“A Review of Validated QOL PROMs in Pediatric Plastic Surgery.”

Background: There has been an exponential increase in the number of patient reported outcome measures, PROMs, in plastic surgery. This study aims to review the reliability, validity, and practicality of the most frequently used PROMs in pediatric plastic surgery research. Methods: A review of the literature from January 2010 - June 2015 was conducted to identify PROMs in pediatric plastic surgery. PROMs used in 5 articles with 2 validation studies were included for analysis and classified as generic, disease specific, and mental health. The type of validation used and reliability scores were compared across each class of PROMs. The practicality of each PROM was determined by the frequency of use and the number of items and cost. Results: Of the 173 unique PROMs identified, 14 were included for analysis and classified as: generic (7), disease specific (4), and mental health (3). The majority of all PROMs used construct validity. Disease specific PROMs had the highest distribution of domains related to physical functioning - the same domain also found to have the highest reliability scores. A PROM's frequency of use was not associated with its number of items or cost. Conclusions: This review found that generic PROMs were used most often, construct validity was used most frequently, physical functioning domains had the highest reliability, and the number of items or cost of a PROM was not related to its frequency of use. Taken together, this information may inform the future development or selection of PROMs in pediatric plastic surgery. Financial Disclosure Statement: The authors have nothing to disclose. Presented at (if applicable): Western Regional Student and Resident Medical Research Forum (WRSRMR) 2016 in Carmel, California and University of British Columbia's Chung Research Day 2017 in Vancouver, BC Acknowledgements: The authors would like to thank Marija Bucevska MD CCRP, for her continued guidance and feedback throughout this study. Corresponding Author: Douglas J. Courtemanche MD MS FRCSC, Division of Plastic Surgery, BC Children's Hospital, 4480 Oak Street, Vancouver BC , V6H 3V4 Canada. douglas.courtemanche@ubc.ca ©2018American Society of Plastic Surgeons

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