Scales for skin scar assessment. Clinical significance: a systematic review

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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.

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作者简介

Dmitri Savelev

Saratov State Medical University named after V.I. Razumovsky

编辑信件的主要联系方式.
Email: saveljevds@gmail.com
ORCID iD: 0009-0006-6832-3318

MD

俄罗斯联邦, Saratov

Sergey Gorodkov

Saratov State Medical University named after V.I. Razumovsky

Email: gorodcov@yandex.ru
ORCID iD: 0000-0001-9281-6872
SPIN 代码: 2458-6382

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

俄罗斯联邦, Saratov

Igor Goremykin

Saratov State Medical University named after V.I. Razumovsky

Email: goremykine@gmail.com
ORCID iD: 0000-0002-6074-9780
SPIN 代码: 4172-3482

MD, Dr. Sci. (Medicine), Professor

俄罗斯联邦, Saratov

参考

  1. Krakowski AC, Totri CR, Donelan MB, Shumaker PR. et al. Scar management in the pediatric and adolescent populations. Pediatrics. 2016;137(2):e20142065. doi: 10.1542/peds.2014-2065
  2. Lawrence JW, Mason ST, Schomer K, Klein MB. Epidemiology and impact of scarring after burn injury: A systematic review of the literature. J Burn Care Res. 2012;33(1):136–146. doi: 10.1097/BCR.0b013e3182374452
  3. Gilboa D, Bisk L, Montag I, Tsur H. Personality traits and psychosocial adjustment of patients with burns. J Burn Care Rehab. 2015;20(4):340–346; discussion 338–339.
  4. Moher D, Liberati A, Tetzlaff J, et al. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med. 2009;6(7):e1000097. doi: 10.1371/journal.pmed.1000097
  5. Beausang E, Floyd H, Dunn KW, et al. A new quantitative scale for clinical scar assessment. Plast Reconstr Surg. 1998;102(6):1954–1961. doi: 10.1097/00006534-199811000-00022
  6. Bock O, Schmid-Ott G, Malewski P, Mrowietz U. Quality of life of patients with keloid and hypertrophic scarring. Arch Dermatol Res. 2006;297(10):433–438. EDN: CMOAII doi: 10.1007/s00403-006-0651-7
  7. Singer AJ, Arora B, Dagum A, et al. Development and validation of a novel scar evaluation scale. Plast Reconstr Surg. 2007;120(7):1892–1897. doi: 10.1097/01.prs.0000287275.15511
  8. Durani P, McGrouther DA, Ferguson MW. The patient scar assessment questionnaire: A reliable and valid patient-reported outcomes measure for linear scars. Plast Reconstr Surg. 2009;123(5):1481–1489. doi: 10.1097/PRS.0b013e3181a205de
  9. Kantor J. Utilizing the Patient Attitudes to Scarring Scale (PASS) to develop an outcome measure for postoperative scarring: A study in 430 patients. J Am Acad Dermatol. 2016;74(6):1280–1281.e2. doi: 10.1016/j.jaad.2016.01.026
  10. Kantor J. The SCAR (Scar Cosmesis Assessment and Rating) scale: Development and validation of a new outcome measure for postoperative scar assessment. Br J Dermatol. 2016;175(6):1394–1396. doi: 10.1111/bjd.14812
  11. Truong PT, Abnousi F, Yong CM, et al. Standardized assessment of breast cancer surgical scars integrating the Vancouver Scar Scale, Short-Form McGill Pain Questionnaire, and patients’ perspectives. Plast Reconstr Surg. 2005;116(5):1291–1299. doi: 10.1097/01.prs.0000181520.87883.94
  12. Choi Y, Lee JH, Kim YH, et al. Impact of postthyroidectomy scar on the quality of life of thyroid cancer patients. Ann Dermatol. 2014;26(6):693–699. doi: 10.5021/ad.2014.26.6.693
  13. Balci DD, Inandi T, Dogramaci CA, Celik E. DLQI scores in patients with keloids and hypertrophic scars: A prospective case control study. J Dtsch Dermatol Ges. 2009;7(8):688–692. doi: 10.1111/j.1610-0387.2009.07034.x
  14. Van de Kar AL, Corion LU, Smeulders MJ, et al. Reliable and feasible evaluation of linear scars by the Patient and Observer Scar Assessment Scale. Plast Reconstr Surg. 2005;116(2):514–522. doi: 10.1097/01.prs.0000172982.43599.d6
  15. Deslauriers V, Rouleau DM, Alami G, MacDermid JC. Translation of the Patient Scar Assessment Scale (PSAS) to French with cross-cultural adaptation, reliability evaluation and validation. Can J Surg. 2009;52(6):E259–263.
  16. Truong PT, Lee JC, Soer B, et al. Reliability and validity testing of the Patient and Observer Scar Assessment Scale in evaluating linear scars after breast cancer surgery. Plast Reconstr Surg. 2007;119(2):487–494. doi: 10.1097/01.prs.0000252949.77525.bc
