplasty cases using BODY-Q and MCCRO-Q |
| title_full_unstemmed | Comparison of clinician- and patient-reported outcome measures in 95 abdominoplasty cases using BODY-Q and MCCRO-Q |
| title_short | Comparison of clinician- and patient-reported outcome measures in 95 abdominoplasty cases using BODY-Q and MCCRO-Q |
| title_sort | comparison of clinician and patient reported outcome measures in 95 abdominoplasty cases using body q and mccro q |
| topic | Abdominoplasty Patient-reported Clinician-reported Outcome measure |
| url | http://www.sciencedirect.com/science/article/pii/S2352587825000038 |
| work_keys_str_mv | AT samuelthomaskitching comparisonofclinicianandpatientreportedoutcomemeasuresin95abdominoplastycasesusingbodyqandmccroq AT claudiarocco comparisonofclinicianandpatientreportedoutcomemeasuresin95abdominoplastycasesusingbodyqandmccroq AT rachelharwood comparisonofclinicianandpatientreportedoutcomemeasuresin95abdominoplastycasesusingbodyqandmccroq AT garyross comparisonofclinicianandpatientreportedoutcomemeasuresin95abdominoplastycasesusingbodyqandmccroq |