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

BACKGROUNDThe Clinician Reported Photonumeric Cellulite Severity Scale (CR-PCSS) and Patient Reported PCSS (PR-PCSS) are newly developed tools for assessing cellulite severity. OBJECTIVETo report on the reliability, validity, and ability to detect a change in cellulite severity on the buttocks of ad...

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Veröffentlicht in:Dermatologic surgery 2020-12, Vol.46 (12), p.1628-1635
Hauptverfasser: Cohen, Joel L, Sadick, Neil S, Kirby, M Todd, McLane, Michael P, Lenderking, William R, Bender, Randall H, Chen, Jun, Hurley, David, Knoble, Naomi B, Liu, Genzhou, Xiang, Qinfang, Davidson, Jeffrey A, Goldman, Mitchel P
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container_end_page 1635
container_issue 12
container_start_page 1628
container_title Dermatologic surgery
container_volume 46
creator Cohen, Joel L
Sadick, Neil S
Kirby, M Todd
McLane, Michael P
Lenderking, William R
Bender, Randall H
Chen, Jun
Hurley, David
Knoble, Naomi B
Liu, Genzhou
Xiang, Qinfang
Davidson, Jeffrey A
Goldman, Mitchel P
description BACKGROUNDThe Clinician Reported Photonumeric Cellulite Severity Scale (CR-PCSS) and Patient Reported PCSS (PR-PCSS) are newly developed tools for assessing cellulite severity. OBJECTIVETo 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 METHODSContent 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. RESULTSFor 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. CONCLUSIONThe CR-PCSS and PR-PCSS reliably assess cellulite severity of the buttocks and can detect a clinically meaningful change after treatment for cellulite.
doi_str_mv 10.1097/DSS.0000000000002756
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OBJECTIVETo 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 METHODSContent 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. RESULTSFor 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. CONCLUSIONThe CR-PCSS and PR-PCSS reliably assess cellulite severity of the buttocks and can detect a clinically meaningful change after treatment for cellulite.</description><identifier>ISSN: 1076-0512</identifier><identifier>ISSN: 1524-4725</identifier><identifier>EISSN: 1524-4725</identifier><identifier>DOI: 10.1097/DSS.0000000000002756</identifier><identifier>PMID: 33009069</identifier><language>eng</language><publisher>United States: by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Adult ; Aged ; Buttocks - diagnostic imaging ; Cellulite - diagnosis ; Cellulite - therapy ; Clinical Trials, Phase I as Topic ; Clinical Trials, Phase II as Topic ; Dermatologists - statistics &amp; numerical data ; Esthetics ; Female ; Humans ; Male ; Middle Aged ; Observer Variation ; Patient Reported Outcome Measures ; Photography - statistics &amp; numerical data ; Qualitative Research ; Reproducibility of Results ; Severity of Illness Index ; Surgeons - statistics &amp; numerical data ; Treatment Outcome ; Young Adult</subject><ispartof>Dermatologic surgery, 2020-12, Vol.46 (12), p.1628-1635</ispartof><rights>2020 by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,27911,27912</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33009069$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cohen, Joel L</creatorcontrib><creatorcontrib>Sadick, Neil S</creatorcontrib><creatorcontrib>Kirby, M Todd</creatorcontrib><creatorcontrib>McLane, Michael P</creatorcontrib><creatorcontrib>Lenderking, William R</creatorcontrib><creatorcontrib>Bender, Randall H</creatorcontrib><creatorcontrib>Chen, Jun</creatorcontrib><creatorcontrib>Hurley, David</creatorcontrib><creatorcontrib>Knoble, Naomi B</creatorcontrib><creatorcontrib>Liu, Genzhou</creatorcontrib><creatorcontrib>Xiang, Qinfang</creatorcontrib><creatorcontrib>Davidson, Jeffrey A</creatorcontrib><creatorcontrib>Goldman, Mitchel P</creatorcontrib><title>Development and Validation Clinician and Patient Reported Photonumeric Scales to Assess Buttocks Cellulite Severity</title><title>Dermatologic surgery</title><addtitle>Dermatol Surg</addtitle><description>BACKGROUNDThe Clinician Reported Photonumeric Cellulite Severity Scale (CR-PCSS) and Patient Reported PCSS (PR-PCSS) are newly developed tools for assessing cellulite severity. OBJECTIVETo 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 METHODSContent 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. RESULTSFor 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. CONCLUSIONThe CR-PCSS and PR-PCSS reliably assess cellulite severity of the buttocks and can detect a clinically meaningful change after treatment for cellulite.