Patient-Reported Outcomes Measures in Rhinoplasty: Need for Use and Implementation

Chloe Warinner; Myriam Loyo; Jeffrey Gu; Nneoma S. Wamkpah; John J. Chi; Robin W. Lindsay

doi:10.1055/s-0043-1769806

Facial Plastic Surgery, Table of Contents

Facial Plast Surg 2023; 39(05): 517-526
DOI: 10.1055/s-0043-1769806

Original Article

Patient-Reported Outcomes Measures in Rhinoplasty: Need for Use and Implementation

Chloe Warinner

¹Department of Otolaryngology – Head and Neck Surgery, Harvard Medical School, Massachusetts Eye and Ear, Boston, Massachusetts

,

Myriam Loyo

²Department of Otolaryngology – Head and Neck Surgery, Oregon Health and Science University, Portland, Oregon

,

Jeffrey Gu

²Department of Otolaryngology – Head and Neck Surgery, Oregon Health and Science University, Portland, Oregon

,

Nneoma S. Wamkpah

³Department of Otolaryngology – Head and Neck Surgery, Washington University in St. Louis, St Louis, Missouri

,

John J. Chi

⁴Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology – Head and Neck Surgery, Washington University in St Louis, St Louis, Missouri

,

Robin W. Lindsay

¹Department of Otolaryngology – Head and Neck Surgery, Harvard Medical School, Massachusetts Eye and Ear, Boston, Massachusetts

› Author Affiliations

Abstract

Patient-reported outcome metrics (PROMs) are increasingly utilized to capture data about patients' quality of life. PROMs play an important role in the value-based health care movement by providing a patient-centered metric of quality. There are many barriers to the implementation of PROMs, and widespread adoption requires buy-in from numerous stakeholders including patients, clinicians, institutions, and payers. Several validated PROMs have been utilized by facial plastic surgeons to measure both functional and aesthetic outcomes among rhinoplasty patients. These PROMs can help clinicians and rhinoplasty patients participate in shared decision making (SDM), a process via which clinicians and patients arrive at treatment decisions together through a patient-centered approach. However, widespread adoption of PROMs and SDM has not yet been achieved. Further work should focus on overcoming barriers to implementation and engaging key stakeholders to increase the utilization of PROMs in rhinoplasty.

Keywords

PROM - patient-reported outcome metrics - rhinoplasty - shared decision making - value-based health care

Full Text

References

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