Correlation between a patient-centred outcome score and surgical skill in oral surgery

Our aim was to find out whether scores derived from a patient-centred outcome questionnaire correlated with the skill of the surgeon as assessed by a trainer. We found a relatively poor correlation after removal of a third mandibular molar, probably because outcome scores incorporate other measures,...

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Bibliographic Details
Published in:British journal of oral & maxillofacial surgery 2005-12, Vol.43 (6), p.505-510
Main Authors: Evans, A.W., Leeson, R.M.A., Petrie, A.
Format: Article
Language:English
Subjects:
Anesthesia, Dental
Anesthesia, General
Anesthesia, Local
Attitude of Health Personnel
Attitude to Health
Biological and medical sciences
Clinical Competence - standards
Dental Service, Hospital
Dentist-Patient Relations
Dentistry
Humans
Medical sciences
Molar, Third - surgery
Operative
Oral Surgical Procedures - standards
Otorhinolaryngology. Stomatology
Outcome and process assessment (health care)
Outcome Assessment (Health Care)
Patient Satisfaction
Quality of Life
Reliability and validity
Reproducibility of Results
Surgery, oral
Surgical procedures
Time Factors
Tooth Extraction - standards
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Summary:Our aim was to find out whether scores derived from a patient-centred outcome questionnaire correlated with the skill of the surgeon as assessed by a trainer. We found a relatively poor correlation after removal of a third mandibular molar, probably because outcome scores incorporate other measures, including patients’ perceptions, anaesthesia, clarity of explanations and instructions, apart from surgical skill. The experience of the surgeon and the length of operation also influenced the results. The correlation was closest (i.e. higher levels of skill produced milder symptoms) when the operation was under local anaesthesia, probably because the surgeon's skill, behaviour, and attitude were visible to the patient throughout, and other team members had a less prominent role. In future, it may be more appropriate to assess the performance of the whole surgical team, rather than the surgeon alone.
ISSN:0266-4356
1532-1940
DOI:10.1016/j.bjoms.2005.02.007