Knowledge Center

MODUS Outcomes Publication |

Plastic surgery

Klassen AF, Rae C, Wong Riff KW, et al. FACE-Q Craniofacial Module: Part 1 validation of CLEFT-Q scales for use in children and young adults with facial conditions. Journal of plastic, reconstructive & aesthetic surgery : JPRAS. Jun 10 2021.

Klassen AF, Rae C, Riff W, et al. FACE-Q craniofacial module: Part 2 Psychometric properties of newly developed scales for children and young adults with facial conditions. Journal of plastic, reconstructive & aesthetic surgery : JPRAS. Mar 25 2021.

Klassen AF, Rae C, Bulstrode NW, et al. An international study to develop the EAR-Q patient-reported outcome measure for children and young adults with ear conditions. Journal of plastic, reconstructive & aesthetic surgery : JPRAS. 2021.

Apon I, van Leeuwen N, Allori AC, et al. Rasch Analysis of Patient- and Parent-Reported Outcome Measures in the International Consortium for Health Outcomes Measurement Standard Set for Cleft Lip and Palate. Value Health. 2021;24(3):404-412.

Voineskos SH, Klassen AF, Cano SJ, Pusic AL, Gibbons CJ. Giving Meaning to Differences in BREAST-Q Scores: Minimal Important Difference for Breast Reconstruction Patients. Plast Reconstr Surg. 2020;145(1):11e-20e.

Poulsen L, Simonsen N, Klassen AF, Cano SJ, et al. Comparison of the Moorehead-Ardelt quality of life questionnaire and the BODY-Q in Danish patients undergoing weight loss and body contouring surgery. Clin Obes. 2020;10(2):e12351.

Poulsen L, Lorenzen M, Simonsen N, Klassen A, Rose M, Juhl CB, et al. Patient-reported outcomes in weight loss and body contouring surgery: the voice of 1831 patients using the BODY-Q. ISOQOL; 2019; San Diego, CA, USA.

Kaur M, Pusic A, Cano S, Bordeleau L, Tsangaris E, Klassen A. Examining content validity of BREAST-Q a decade later to determine relevance and comprehensiveness. ISOQOL; San Diego, CA, USA, 2019.

Harrison CJ, Rae C, Tsangaris E, et al. Further construct validation of the CLEFT-Q: Ability to detect differences in outcome for four cleft-specific surgeries. Journal of plastic, reconstructive & aesthetic surgery : JPRAS. 2019;72(12):2049-2055.

Klassen AF, Wong-Riff KWY, Longmire NM, Albert A, Allen GC, Aydiny MA, et al. Psychometric Findings and Normative Values for the CLEFT-Q based on 2,434 Children and Young Adult Patients with Cleft Lip and/or Palate from 12 Countries. Canadian Medical Association Journal. 2018;190(15):E455-62.

Klassen AF, Kaur M, Breitkopf T, Thoma A, Cano S, Pusic A. Using the BODY-Q to Understand Impact of Weight Loss, Excess Skin and the Need for Body Contouring Following Bariatric Surgery. Plast Reconstr Surg. 2018.

Browne JP, Jeevan R, Pusic AL, Klassen AF, Gulliver-Clarke C, Pereira J, et al. Measuring the patient perspective on latissimus dorsi donor site outcomes following breast reconstruction. Journal of plastic, reconstructive & aesthetic surgery : JPRAS. 2018;71(3):336-43.

Wong Riff KW, Tsangaris E, Goodacre T, Forrest CR, Pusic AL, Cano SJ, et al. International multiphase mixed methods study protocol to develop a cross-cultural patient-reported outcome instrument for children and young adults with cleft lip and/or palate (CLEFT-Q). BMJ Open. 2017;7(1):e015467.

Poulsen L, Klassen A, Rose M, Roessler KK, Juhl CB, Støving RK, et al. Psychometric validation of the BODY-Q in Danish patients undergoing weight loss and body contouring surgery. Plast Reconstr Surg Glob Open. 2017;5(10):e1529.

Klassen AF, Cano SJ, Grotting JC, Baker SB, Carruthers J, Carruthers A, et al. FACE-Q Eye Module for Measuring Patient-Reported Outcomes Following Cosmetic Eye Treatments. JAMA Facial Plast Surg. 2017;19(1):7-14.

