COSMIN database

A systematic review of patient-reported outcome measures after rhinoplasty

Barone, M., Cogliandro, A., Di Stefano, N., Tambone, V., and Persichetti, P.
The literature still lacks a review regarding PROs applied for rhinoplasty. Thus, we performed a systematic review of the literature to identify PROMs that assess patient satisfaction and quality of life after rhinoplasty. The aim of our study was to identify existing questionnaires and to summarize their development, psychometric properties, and content. A multi-step search of the web-based PubMed database from the National Library of Medicine was performed to identify PROMs that are designed to evaluate satisfaction and quality of life following rhinoplasty. Each potential PROM was examined by three independent reviewers for adherence to inclusion/exclusion criteria. Questionnaires included in the analysis were appraised for their adherence to international guidelines for the development and validation of health outcome questionnaires, as outlined by the Scientific Advisory Committee of the Medical Outcome Trust and the U.S. Food and Drug Administration. Our search generated a total of 457 articles, 351 that were retrieved in the primary search, and 106 that were found in the references of the first set of articles. The process of development and validation of each of the included PROMs was examined. Only ten of these were identified as surgery-specific questionnaires about rhinoplasty. These were divided into three categories: (1) functional self-assessment (Nasal Surgical Questionnaire, Nasal Obstruction Symptoms Evaluation Scale, and Nasal Obstruction Septoplasty Effectiveness); (2) aesthetic self-assessment (Utrecht Questionnaire, FACE-Q rhinoplasty module, Glasgow Benefit Inventory); and (3) aesthetic and functional self-assessment (Rhinoplasty Outcomes Evaluation), Functional Rhinoplasty Outcome Inventory 17, RHINO Scale, and Evaluation of Aesthetic Rhinoplasty Scale).
Eur Arch Otorhinolaryngol
Publication year:
Symptom status:
Physical state
Adults (18-65)
Codes for special purposes
Diseases of and symptoms related to the skin and subcutaneous tissue
PRO / non-PRO:
Patient Reported Outcome
Type of measurement instrument:
1 - Questionnaires
EARS - Evaluation of Aesthetic Rhinoplasty Scale
FACE-Q RM - FACE-Q Rhinoplasty Module
FROI-17 - Functional Rhinoplasty Outcome Inventory 17
GBI - Glasgow Benefit Inventory (versions: GBI-C - GBI for children)
NOSE - Nasal Obstruction Septoplasty Effectiveness
NOSE scale - Nasal Obstruction Symptoms Evaluation Scale
NSQ - Nasal Surgical Questionnaire
ROE - Rhinoplasty Outcomes Evaluation
RS - Rhino Scale
UQ - Utrecht Questionnaire