  17. Shao K, Taylor L, Miller CJ, et al. The natural evolution of facial surgical scars: A retrospective study of physician-assessed scars using the patient and observer scar assessment scale over two time points. Facial Plast Surg Aesthet Med. 2021;23(5):330–338. doi: 10.1089/fpsam.2020.0228
  18. Economopoulos KP, Petralias A, Linos E, Linos D. Psychometric evaluation of Patient Scar Assessment Questionnaire following thyroid and parathyroid surgery. Thyroid. 2012;22(2):145–150. doi: 10.1089/thy.2011.0265
  19. Brown BC, Moss TP, McGrouther DA, Bayat A. Skin scar preconceptions must be challenged: Importance of self-perception in skin scarring. J Plastic, Reconstructive Aesthetic Surg. 2010;63(6):1022–1029. doi: 10.1016/j.bjps.2009.03.019
  20. Nicholas RS, Falvey H, Lemonas P, et al. Patient-related keloid scar assessment and outcome measures. Br J Plast Surg. 2012;129(3):648–656. doi: 10.1097/PRS.0b013e3182402c51
  21. Kantor J. Reliability and Photographic Equivalency of the Scar Cosmesis Assessment and Rating (SCAR) scale, an Outcome Measure for Postoperative Scars. JAMA Dermatol. 2017;153(1):55–60. doi: 10.1001/jamadermatol.2016.3757
  22. Huang LC, Chen DZ, Chen LW, et al. The use of the Scar Cosmesis Assessment and Rating scale to evaluate the cosmetic outcomes of totally thoracoscopic cardiac surgery. J Cardiothorac Surg. 2020;15(1):250. EDN: ZZQUQM doi: 10.1186/s13019-020-01294-w
  23. Ferriero G, Vercelli S, Salgovic L, et al. Validation of a new device to measure postsurgical scar adherence. Phys Ther. 2010;90(5):776–783. doi: 10.2522/ptj.20090048
  24. Sullivan T, Smith J, Kermode J, et al. Rating the burn scar. J Burn Care Rehabil. 1990;11(3):256–260. doi: 10.1097/00004630-199005000-00014
  25. Finlay AY, Khan GK. Dermatology Life Quality Index (DLQI): A simple practical measure for routine clinical use. Clin Exp Dermatol. 1994;19(3):210–216. doi: 10.1111/j.1365-2230.1994.tb01167.x
  26. Draaijers LJ, Tempelman FR, Botman YA, et al. The Patient and Observer Scar Assessment Scale: A reliable and feasible tool for scar evaluation. Plast Reconstr Surg. 2004;113(7):1960–1965; discussion 1966–1967. doi: 10.1097/01.prs.0000122207.28773.56
  27. Brown BC, McKenna SP, Solomon M, et al. The patient-reported impact of scars measure: Development and validation. Plast Reconstr Surg. 2010;125(5):1439–1449. doi: 10.1097/PRS.0b013e3181d4fd89
  28. Baryza MJ, Baryza GA. The Vancouver Scar Scale: An administration tool and its interrater reliability. J Burn Care Rehabil. 1995;16(5):535–538. doi: 10.1097/00004630-199509000-00013
  29. Carrière ME, Kwa KA, de Haas LE, et al. Systematic review on the content of outcome measurement instruments on scar quality. Plast Reconstr Surg Glob Open. 2019;7(9):e2424. doi: 10.1097/GOX.0000000000002424
  30. Basra MK, Fenech R, Gatt RM, et al. The Dermatology Life Quality Index 1994–2007: A comprehensive review of validation data and clinical results. Br J Dermatol. 2008;159(5):997–1035. doi: 10.1111/j.1365-2133.2008.08832.x
  31. Fearmonti R, Bond J, Erdmann D, Levinson H. A review of scar scales and scar measuring devices. Eplasty. 2010;10:e43.
  32. McOwan CG, MacDermid JC, Wilton J. Outcome measures for evaluation of scar: A literature review. J Hand Ther. 2001;14(2):77–85. doi: 10.1016/s0894-1130(01)80037-5
  33. Van der Wal MB, Tuinebreijer WE, Bloemen MC, et al. Rasch analysis of the Patient and Observer Scar Assessment Scale (POSAS) in burn scars. Qual Life Res. 2012;21(1):13–23. EDN: NKSKAE doi: 10.1007/s11136-011-9924-5
  34. Lindeboom JA, van Coppenraet ES, Kuijper EJ, et al. Interpretation and precision of the Observer Scar Assessment Scale improved by a revised scoring. J Clin Epidemiol. 2008;61(12):1289–1295. doi: 10.1016/j.jclinepi.2008.04.001
  35. Singer AJ, Dagum AB. Current management of acute cutaneous wounds. N Engl J Med. 2008;359(10):1037–1046. doi: 10.1056/NEJMra0707253
  36. Durani P, Rimouche S, Ross G. “How many plastic surgeons does it take to write a research article?”: Authorship proliferation in and internationalisation of the plastic surgery literature. J Plast Reconstr Aesthet Surg. 2007;60(8):956–957. doi: 10.1016/j.bjps.2006.08.002