Fuzesi S, Cano SJ, Klassen AF, Atisha D, Pusic AL. Validation of the electronic version of the BREAST-Q in the army of women study. Breast. 2017;33:44-9.

Mundy LR, Miller HC, Klassen AF, Cano SJ, Pusic AL. Patient-Reported Outcome Instruments for Surgical and Traumatic Scars: A Systematic Review of their Development, Content, and Psychometric Validation. Aesthetic Plast Surg. 2016;40(5):792-800.

Klassen AF, Cano SJ, Schwitzer JA, Baker SB, Carruthers A, Carruthers J, et al. Development and Psychometric Validation of the FACE-Q Skin, Lips, and Facial Rhytids Appearance Scales and Adverse Effects Checklists for Cosmetic Procedures. JAMA Dermatol. 2016;152(4):443-51.

Klassen AF, Cano SJ, Pusic AL. Use of FACE-Q to Measure Quality of Life Following Aesthetic Facial Treatments. JAMA Facial Plast Surg. 2016;18(2):148-9.

Klassen AF, Cano SJ, Pusic AL. FACE-Q Satisfaction with Appearance Scores from Close to 1000 Facial Aesthetic Patients. Plast Reconstr Surg. 2016;137(3):651e-2e.

Klassen AF, Cano SJ, East CA, Baker SB, Badia L, Schwitzer JA, et al. Development and Psychometric Evaluation of the FACE-Q Scales for Patients Undergoing Rhinoplasty. JAMA Facial Plast Surg. 2016;18(1):27-35.

Klassen AF, Cano SJ, Alderman A, Soldin M, Thoma A, Robson S, et al. The BODY-Q: A Patient-Reported Outcome Instrument for Weight Loss and Body Contouring Treatments. Plast Reconstr Surg Glob Open. 2016;4(4):e679.

Klassen AF, Cano SJ, Alderman A, East C, Badia L, Baker SB, et al. Self-Report Scales to Measure Expectations and Appearance-Related Psychosocial Distress in Patients Seeking Cosmetic Treatments. Aesthet Surg J. 2016;36(9):1068-78.

Klassen AF, Cano S, Pusic A. RHINO Scale: A Question about Content Validity. Plast Reconstr Surg Glob Open. 2016;4(8):e826.

Cohen WA, Mundy LR, Ballard TN, Klassen A, Cano SJ, Browne J, et al. The BREAST-Q in surgical research: A review of the literature 2009-2015. Journal of plastic, reconstructive & aesthetic surgery : JPRAS. 2016;69(2):149-62.

Cano S, Pendrill L. Metrological standards for use in healthcare decision making: An update on research involving the BREAST-Q. International Outcome Measurement Workshop; 2016; Washington, D.C., USA.

Wong K, Tsangaris E, Goodacre T, Forrest C, Pusic A, Cano S, et al. CLEFT-Q - who’s ideal is it anyway. 72nd Annual Meeting & Pre-Conference Symposia of the American Cleft Palate-Craniofacial Association; 2015; Palm Springs, CA, USA.

Wong K, Tsangaris E, Forrest C, Harman K, Pusic A, Cano S, et al. An early look: a mixed methods study to examine the feasibility, preliminary psychometric performance, and early construct validity of the CLEFT-Q. ISOQOL; Vancouver, Canada, 2015.

Tsangaris E, Wong K, Forrest C, Pusic AL, Cano S, Goodacre T, et al. How qualitative methods can be used to ensure content validity in a PRO instrument for patients with cleft lip and/or palate who vary by age and culture: development of the CLEFT-Q. 72nd Annual Meeting & Pre-Conference Symposia of the American Cleft Palate-Craniofacial Association; 2015; Palm Springs, CA, USA.

Tsangaris E, Wong K, Forrest C, Harman K, Pusic A, Cano S, et al. Determining the psychometric properties of the CLEFT-Q using two different sets of response options. ISOQOL; 2015; Vancouver, Canada.

Schwitzer JA, Klassen AF, Cano SJ, Baker SB, East C, Pusic AL. Measuring Satisfaction with Appearance: Validation of the FACE-Q Scales for the Nose, Forehead, Cheekbones, and Chin. Plast Reconstr Surg. 2015;136(4 Suppl):140-1.

