The Reliability of Anthropometric Measurements Used Preoperatively in Aesthetic Breast Surgery
| Autor: | Brett Beber, Mitchell H. Brown, Blake D. Murphy, Kathryn V. Isaac |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Esthetics Breast surgery medicine.medical_treatment education Cosmetic Techniques 030230 surgery Preoperative care Young Adult 03 medical and health sciences 0302 clinical medicine Predictive Value of Tests Preoperative Care Humans Medicine Inframammary fold Breast Reliability (statistics) Observer Variation Anthropometry Skin stretch business.industry Reproducibility of Results General Medicine Plastic Surgery Procedures Surgery Inter-rater reliability 030220 oncology & carcinogenesis Predictive value of tests Female Anatomic Landmarks business Nuclear medicine |
| Zdroj: | Aesthetic Surgery Journal. 36:431-437 |
| ISSN: | 1527-330X 1090-820X |
| DOI: | 10.1093/asj/sjv210 |
| Popis: | Background Patient outcomes in aesthetic breast surgery are highly dependent on breast measurements used in preoperative planning. Objectives The purpose of this study is to determine the reliability of anthropometric breast measurements. Methods Four raters measured 28 women using 7 measurements: sternal notch to nipple distance (Sn-N), nipple to midline (N-M), nipple to inframammary-fold distance under maximal stretch (N-IMF), breast base width (BW), soft tissue pinch thickness of the upper pole (STPT:UP), STPT at the inframammary fold (STPT:IMF), and anterior pull skin stretch (APSS). Reliability was assessed using intra-class correlation coefficients (ICCs). Results Inter-rater reliability was excellent for Sn-N, N-M, and BW (ICC = 0.94, 0.90, and 0.76, respectively) and was good for N-IMF (ICC = 0.70). The STPT:UP, STPT:IMF, and APSS measurements were not reliable between raters (ICC 0.75). The N-IMF intra-rater reliability was excellent in senior raters (ICC > 0.75) and good in junior raters (ICC > 0.6). The STPT:UP, STPT:IMF, and APSS measurements showed fair or poor reliability for most raters (ICC < 0.6). Conclusions The Sn-N, N-M, and BW measurements are very reliable. Dynamic measurements including APSS, STPT:UP, and STUP:IMF are unreliable. N-IMF is the only reliable dynamic measurement, and its reliability improves with increasing clinical experience. The variable reliability of preoperative measurements must be considered in the planning of aesthetic breast surgery. Level of Evidence 4![Graphic][1] Diagnostic [10.1093/asj/sjv234][2] [1]: /embed/inline-graphic-1.gif [2]: /lookup/doi/10.1093/asj/sjv234 |
| Databáze: | OpenAIRE |
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