Validated Assessment Scales for Cellulite Dimples on the Buttocks and Thighs in Female Patients.


Journal

Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
ISSN: 1524-4725
Titre abrégé: Dermatol Surg
Pays: United States
ID NLM: 9504371

Informations de publication

Date de publication:
08 2019
Historique:
pubmed: 28 6 2019
medline: 31 3 2020
entrez: 28 6 2019
Statut: ppublish

Résumé

New treatment methods for cellulite require globally accepted scales for aesthetic research and patient evaluation. To develop a set of grading scales for objective assessment of cellulite dimples on female buttocks and thighs and assess their reliability and validity. Two photonumeric grading scales were created and validated for dimples in the buttocks in female patients: Cellulite Dimples-At Rest, and Cellulite Dimples-Dynamic. Sixteen aesthetic experts rated photographs of 50 women in 2 validation sessions. Responses were analyzed to assess inter-rater and intra-rater reliability. Overall inter-rater reliability and intra-rater reliability were both "almost perfect" (≥0.81, intraclass correlation efficient and weighted kappa) for the At Rest scale. For the Dynamic scale, inter-rater reliability and intra-rater reliability were "substantial" (0.61-0.80). There was a high correlation between the cellulite scales and body mass index, age, weight, and skin laxity assessments. Consistent outcomes between raters and by individual raters at 2 time points confirm the reliability of the cellulite dimple grading scales for buttocks and thighs in female patients and suggest they will be a valuable tool for use in research and clinical practice.

Sections du résumé

BACKGROUND
New treatment methods for cellulite require globally accepted scales for aesthetic research and patient evaluation.
OBJECTIVE
To develop a set of grading scales for objective assessment of cellulite dimples on female buttocks and thighs and assess their reliability and validity.
MATERIALS AND METHODS
Two photonumeric grading scales were created and validated for dimples in the buttocks in female patients: Cellulite Dimples-At Rest, and Cellulite Dimples-Dynamic. Sixteen aesthetic experts rated photographs of 50 women in 2 validation sessions. Responses were analyzed to assess inter-rater and intra-rater reliability.
RESULTS
Overall inter-rater reliability and intra-rater reliability were both "almost perfect" (≥0.81, intraclass correlation efficient and weighted kappa) for the At Rest scale. For the Dynamic scale, inter-rater reliability and intra-rater reliability were "substantial" (0.61-0.80). There was a high correlation between the cellulite scales and body mass index, age, weight, and skin laxity assessments.
CONCLUSION
Consistent outcomes between raters and by individual raters at 2 time points confirm the reliability of the cellulite dimple grading scales for buttocks and thighs in female patients and suggest they will be a valuable tool for use in research and clinical practice.

Identifiants

pubmed: 31246867
doi: 10.1097/DSS.0000000000001993
doi:

Types de publication

Journal Article Validation Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

S2-S11

Auteurs

Doris Hexsel (D)

Brazilian Center for Studies in Dermatology, Porto Alegre, Brazil.

Sabrina Guillen Fabi (SG)

Cosmetic Laser Dermatology, San Diego, California.

Gerhard Sattler (G)

Rosenparkklinik, Darmstadt, Germany.

Rolf Bartsch (R)

The Aesthetics, Vienna, Austria.

Kimberly Butterwick (K)

Cosmetic Laser Dermatology, San Diego, California.

Gabriela Casabona (G)

Clínica Vida, São Paulo, Brazil.

Yates Yen-Yu Chao (Y)

CHAO Institute of Aesthetic Medicine, Taipei, Taiwan.

Joana Costa (J)

Clínica Dermatológica Joana Costa, Brasília, Brazil.

Joseph Eviatar (J)

Omni Aesthetic, New York, New York.

Thorin L Geister (TL)

Merz Pharmaceuticals GmbH, Frankfurt, Germany.

Kate Goldie (K)

European Medical Aesthetics Ltd, London, United Kingdom.

Jenny Grice (J)

Le Prioldy, Bieuzy les Eaux, France.

Martina Kerscher (M)

Division of Cosmetic Sciences, University of Hamburg, Hamburg, Germany.

Paul Lorenc (P)

Z. Paul Lorenc Aesthetic Plastic Surgery, New York, New York.

Mary Lupo (M)

Lupo Center for Aesthetic and General Dermatology, New Orleans, Louisiana.

Wouter Peeters (W)

AZ Klina, Brasschaat, Belgium.

Rainer Pooth (R)

Omni Aesthetic, New York, New York.

Heidi A Waldorf (HA)

Waldorf Dermatology Aesthetics, Nanuet, New York.

Yana Yutskovskaya (Y)

Department of Cosmetology, Pacific State Medical University of Health Ministry of Russia, Moscow, Russia.

Michael S Kaminer (MS)

SkinCare Physicians, Chestnut Hill, Massachusetts.

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Classifications MeSH