TY - JOUR
T1 - The use of real-time digital video in the assessment of post-operative outcomes of breast reconstruction
AU - Gilmour, A.
AU - Mackay, I. R.
AU - Young, D.
AU - Hill, M. E.
AU - Brown, L.
AU - Malyon, A. D.
PY - 2014/10/1
Y1 - 2014/10/1
N2 - Outcome measures of breast reconstruction have used panel assessment of photographs. This provides limited information to the assessor as these images are static.. The aim of this study was to assess whether the use of digital video was a valid assessment tool and to compare its use against photography. 35 patients post-reconstruction underwent photography, digital video capture and completed Breast Cancer Treatment Outcomes Scale (BCTOS) questionnaires. The photographs/video clips were randomised and shown to a 21 member panel. Opinions on aesthetic aspects of the reconstruction were assessed using the BCTOS and Harris scale. Panel inter-rater agreement and patient-panel correlation was assessed using Kendall's Coefficient of Concordance and Spearman's rank correlation tests respectively. There was a "moderate" degree of inter-rater agreement amongst panel members in all categories. Greater agreement occurred using video footage to assess overall cosmesis (0.548 vs 0.507) and shape (0.505 vs 0.486). Video showed a greater degree of correlation with patient self-assessment scores in comparison to photography (0.311 vs 0.281). Video footage coupled with panel assessment is a valid method of assessing post-operative outcomes of breast reconstruction and appears superior to still photographs in terms of inter-rater agreement and correlation with patient self-assessment.
AB - Outcome measures of breast reconstruction have used panel assessment of photographs. This provides limited information to the assessor as these images are static.. The aim of this study was to assess whether the use of digital video was a valid assessment tool and to compare its use against photography. 35 patients post-reconstruction underwent photography, digital video capture and completed Breast Cancer Treatment Outcomes Scale (BCTOS) questionnaires. The photographs/video clips were randomised and shown to a 21 member panel. Opinions on aesthetic aspects of the reconstruction were assessed using the BCTOS and Harris scale. Panel inter-rater agreement and patient-panel correlation was assessed using Kendall's Coefficient of Concordance and Spearman's rank correlation tests respectively. There was a "moderate" degree of inter-rater agreement amongst panel members in all categories. Greater agreement occurred using video footage to assess overall cosmesis (0.548 vs 0.507) and shape (0.505 vs 0.486). Video showed a greater degree of correlation with patient self-assessment scores in comparison to photography (0.311 vs 0.281). Video footage coupled with panel assessment is a valid method of assessing post-operative outcomes of breast reconstruction and appears superior to still photographs in terms of inter-rater agreement and correlation with patient self-assessment.
KW - breast reconstruction
KW - standardised photographs
KW - digital video
KW - subjective assessment
UR - http://www.scopus.com/inward/record.url?scp=84908658278&partnerID=8YFLogxK
UR - http://www.sciencedirect.com/science/article/pii/S1748681514002782
U2 - 10.1016/j.bjps.2014.05.036
DO - 10.1016/j.bjps.2014.05.036
M3 - Article
C2 - 24923524
AN - SCOPUS:84908658278
SN - 1878-0539
VL - 67
SP - 1357
EP - 1363
JO - Journal of Plastic, Reconstructive & Aesthetic Surgery
JF - Journal of Plastic, Reconstructive & Aesthetic Surgery
IS - 10
ER -