Razdan SN, Scott AM, Cano S, Cordeiro PG, Pusic AL, McCarthy CM. Does the mind get what the mind expects? Patient expectations and satisfaction in breast reconstructive surgery: A pilot study. Plastic Surgery Research Council; 2015; Seattle, WA, USA.

Klassen AF, Cano SJ, Schwitzer JA, Scott AM, Pusic AL. FACE-Q scales for health-related quality of life, early life impact, satisfaction with outcomes, and decision to have treatment: development and validation. Plast Reconstr Surg. 2015;135(2):375-86.

Klassen A, Alderman A, Soldin M, Robson S, Kaur M, Cano S, et al. Development and psychometric validation of a PRO instrument for obese, bariatric and cosmetic body contouring patients: the BODY-Q. ISOQOL; 2015; Vancouver, Canada.

Tsangaris E, Wong K, Forrest C, Pusic A, Cano S, Goodacre T, et al. How qualitative methods can be used to ensure content validity in a PRO instrument for patients with cleft lip and/or palate who vary by age and culture: development of the CLEFT-Q. ISOQOL; 2014; Berlin, Germany.

Schwitzer J, Klassen AF, Cano SJ, Pusic AL. Towards Evidence-Based Practice in Cosmetic Surgery Using the Q-Portfolio of Patient-Reported Outcome Measures Aesthetic Journal. 2014;1(7):28-32.

Pusic A, McCarthy C, Klassen A, Cano S, Cordeiro P. Health-related quality of life (HRQOL) following prophylactic mastectomy and reconstruction. ISOQOL; 2014; Berlin, Germany.

Pusic A, Klassen A, Panchapakesan V, Cano S. Response to "The FACE-Q: the importance of full disclosure and sound methodology in outcomes studies". Aesthet Surg J. 2014;34(4):628-31.

McCarthy CM, Mehrara BJ, Long T, Garcia P, Kropf N, Klassen AF, et al. Chest and upper body morbidity following immediate postmastectomy breast reconstruction. Annals of surgical oncology. 2014;21(1):107-12.

Klassen AF, Cano SJ, Scott AM, Pusic AL. Measuring outcomes that matter to face-lift patients: development and validation of FACE-Q appearance appraisal scales and adverse effects checklist for the lower face and neck. Plast Reconstr Surg. 2014;133(1):21-30.

Klassen AF, Cano SJ, Scott A, Tsangaris E, Pusic AL. Assessing outcomes in body contouring. Clinics in plastic surgery. 2014;41(4):645-54.

Cano SJ, Klassen AF, Scott A, Alderman A, Pusic AL. Interpreting clinical differences in BREAST-Q scores: minimal important difference. Plast Reconstr Surg. 2014;134(1):173e-5e.

Cano S. Outcome measurement in Rhinoplasty: The Prominence & Potential of Patient Reported Outcomes. Autumn Meeting of the British Society of Rhinoplasty Surgeons; 2014; Leicester, UK

Cano S. Facial Assessment Scales in Clinical Practice: The Prominence & Potential of Patient Reported Outcomes. Facial Aesthetic Conference and Exhibition; 2014; London, UK

Albornoz CR, Matros E, McCarthy CM, Klassen A, Cano SJ, Alderman AK, et al. Implant breast reconstruction and radiation: a multicenter analysis of long-term health-related quality of life and satisfaction. Annals of surgical oncology. 2014;21(7):2159-64.

Wong KWY, Fayed N, Forrest CR, Goodacre T, Pusic A, Gosain A Klaus de Camargo O, et al. Content comparison of the qualitative data informing the CLEFT-Q to generic instruments (PedsQL 4.0, CHQ, KINDL) using the ICF-CY classification. 12th International Congress on Cleft Lip/Palate and Related Craniofacial Anomalies; 2013; Orlando, FL, USA.

Wong K, Goodacre T, Forrest C, Pusic A, Cano S, Klassen A. CLEFT-Q: Cross-cultural and age-related similarities in developing a patient-reported outcome instrument for children with cleft lip and/or palate. ISOQOL; Miami, FL, USA, 2013.

Wildgoose P, Scott A, Pusic AL, Cano S, Klassen AF. Psychological screening measures for cosmetic plastic surgery patients: a systematic review. Aesthet Surg J. 2013;33(1):152-9.

