Validation of a patient-graded instrument for facial nerve paralysis: the FaCE scale. Export

@article{citeulike:3063470, abstract = {OBJECTIVE: To develop and validate a patient-based instrument to measure both facial impairment and disability, the Facial Clinimetric Evaluation (FaCE) Scale. STUDY DESIGN: Prospective instrument validation. METHODS: Eighty-six patients with a documented history of facial paralysis completed a preliminary, 51-item instrument (alpha FaCE Scale), as well as the previously developed Facial Disability Index (FDI) and the Medical Outcomes Study Short Form 36 Item Questionnaire (SF-36). Two weeks after completing these instruments, 76 patients again completed the alpha FaCE Scale. Forty-one of the patients were also evaluated using the House-Brackmann Grading System (HBGS) and the Facial Grading System (FGS). RESULTS: Exploratory principal component factor analysis grouped 15 FaCE Scale items into 6 impairment and disability categories (domains), forming the beta FaCE Scale. Overall, the test-retest reliability of the FaCE Scale was high (Spearman's correlation coefficient (r) = 0.88, P <.01), as were the reliability coefficients of the individual domains (r = 0.81-0.92, P <.01). The FaCE Scale domains showed appropriate correlation to global visual analogue scale questions posed on the original alpha FaCE Scale (r = 0.65-0.81, P <.01). Overall, the FaCE Scale showed significant correlation with HBGS and FGS scores (r = -0.55 and 0.57, respectively; P <.01). However, not all FaCE Scale domains correlated with the HBGS and FGS scores. CONCLUSIONS: A reliable and valid patient-based system to measure impairment and disability in facial paralysis has been developed. This system appears to be better than traditional, physician-graded scales for evaluating quality-of-life issues affected by facial disability.}, address = {Bobby R. Alford Department of Otorhinolaryngology and Communicative Sciences, Baylor College of Medicine, One Baylor Plaza, Box SM 1727, Houston, TX 77030, USA.}, author = {Kahn, J. B. and Gliklich, R. E. and Boyev, K. P. and Stewart, M. G. and Metson, R. B. and McKenna, M. J.}, citeulike-article-id = {3063470}, citeulike-linkout-0 = {http://view.ncbi.nlm.nih.gov/pubmed/11224766}, citeulike-linkout-1 = {http://www.hubmed.org/display.cgi?uids=11224766}, issn = {0023-852X}, journal = {The Laryngoscope}, keywords = {fnp}, month = {March}, number = {3}, pages = {387--398}, posted-at = {2008-07-30 15:04:22}, priority = {2}, title = {Validation of a patient-graded instrument for facial nerve paralysis: the FaCE scale.}, url = {http://view.ncbi.nlm.nih.gov/pubmed/11224766}, volume = {111}, year = {2001} }

TY - JOUR ID - citeulike:3063470 L3 - citeulike-article-id:3063470 N2 - OBJECTIVE: To develop and validate a patient-based instrument to measure both facial impairment and disability, the Facial Clinimetric Evaluation (FaCE) Scale. STUDY DESIGN: Prospective instrument validation. METHODS: Eighty-six patients with a documented history of facial paralysis completed a preliminary, 51-item instrument (alpha FaCE Scale), as well as the previously developed Facial Disability Index (FDI) and the Medical Outcomes Study Short Form 36 Item Questionnaire (SF-36). Two weeks after completing these instruments, 76 patients again completed the alpha FaCE Scale. Forty-one of the patients were also evaluated using the House-Brackmann Grading System (HBGS) and the Facial Grading System (FGS). RESULTS: Exploratory principal component factor analysis grouped 15 FaCE Scale items into 6 impairment and disability categories (domains), forming the beta FaCE Scale. Overall, the test-retest reliability of the FaCE Scale was high (Spearman's correlation coefficient (r) = 0.88, P <.01), as were the reliability coefficients of the individual domains (r = 0.81-0.92, P <.01). The FaCE Scale domains showed appropriate correlation to global visual analogue scale questions posed on the original alpha FaCE Scale (r = 0.65-0.81, P <.01). Overall, the FaCE Scale showed significant correlation with HBGS and FGS scores (r = -0.55 and 0.57, respectively; P <.01). However, not all FaCE Scale domains correlated with the HBGS and FGS scores. CONCLUSIONS: A reliable and valid patient-based system to measure impairment and disability in facial paralysis has been developed. This system appears to be better than traditional, physician-graded scales for evaluating quality-of-life issues affected by facial disability. IS - 3 JF - The Laryngoscope SN - 0023-852X AD - Bobby R. Alford Department of Otorhinolaryngology and Communicative Sciences, Baylor College of Medicine, One Baylor Plaza, Box SM 1727, Houston, TX 77030, USA. EP - 398 TI - Validation of a patient-graded instrument for facial nerve paralysis: the FaCE scale. VL - 111 SP - 387 KW - fnp AU - Kahn, JB AU - Gliklich, RE AU - Boyev, KP AU - Stewart, MG AU - Metson, RB AU - McKenna, MJ PY - 2001/03// UR - http://view.ncbi.nlm.nih.gov/pubmed/11224766 ER -