Development and Validation of the Clinician Reported and Patient Reported Photonumeric Scales to Assess Buttocks Cellulite Severity

Autor: David Hurley, Mitchel P. Goldman, M Todd Kirby, Neil S. Sadick, Davidson Jeffrey, Randall H. Bender, Michael McLane, William R. Lenderking, Qinfang Xiang, Naomi Knoble, Joel L. Cohen, Jun Chen, Genzhou Liu
Rok vydání: 2020
Předmět:
Zdroj: Dermatologic Surgery. 46:1628-1635
ISSN: 1524-4725
1076-0512
Popis: Background The Clinician Reported Photonumeric Cellulite Severity Scale (CR-PCSS) and Patient Reported PCSS (PR-PCSS) are newly developed tools for assessing cellulite severity. Objective To report on the reliability, validity, and ability to detect a change in cellulite severity on the buttocks of adult women with the CR-PCSS and PR-PCSS. Materials and methods Content validity of both scales was established through concept elicitation and cognitive interviews. Test-retest reliability was evaluated, and intra-rater (both scales) and inter-rater (CR-PCSS only) reliability were estimated using intraclass correlation coefficients (ICCs) for agreement and consistency. Ability to detect a change was determined using the Subject-Global Aesthetic Improvement Scale (GAIS) or Investigator-GAIS as anchors. Results For the CR-PCSS (n = 6) at baseline and Day 2, the mean interrater ICCs were ≥0.70 and mean intrarater ICCs (95% confidence interval [CI]) were ≥0.81 (0.72-0.90) for both buttocks. For the PR-PCSS (n = 99) at baseline and Day 14, the mean test-retest reliability ICCs (95% CI) were ≥0.86 (0.79-0.91) for both buttocks. A clinically meaningful change was 1.0 point on the PR-PCSS and 1.0 on the CR-PCSS. Conclusion The CR-PCSS and PR-PCSS reliably assess cellulite severity of the buttocks and can detect a clinically meaningful change after treatment for cellulite.
Databáze: OpenAIRE