  37. Durani P. Patient assessments of scarring: Patient-reported impact of scars measure or patient scar assessment questionnaire? Plast Reconstr Surg. 2011;127(4):1744–1745. doi: 10.1097/PRS.0b013e31820a667c
  38. Powers PS, Sarkar S, Goldgof DB, et al. Scar assessment: Current problems and future solutions. J Burn Care Rehabil. 1999;20(1, Pt. 1): 54–60; discussion 53. doi: 10.1097/00004630-199901001-00011
  39. Nedelec B, Shankowsky HA, Tredget EE. Rating the resolving hypertrophic scar: Comparison of the Vancouver Scar Scale and scar volume. J Burn Care Rehabil. 2000;21(3):205–212. doi: 10.1067/mbc.2000.104750
  40. Bond TG, Fox CM. Applying the Rasch model: Fundamental measurement in the human sciences. 2nd ed. Mahwah: Lawrence Erlbaum Associates; 2007. 360 р.
  41. Ferriero G, Vercelli S, Salgovic L, Sartorio F. Adherent scars: Do they really exist? Wound Repair Regen. 2015;23(2):297–298. doi: 10.1111/wrr.12276
  42. Smart A. A multi-dimensional model of clinical utility. Int J Qual Health Care. 2006;18(5):377–382. EDN: IQESXZ doi: 10.1093/intqhc/mzl034
  43. Durani P, McGrouther DA, Ferguson MW. Current scales for assessing human scarring: A review. J Plastic Reconstructive Aesthetic Surg. 2009;62(6):713–720. doi: 10.1016/j.bjps.2009.01.080
  44. Taylor ME, Perez CA, Halverson KJ, et al. Factors influencing cosmetic results after conservation therapy for breast cancer. Int J Radiat Oncol Biol Phys. 1995;31(4):753–764. EDN: ASNMTR doi: 10.1016/0360-3016(94)00480-3
  45. Lumenta DB, Siepmann E, Kamolz LP. Internet-based survey on current practice for evaluation, prevention, and treatment of scars, hypertrophic scars, and keloids. Wound Repair Regen. 2014;22(4):483–491. doi: 10.1111/wrr.12185
  46. Hoogewerf CJ, van Baar ME, Middelkoop E, van Loey NE. Patient reported facial scar assessment: Directions for the professional. Burns. 2014;40(2):347–353. doi: 10.1016/j.burns.2013.07.015
  47. Vercelli S, Ferriero G, Sartorio F, et al. How to assess postsurgical scars: A review of outcome measures. Disabil Rehabil. 2009;31(25):2055–2063. doi: 10.3109/09638280902874196
  48. POSAS [Internet]. User instructions POSAS 3.0 [cited 2024 Jul 15]. Available from: https://www.posas.nl/instructions/
  49. Gnipov PA, Baindurashvili AG, Brazol MA. Vancouver scar scale for assessing the long-term cosmetic results of surgical treatment of children with deep neck burns. Russ J Pediatric Sur Anesthesia Intensive Care. 2021;11(4):475–484. EDN: PDGEJY doi: 10.17816/psaic1004
  50. Rietschel CH, Reese JB, Hahn AP, Fauerbach JA. Clinical and psychiatric characteristics of self-inflicted burn patients in the United States: Comparison with a Nonintentional Burn Group. J Burn Care Res. 2015;36(3):381–386. doi: 10.1097/BCR.0000000000000100
  51. Dijkshoorn JN, van Baar ME, Pijpe A, et al. Patient-reported scar quality in paediatric and adult burn patients: A long-term multicentre follow-up study. Burns. 2024;S0305-4179(24):00203-1. doi: 10.1016/j.burns.2024.07.007
  52. Masters M, McMahon M, Svens B. Reliability testing of a new scar assessment tool, Matching Assessment of Scars and Photographs (MAPS). J Burn Care Rehabil. 2005;26(3):273–284.
  53. Yeong EK, Mann R, Engrav LH, et al. Improved burn scar assessment with use of a new scar-rating scale. J Burn Care Rehabil. 1997;18(4):353–355; discussion 352. doi: 10.1097/00004630-199707000-00014
  54. Crowe JM, Simpson K, Johnson W, Allen J. Reliability of photographic analysis in determining change in scar appearance. J Burn Care Rehabil. 1998;19(2):183–186. doi: 10.1097/00004630-199803000-00019
  55. Hultman CS, Friedstat JS, Edkins RE, et al. Laser resurfacing and remodeling of hypertrophic burn scars: The results of a large, prospective, before-after cohort study, with long-term follow-up. Ann Surg. 2014;260(3):519–529; discussion 529-532. doi: 10.1097/SLA.0000000000000893

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版权所有 © Savelev D.S., Gorodkov S.Y., Goremykin I.V., 2024

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