Pusic AL, Klassen AF, Scott AM, Cano SJ. Development and psychometric evaluation of the FACE-Q satisfaction with appearance scale: a new patient-reported outcome instrument for facial aesthetics patients. Clinics in plastic surgery. 2013;40(2):249-60.

Pusic A, Klassen AF, Scott AM, Cano S. Psychometric development of a new PRO instrument: The FACE-Q scales for facelift patients. Canadian Society of Plastic Surgery Meeting; 2013; Calgary, Canada.

Panchapakesan V, Klassen AF, Cano SJ, Scott AM, Pusic AL. Development and psychometric evaluation of the FACE-Q Aging Appraisal Scale and Patient-Perceived Age Visual Analog Scale. Aesthet Surg J. 2013;33(8):1099-109.

Klassen AF, Cano S, Scott AM, Pusic AL. Measuring Outcomes that Matter to Facelift Patients: The FACE-Q Appearance and Age Appraisal Scales and Adverse Effects Checklist. British Association of Aesthetic Plastic Surgeons; 2013; London, UK.

Klassen A, Cano S, Scott AM, Pusic AL. Introducing FACE-Q Scales for Patient Screening and for Psychosocial Well-being. British Association of Aesthetic Plastic Surgeons; 2013; London, UK.

Ho AL, Klassen AF, Cano S, Scott AM, Pusic AL. Optimizing patient-centered care in breast reconstruction: the importance of preoperative information and patient-physician communication. Plast Reconstr Surg. 2013;132(2):212e-20e.

Cano SJ, Klassen AF, Scott AM, Pusic AL. A closer look at the BREAST-Q((c)). Clinics in plastic surgery. 2013;40(2):287-96.

Cano SJ, Klassen AF, Scott A, Cordeiro PG, Pusic AL. Reply: The Rasch model: "Litmus Test" de rigueur for rating scales? Plast Reconstr Surg. 2013;131(2):286e-8e.

Wong KWY, Fayed N, Forrest CR, Goodacre T, Pusic A, Gosain A, et al. Content comparison of the qualitative data informing the CLEFT-Q to generic instruments (Peds-QL 4.0, CHQ, KINDL) using the ICF-CY classification. ISOQOL; 2012; Budapest, Hungary.

Wong KW, Goodacre T, Forrest CR, Pusic AL, Johnson J, Lawson J, et al. Informing the CLEFT-Q: Defining the gap in the measurement of health concepts important to patients with cleft lip and/or palate. Appearance Matters 5 2012; Bristol, UK.

Wong KW, Goodacre T, Forrest CF, Pusic A, Gosain A, Johnson J, et al. Developing a Patient-Reported Outcome Measure for Cleft Lip and Palate (CLEFT-Q): Item Generation. Canadian Society of Plastic Surgeons Annual Meeting; 2012; Toronto, Canada.

Scott AM, Cano S, Warren R, VanLaeken NY, Pusic AL. Measuring Quality of Life in Facial Aesthetic Patients: Field-testing of a new Modular system (THE FACE-Q). Canadian Society of Plastic Surgeons Annual Meeting; 2012; Toronto, Canada.

Pusic AL, Klassen AF, Snell L, Cano SJ, McCarthy C, Scott A, et al. Measuring and managing patient expectations for breast reconstruction: impact on quality of life and patient satisfaction. Expert Rev Pharmacoecon Outcomes Res. 2012;12(2):149-58.

Pusic AL, Klassen AF, Cano SJ. Discussion: The BREAST-Q: further validation in independent clinical trials. Plast Reconstr Surg. 2012;130(3):482e-3e; author reply 3e.

Pusic AL, Klassen AF, Cano SJ. Use of the BREAST-Q in clinical outcomes research. Plast Reconstr Surg. 2012;129(1):166e-7e; author reply 7e.

Pusic AL, Klassen A, Scott AM, Cano S. Measuring quality of life in facial aesthetic patients: Field testing of a new modular system (The FACE-Q). Appearance Matters 5; 2012; Bristol, UK.

Pusic A, Klassen A, Scott AM, Cano S, Shouery M, Basch EM. Feasibility and acceptability of patient-reported outcomes data collection for clinical care following breast reconstruction. American Society of Clinical Oncology; 2012; Chicago, IL, USA.

