Dataset Information

The PRS Rainbow Classification for Assessing Postbariatric Contour Deformities.

ABSTRACT:

Background

There is a need for a reliable classification system to grade contour deformities and to inform reimbursement of body contouring surgery after massive weight loss. We developed the PRS Rainbow Classification, which uses select photographs to provide standardized references for evaluating patient photographs, to classify contour deformities in postbariatric patients. To assess the reliability of the PRS Rainbow Classification to classify contour deformities in massive weight loss patients.

Methods

Ten independent experienced plastic surgeons, 7 experienced medical advisors of the healthcare insurance company, and 10 laypersons evaluated 50 photographs per anatomical region (arms, breast, abdomen, and medial thighs). Each participant rated the patient photographs on a scale of 1-3 in an online survey. The inter-observer and the intra-observer reliabilities were determined using intra-class correlation coefficients (ICCs). The ICC analyses were performed for each anatomical region.

Results

Inter-observer reliability was moderate to good in the body regions "arms," "abdomen," "medial thighs," with mean ICC values of 0.678 [95% confidence interval (CI), 0.591-0.768], 0.685 (95% CI, 0.599-0.773), and 0.658 (95% CI, 0.569-0.751), respectively. Inter-observer reliability was comparable within the 3 different professional groups. Intra-observer reliability (test-retest reliability) was moderate to good, with a mean overall ICC value of 0.723 (95% CI, 0.572-0.874) for all groups and all 4 body regions.

Conclusions

The moderate to good reliability found in this study validates the use of the PRS Rainbow Classification as a reproducible and reliable classification system to assess contour deformities after massive weight loss. It holds promise as a key part of instruments to classify body contour deformities and to assess reimbursement of body contouring surgery.

SUBMITTER: de Vries CEE

PROVIDER: S-EPMC7339310 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

The PRS Rainbow Classification for Assessing Postbariatric Contour Deformities.

de Vries Claire E E CEE van den Berg Lisa L Monpellier Valerie M VM Hoogbergen Maarten M MM Mink van der Molen Aebele B AB de Castro Steve M M SMM van der Lei Berend B

Plastic and reconstructive surgery. Global open 20200624 6

<h4>Background</h4>There is a need for a reliable classification system to grade contour deformities and to inform reimbursement of body contouring surgery after massive weight loss. We developed the PRS Rainbow Classification, which uses select photographs to provide standardized references for evaluating patient photographs, to classify contour deformities in postbariatric patients. To assess the reliability of the PRS Rainbow Classification to classify contour deformities in massive weight lo ...[more]

PMID: 32766041

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Dataset Information

The PRS Rainbow Classification for Assessing Postbariatric Contour Deformities.

Background

Methods

Results

Conclusions

Publications

The PRS Rainbow Classification for Assessing Postbariatric Contour Deformities.

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