المؤلفون: de Vries CEE; Department of Surgery, OLVG, Amsterdam, The Netherlands., van den Berg L; Department of Plastic and Reconstructive Surgery, Catharina Hospital, Eindhoven, The Netherlands., Monpellier VM; Nederlandse Obesitas Kliniek (Dutch Obesity Clinic), Obesity International, Huis ter Heide, The Netherlands., Hoogbergen MM; Department of Plastic and Reconstructive Surgery, Catharina Hospital, Eindhoven, The Netherlands., Mink van der Molen AB; Department of Plastic and Reconstructive Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands., de Castro SMM; Department of Surgery, OLVG, Amsterdam, The Netherlands., van der Lei B; Department of Plastic and Reconstructive Surgery, University Medical Centre of Groningen, Groningen, and Bey Bergman Clinics, The Netherlands.

المصدر: Plastic and reconstructive surgery. Global open [Plast Reconstr Surg Glob Open] 2020 Jun 24; Vol. 8 (6), pp. e2874. Date of Electronic Publication: 2020 Jun 24 (Print Publication: 2020).

نوع المنشور: Journal Article

بيانات الدورية: Publisher: Wolters Kluwer Health/Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 101622231 Publication Model: eCollection Cited Medium: Print ISSN: 2169-7574 (Print) Linking ISSN: 21697574 NLM ISO Abbreviation: Plast Reconstr Surg Glob Open Subsets: PubMed not MEDLINE

مستخلص: Background: There is a need for a reliable classification system to grade contour deformities and to inform reimbursement of body contouring surgery after massive weight loss. We developed the PRS Rainbow Classification, which uses select photographs to provide standardized references for evaluating patient photographs, to classify contour deformities in postbariatric patients. To assess the reliability of the PRS Rainbow Classification to classify contour deformities in massive weight loss patients.
Methods: Ten independent experienced plastic surgeons, 7 experienced medical advisors of the healthcare insurance company, and 10 laypersons evaluated 50 photographs per anatomical region (arms, breast, abdomen, and medial thighs). Each participant rated the patient photographs on a scale of 1-3 in an online survey. The inter-observer and the intra-observer reliabilities were determined using intra-class correlation coefficients (ICCs). The ICC analyses were performed for each anatomical region.
Results: Inter-observer reliability was moderate to good in the body regions "arms," "abdomen," "medial thighs," with mean ICC values of 0.678 [95% confidence interval (CI), 0.591-0.768], 0.685 (95% CI, 0.599-0.773), and 0.658 (95% CI, 0.569-0.751), respectively. Inter-observer reliability was comparable within the 3 different professional groups. Intra-observer reliability (test-retest reliability) was moderate to good, with a mean overall ICC value of 0.723 (95% CI, 0.572-0.874) for all groups and all 4 body regions.
Conclusions: The moderate to good reliability found in this study validates the use of the PRS Rainbow Classification as a reproducible and reliable classification system to assess contour deformities after massive weight loss. It holds promise as a key part of instruments to classify body contour deformities and to assess reimbursement of body contouring surgery.
Competing Interests: Disclosure: The authors have no financial interest to declare in relation to the content of this article.
(Copyright © 2020 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.)