COSMIN database

How to assess postsurgical scars: A review of outcome measures

Authors:
Vercelli, S., Ferriero, G., Sartorio, F., Stissi, V., and Franchignoni, F.
Abstract:
Purpose. Complications of surgical incision include pathological scars with functional, cosmetic or psychological consequences. Postsurgical scar assessment is fundamental for a complete functional evaluation and as an outcome measure. Scar assessment scales are here reviewed and discussed from a clinical and psychometric point of view, with a clear definition of different scar parameters. Method. An extensive review of the English-language literature was conducted using the Medline database. Results. Four scales that satisfy psychometrical criteria were identified: Vancouver Scar Scale (VSS), Patient and Observer Scar Assessment Scale (POSAS), Manchester Scar Scale (MSS) and Stony Brook Scar Evaluation Scale (SBSES). Conclusions. To date, VSS is the most widely used rating scale for scars but POSAS appears the most comprehensive, taking into account the important aspect of patient’s perspective. The MSS has been never used for research, while SBSES has only been very recently proposed.
DOI:
10.3109/09638280902874196
URL:
<Go to ISI>://WOS:000272183600001
https://www.ncbi.nlm.nih.gov/pubmed/19888834
Journal:
Disability and Rehabilitation
issn:
0963-8288
Publication year:
2009
pages:
2055-2063
Symptom status:
Cognitive/mental state
Physical state
Age:
Adults (18-65)
Children (0-18)
Seniors (65+)
Disease:
Diseases of and symptoms related to the skin and subcutaneous tissue
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
PRO / non-PRO:
Non-patient Reported Outcome
Patient Reported Outcome
Type of measurement instrument:
1 - Questionnaires
6 - Clinical rating scales
7 - Observations
9 - Laboratory tests
Instrument:
MSS - Manchester Scar Scale
POSAS - Patient and Observer Scar Assessment Scale   [see: ZUYD (NL)]
SBSES - Stony Brook Scar Evaluation Scale
VSS - Vancouver Scar Scale