Russian Journal of Pediatric SurgeryRussian Journal of Pediatric SurgeryДетская хирургия1560-95102412-0677Eco-Vector79910.17816/ps799ReviewsОБЗОРЫReview ArticleScales for skin scar assessment. Clinical significance: a systematic reviewШкалы оценки кожных рубцов. Клиническая значимость: систематический обзор литературыhttps://orcid.org/0009-0006-6832-3318SavelevDmitri S.СавельевДмитрий Сергеевич
Russian Federation

MD

saveljevds@gmail.comhttps://orcid.org/0000-0001-9281-68722458-6382GorodkovSergey Y.ГородковСергей Юрьевич
Russian Federation

MD, Cand. Sci. (Medicine), Assoc. Professor

канд. мед. наук, доц.

gorodcov@yandex.ruhttps://orcid.org/0000-0002-6074-97804172-3482GoremykinIgor V.ГоремыкинИгорь Владимирович
Russian Federation

MD, Dr. Sci. (Medicine), Professor

д-р мед. наук, проф.

goremykine@gmail.comSaratov State Medical University named after V.I. RazumovskyСаратовский государственный медицинский университет имени В.И. Разумовского04122024191220242865805932003202412112024Copyright ©; 2024, Savelev D.S., Gorodkov S.Y., Goremykin I.V.Copyright ©; 2024, Савельев Д.С., Городков С.Ю., Горемыкин И.В.2024Savelev D.S., Gorodkov S.Y., Goremykin I.V.Савельев Д.С., Городков С.Ю., Горемыкин И.В.https://jps-nmp.ru/jour/article/view/799

A skin scar is a serious psychosocial problem for a person. Scars and cicatrices are synonymous terms. Interpretation of scar characteristics is necessary for monitoring purposes and, if necessary, for determining management tactics. Subjective characteristics of the scar (pain, itching, etc.) are very important for comprehensive understanding of its nature. Healing of skin wounds can lead to the formation of different types of scars: from minor lines to keloids. Physical and psychosocial aspects arising from a skin scar can worsen the patient's quality of life. Currently, an issue of the criteria, which are necessary to include them into a particular tool (scale) for comprehensive assessment of scars, remains controversial. The ideal scar rating scale should be easy for filling-in, and the measured parameters should be easily reproducible and interpretative. It is also important to define the scar impact at person’s psychosocial aspects (quality of life, self-esteem, social functioning). This literature review includes 19 full-text articles about 10 developed skin scar rating scales. The literature review was carried using data bases of PubMed, Web of Science, Google Scholar and Elibrary. The authors also have made a critical evaluation of the developed scales by clinimetrics requirements and denote their benefits for clinical practice.

Наличие кожного рубца — серьёзная психосоциальная проблема для человека. Шрам и рубец синонимичные понятия. Интерпретация характеристик рубца необходима в целях мониторинга и определения тактики лечения. Субъективные характеристики рубца (боль, зуд и т. д.) очень важны для формирования всесторонней оценки. Заживление кожных ран может привести к формированию разных типов рубцов — от незначительных линий до келоидов. Физические и психосоциальные аспекты наличия кожного рубца могут привести к снижению качества жизни пациента. На сегодняшний день спорным остаётся вопрос о том, какие именно критерии оценки рубца стоит внести в тот или иной инструмент (шкалу) для его всесторонней оценки. Идеальная шкала оценки рубца не должна вызывать трудности при заполнении, а результаты измерений должны быть легко воспроизводимы и интерпретируемы. Важно определить влияние рубца на психосоциальные параметры (качество жизни, самооценка, социальная функция пациента). В данный систематический обзор вошли 19 полнотекстовых статей, содержащих информацию о десяти разработанных шкалах оценки кожного рубца. Обзор произведён на основании поиска по базам данных PubMed, Web of Science, Google Scholar и Российского индекса научного цитирования. В нём содержится критическая оценка разработанных шкал с позиций клиниметрии, а также определена польза для клинической практики.

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