Pusic A, Cano S, Klassen A, Scott AM, Shouery M, Basch E, et al. Feasibility and acceptability of patient-reported outcomes data collection for clinical care following breast reconstruction. ISOQOL; Budapest, Hungary, 2012.

Price AN, Scott AM, Klassen A, Cano S, Mehrara BJ, Disa JJ, et al. Patient-reported satisfaction with psychosocial and sexual well-being and the nipple areola complex: comparison of preservation and reconstruction. ISOQOL; Budapest, Hungary, 2012.

Price AN, Pusic AL, Cano S, VanLaeken N, Johnson J, Klassen AF. The BODY-Q: A new patient-reported outcome (PRO) measure for body contouring patients. Canadian Society of Plastic Surgeons Annual Meeting; 2012; Toronto, Canada.

McCarthy CM, Cano SJ, Klassen AF, Scott A, Van Laeken N, Lennox PA, et al. The magnitude of effect of cosmetic breast augmentation on patient satisfaction and health-related quality of life. Plast Reconstr Surg. 2012;130(1):218-23.

Klassen AF, Tsangaris E, Forrest CR, Wong KW, Pusic AL, Cano SJ, et al. Quality of life of children treated for cleft lip and/or palate: a systematic review. Journal of plastic, reconstructive & aesthetic surgery : JPRAS. 2012;65(5):547-57.

Klassen AF, Cano SJ, Scott A, Johnson J, Pusic AL. Satisfaction and quality-of-life issues in body contouring surgery patients: a qualitative study. Obesity surgery. 2012;22(10):1527-34.

Ho AL, Klassen A, Cano S, Scott AM, Pusic A. Optimizing satisfaction in breast reconstruction: the importance of the preoperative information and patient-physician communication. ISOQOL; Budapest, Hungary, 2012.

Cano SJ, Klassen AF, Scott AM, Cordeiro PG, Pusic AL. The BREAST-Q: further validation in independent clinical samples. Plast Reconstr Surg. 2012;129(2):293-302.

Albornoz CR, Matros M, Pusic A, Klassen A, Cano S, McCarthy C, et al. Breast reconstruction and radiation: an analysis of quality of life and satisfaction among patients undergoing implant reconstruction. ISOQOL; 2012; Budapest, Hungary.

Scott AM, Klassen AF, Pusic AL, Cano S, Cordeiro PG, Morrow M, et al. Adaptation of existing PRO measures for use in additional patient populations: The BREAST-Q© BCT Module. ISOQOL; 2011; Denver, CO, USA.

Scott A, Pusic AL, Cano SJ, Johnson J, Lawson JL, Wildgoose P, et al. The BODY-Q: A New Patient-Reported Outcome (PRO) Measure for Body Contouring Patients (CP). ISOQOL; Denver, CO, USA 2011.

Reavey PL, Klassen AF, Cano SJ, McCarthy C, Scott A, Rubin JP, et al. Measuring quality of life and patient satisfaction after body contouring: a systematic review of patient-reported outcome measures. Aesthet Surg J. 2011;31(7):807-13.

Pusic AL, Lemaine V, Klassen AF, Scott AM, Cano SJ. Patient-reported outcome measures in plastic surgery: use and interpretation in evidence-based medicine. Plast Reconstr Surg. 2011;127(3):1361-7.

Klassen A, Goodacre T, Wong K, Pusic A, Cano S, Tsangaris E, et al. Developing a Patient-Reported Outcome Measure for Cleft-Lip and/or Palate Patients. ISOQOL; 2011; Denver, CO, USA.

Chen CM, Klassen AF, Cano SJ, Pusic AL. BCTOS in Measuring HR-QoL After Breast-Conserving Therapy. The Breast Journal. 2011;17(4):443.

Cano SJ, Pusic AL, Klassen A. From BREAST-Q © to Q-Score ©: Using Rasch Measurement to better capture breast surgery outcomes. Proceedings from the Joint International IMEKO TC1+ TC7+ TC13 Symposium. 2011:82-94.