</description><subject>Adult</subject><subject>Aged</subject><subject>Buttocks - diagnostic imaging</subject><subject>Cellulite - diagnosis</subject><subject>Cellulite - therapy</subject><subject>Clinical Trials, Phase I as Topic</subject><subject>Clinical Trials, Phase II as Topic</subject><subject>Dermatologists - statistics &amp; numerical data</subject><subject>Esthetics</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Observer Variation</subject><subject>Patient Reported Outcome Measures</subject><subject>Photography - statistics &amp; numerical data</subject><subject>Qualitative Research</subject><subject>Reproducibility of Results</subject><subject>Severity of Illness Index</subject><subject>Surgeons - statistics &amp; numerical data</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>1076-0512</issn><issn>1524-4725</issn><issn>1524-4725</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkdtKxDAQhoMo7np4A5FcelPNqU17ue56AkFx1duQtlM2mja1SZV9e6OrIOZmwsw3Mz_zI3REySklhTxbLJen5M9jMs220JSmTCRCsnQ7_onMEpJSNkF73r8QQlnByS6acE5IQbJiivwC3sG6voUuYN3V-FlbU-tgXIfn1nSmMrr7LtzH5Bf0AL0bAsTEygXXjS0MpsLLSlvwODg88x68x-djCK569XgO1o7WBMDLuGowYX2AdhptPRz-xH30dHnxOL9Obu-ubuaz26SnUVyiaUXzppBNI0XKs7xMeVRfSilEpTNIOaubJss5E6yilNcpk2WjpdC85GUTW_bRyWZuP7i3EXxQrfFVlKM7cKNXTIhcUM4KEdHjH3QsW6hVP5hWD2v1e6gI5Bvgw9kAg3-14wcMagXahpWiRH15oqIn6r8n_BNOKH1-</recordid><startdate>202012</startdate><enddate>202012</enddate><creator>Cohen, Joel L</creator><creator>Sadick, Neil S</creator><creator>Kirby, M Todd</creator><creator>McLane, Michael P</creator><creator>Lenderking, William R</creator><creator>Bender, Randall H</creator><creator>Chen, Jun</creator><creator>Hurley, David</creator><creator>Knoble, Naomi B</creator><creator>Liu, Genzhou</creator><creator>Xiang, Qinfang</creator><creator>Davidson, Jeffrey A</creator><creator>Goldman, Mitchel P</creator><general>by the American Society for Dermatologic Surgery, Inc. 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All rights reserved</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>202012</creationdate><title>Development and Validation Clinician and Patient Reported Photonumeric Scales to Assess Buttocks Cellulite Severity</title><author>Cohen, Joel L ; Sadick, Neil S ; Kirby, M Todd ; McLane, Michael P ; Lenderking, William R ; Bender, Randall H ; Chen, Jun ; Hurley, David ; Knoble, Naomi B ; Liu, Genzhou ; Xiang, Qinfang ; Davidson, Jeffrey A ; Goldman, Mitchel P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p1906-a1c18f97ff745368b53930b7744ca6e532dff683242c113d527bfa74a3b3bf453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Buttocks - diagnostic imaging</topic><topic>Cellulite - diagnosis</topic><topic>Cellulite - therapy</topic><topic>Clinical Trials, Phase I as Topic</topic><topic>Clinical Trials, Phase II as Topic</topic><topic>Dermatologists - statistics &amp; numerical data</topic><topic>Esthetics</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Observer Variation</topic><topic>Patient Reported Outcome Measures</topic><topic>Photography - statistics &amp; numerical data</topic><topic>Qualitative Research</topic><topic>Reproducibility of Results</topic><topic>Severity of Illness Index</topic><topic>Surgeons - statistics &amp; numerical data</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cohen, Joel L</creatorcontrib><creatorcontrib>Sadick, Neil S</creatorcontrib><creatorcontrib>Kirby, M Todd</creatorcontrib><creatorcontrib>McLane, Michael P</creatorcontrib><creatorcontrib>Lenderking, William R</creatorcontrib><creatorcontrib>Bender, Randall H</creatorcontrib><creatorcontrib>Chen, Jun</creatorcontrib><creatorcontrib>Hurley, David</creatorcontrib><creatorcontrib>Knoble, Naomi B</creatorcontrib><creatorcontrib>Liu, Genzhou</creatorcontrib><creatorcontrib>Xiang, Qinfang</creatorcontrib><creatorcontrib>Davidson, Jeffrey A</creatorcontrib><creatorcontrib>Goldman, Mitchel P</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Dermatologic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cohen, Joel L</au><au>Sadick, Neil S</au><au>Kirby, M Todd</au><au>McLane, Michael P</au><au>Lenderking, William R</au><au>Bender, Randall H</au><au>Chen, Jun</au><au>Hurley, David</au><au>Knoble, Naomi B</au><au>Liu, Genzhou</au><au>Xiang, Qinfang</au><au>Davidson, Jeffrey A</au><au>Goldman, Mitchel P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Development and Validation Clinician and Patient Reported Photonumeric Scales to Assess Buttocks Cellulite Severity</atitle><jtitle>Dermatologic surgery</jtitle><addtitle>Dermatol Surg</addtitle><date>2020-12</date><risdate>2020</risdate><volume>46</volume><issue>12</issue><spage>1628</spage><epage>1635</epage><pages>1628-1635</pages><issn>1076-0512</issn><issn>1524-4725</issn><eissn>1524-4725</eissn><abstract>BACKGROUNDThe Clinician Reported Photonumeric Cellulite Severity Scale (CR-PCSS) and Patient Reported PCSS (PR-PCSS) are newly developed tools for assessing cellulite severity. OBJECTIVETo 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 METHODSContent 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. RESULTSFor 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. CONCLUSIONThe CR-PCSS and PR-PCSS reliably assess cellulite severity of the buttocks and can detect a clinically meaningful change after treatment for cellulite.</abstract><cop>United States</cop><pub>by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>33009069</pmid><doi>10.1097/DSS.0000000000002756</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Journals@Ovid Ovid Autoload
subjects Adult
Aged
Buttocks - diagnostic imaging
Cellulite - diagnosis
Cellulite - therapy
Clinical Trials, Phase I as Topic
Clinical Trials, Phase II as Topic
Dermatologists - statistics & numerical data
Esthetics
Female
Humans
Male
Middle Aged
Observer Variation
Patient Reported Outcome Measures
Photography - statistics & numerical data
Qualitative Research
Reproducibility of Results
Severity of Illness Index
Surgeons - statistics & numerical data
Treatment Outcome
Young Adult
title Development and Validation Clinician and Patient Reported Photonumeric Scales to Assess Buttocks Cellulite Severity
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