关键词: facial palsy facial reanimation patient‐reported outcome measures quality of life systematic review

来  源:   DOI:10.1002/hed.27772

Abstract:
BACKGROUND: Facial palsy profoundly affects patients\' quality of life (QoL). We evaluated the effect of various surgical procedures on QoL using patient-reported outcome measures (PROMs) to provide evidence-based recommendations for improved care.
METHODS: Embase, Medline, Web of Science, Cochrane, and CINAHL were searched for studies on QoL in patients with facial palsy who had undergone reconstructive surgery with preoperative and postoperative data from validated PROMs. After conducting the quality assessment, data were subtracted from the articles. Meta-analyses of subgroups were performed when study outcomes where compatible.
RESULTS: Incorporating 24 studies (522 patients), our systematic review revealed consistent and significant QoL improvements following diverse reconstructive surgical procedures.
CONCLUSIONS: Our systematic review and meta-analysis showed the positive effects of different reconstructive surgical procedures on QoL of patients with facial palsy. These results support clinicians to better inform patients about their potential outcomes, optimizing informed and shared decision-making and ultimately improving overall QoL in patients with facial palsy.
摘要:
背景:面神经麻痹严重影响患者的生活质量(QoL)。我们使用患者报告的预后指标(PROM)评估了各种外科手术对QoL的影响,以提供基于证据的建议,以改善护理。
方法:Embase,Medline,WebofScience,科克伦,和CINAHL被搜索对QoL的研究在面部麻痹患者谁经历了重建手术与术前和术后数据从验证的PROM。后进行质量评估,从文章中减去数据。当研究结果一致时,进行亚组的荟萃分析。
结果:纳入24项研究(522名患者),我们的系统评价显示,在不同的重建手术后,QoL有一致且显著的改善.
结论:我们的系统评价和荟萃分析显示,不同的重建手术方式对面神经麻痹患者的生活质量有积极的影响。这些结果支持临床医生更好地告知患者他们的潜在结果,优化知情和共享决策,最终改善面部麻痹患者的整体QoL。
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