Snell LJ, Cano SJ, Klassen AF, McCarthy CM, Scott AM, Cordeiro PG, et al. Measuring and managing patient expectation for breast reconstruction: A new preoperative patient assessment tool. ISOQOL; 2010; London, UK.

Snell L, McCarthy C, Klassen A, Cano S, Rubin L, Hurley K, et al. Clarifying the expectations of patients undergoing implant breast reconstruction: a qualitative study. Plast Reconstr Surg. 2010;126(6):1825-30.

Scott AM, McCarthy CM, Klassen AF, Cano SJ, Pusic AL, Jhanwar SM. Development of a new BREAST-Q module for Breast Cancer Patients: The Breast-Conserving Therapy (BCT) Module ISOQOL; London, UK, 2010.

Pusic AL, Klassen AF, Scott AM, Cano SJ. Discussion. The measure of face-lift patient satisfaction: the Owsley Facelift Satisfaction Survey with a long-term follow-up study. Plast Reconstr Surg. 2010;126(1):258-60.

McCarthy CM, Klassen AF, Cano SJ, Scott A, Vanlaeken N, Lennox PA, et al. Patient satisfaction with postmastectomy breast reconstruction: a comparison of saline and silicone implants. Cancer. 2010;116(24):5584-91.

Klassen AF, Cano SJ, Scott A, Snell L, Pusic AL. Measuring patient-reported outcomes in facial aesthetic patients: development of the FACE-Q. Facial plastic surgery : FPS. 2010;26(4):303-9.

Chen CM, Cano SJ, Klassen AF, King T, McCarthy C, Cordeiro PG, et al. Measuring quality of life in oncologic breast surgery: a systematic review of patient-reported outcome measures. The breast journal. 2010;16(6):587-97.

Rubin LR, Klassen A, Cano SJ, Hurley K, Pusic AL. Motivations for breast surgery: a qualitative comparison study of breast reconstruction, augmentation, and reduction patients. The breast journal. 2009;15(6):666-7.

Pusic AL, Reavey PL, Klassen AF, Scott A, McCarthy C, Cano SJ. Measuring patient outcomes in breast augmentation: introducing the BREAST-Q Augmentation module. Clinics in plastic surgery. 2009;36(1):23-32, v.

Pusic AL, Klassen AF, Scott AM, Klok JA, Cordeiro PG, Cano SJ. Development of a new patient-reported outcome measure for breast surgery: the BREAST-Q. Plast Reconstr Surg. 2009;124(2):345-53.

Kosowski TR, McCarthy C, Reavey PL, Scott AM, Wilkins EG, Cano SJ, et al. A systematic review of patient-reported outcome measures after facial cosmetic surgery and/or nonsurgical facial rejuvenation. Plast Reconstr Surg. 2009;123(6):1819-27.

Klassen AF, Pusic AL, Scott A, Klok J, Cano SJ. Satisfaction and quality of life in women who undergo breast surgery: a qualitative study. BMC women's health. 2009;9:11-18.

Cano SJ, Klassen A, Pusic AL. The science behind quality-of-life measurement: a primer for plastic surgeons. Plast Reconstr Surg. 2009;123(3):98e-106e.

Pusic AL, McCarthy C, Cano SJ, Klassen AF, Kerrigan CL. Clinical research in breast surgery: reduction and postmastectomy reconstruction. Clinics in plastic surgery. 2008;35(2):215-26.

Pusic AL, Klassen A, Cano SJ, Kerrigan CL. Validation of the breast evaluation questionnaire. Plast Reconstr Surg. 2007;120(1):352-3.

Pusic AL, Chen CM, Cano S, Klassen A, McCarthy C, Collins ED, et al. Measuring quality of life in cosmetic and reconstructive breast surgery: a systematic review of patient-reported outcomes instruments. Plast Reconstr Surg. 2007;120(4):823-37; discussion 38-9.

Cano SJ, Browne JP, Lamping DL, Roberts AH, McGrouther DA, Black NA. The Patient Outcomes of Surgery-Head/Neck (POS-head/neck): a new patient-based outcome measure. Journal of plastic, reconstructive & aesthetic surgery : JPRAS. 2006;59(1):65-73.

Cano SJ, Browne JP, Lamping DL. Patient-based measures of outcome in plastic surgery: current approaches and future directions. British journal of plastic surgery. 2004;57(1):1-11.