Evidence map›Paper›PMID 41377924›Full record

ArticlePlastic and reconstructive surgery. Global open2025

Patient-reported Outcome Measures in Head and Neck Reconstruction: A Systematic Review Across Disciplines and Geographical Locations.

Pablo Pfister, Julia Stoffel, Marie Perrin, Christian Appenzeller-Herzog, Florian S Halbeisen, Lukas Seifert, Daniel Bodmer, Laurent Muller, Maximilian Burger, Rene D Largo and 2 more

Abstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Pablo PfisterFrom the Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, Basel, Switzerland.
Julia StoffelFrom the Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, Basel, Switzerland.
Marie PerrinFrom the Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, Basel, Switzerland.
Christian Appenzeller-HerzogFaculty of Medicine, University Medical Library, University of Basel, Basel, Switzerland.
Florian S HalbeisenSurgical Outcome Research Center, Department of Clinical Research, University of Basel c/o University Hospital of Basel, Basel, Switzerland.
Lukas SeifertDepartment of Oral and Cranio-Maxillofacial Surgery, University Hospital Basel, Basel, Switzerland.
Daniel BodmerDepartment of Otolaryngology, Head and Neck Surgery, University Hospital Basel, Basel, Switzerland.
Laurent MullerDepartment of Otolaryngology, Head and Neck Surgery, University Hospital Basel, Basel, Switzerland.
Maximilian BurgerFrom the Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, Basel, Switzerland.
Rene D LargoDepartment of Plastic Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX.
Tarek IsmailFrom the Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, Basel, Switzerland.
Elisabeth A KapposFrom the Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital Basel, Basel, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patient-reported outcome measures (PROMs) have become an integral part of outcome evaluation in reconstructive microsurgery. This study explored the usage of PROMs in microsurgical oncological head and neck reconstruction across surgical specialties and geographic regions. Methods: A systematic literature search was conducted in Embase, MEDLINE, and Web of Science to identify studies reporting on adult patients undergoing oncological head and neck free flap reconstruction. Data extracted included PROM tools used, study demographics, surgical disciplines involved, procedural details, and outcomes. Results: Of 5015 screened studies, 354 (n = 30,369 patients) met the inclusion criteria. A total of 94 PROM tools were identified. The most frequently used were the University of Washington Quality of Life Questionnaire (34.75%), nonvalidated tools (25.99%), and the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire - Head and Neck Module 35 (22.32%). Donor site-specific PROMs were infrequently used (22%), though more frequently used when plastic and reconstructive surgeons were involved (31.11% versus 15.53%, Conclusions: Substantial heterogeneity exists in the use of PROMs in head and neck reconstruction, with variations driven by specialty and region. This lack of standardization hinders meaningful cross-study comparisons and the development of robust quality benchmarks. A unified, validated PROM framework is urgently needed to support international evidence-based practice. Future efforts should prioritize interdisciplinary collaboration and incorporate donor-site evaluation to comprehensively assess outcomes in oncological head and neck reconstruction.

Identifiers

PMID41377924
PMCPMC12688922

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.