Evidence map›Paper›PMID 21598065›Full record

ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2012

Rasch analysis of the Patient and Observer Scar Assessment Scale (POSAS) in burn scars.

Martijn B A van der Wal, Wim E Tuinebreijer, Monica C T Bloemen, Pauline D H M Verhaegen, Esther Middelkoop, Paul P M van Zuijlen

3 registry-linked trialsAbstract read
In one paragraph

Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 60 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 1 pooled it
–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.

NCT01489540 nacompletednot on this map

Cost-effectiveness of Laser Doppler Imaging in Burn Care in the Netherlands

TypeinterventionalSponsorAssociation of Dutch Burn CentresRan2011 to 2013Enrolled200ConditionsBurnsArmslaser Doppler imager (Moor)
NCT02985151 nacompletednot on this mapstarted 2016, after this paper: background citation

A Single Center, Double-blinded Randomized Placebo-controlled Trial to Evaluate Surgical Scars After Treatment With Fractional Carbon Dioxide Rejuvenation Laser Therapy

TypeinterventionalSponsorSt. Louis UniversityRan2016 to 2020Enrolled51ConditionsCicatrix, Carbon Dioxide LaserArmsSyneron-Candela CO2RE Laser
NCT04014400 naterminatednot on this mapstarted 2019, after this paper: background citation

A Randomized Controlled Trial Comparing Suprathel Versus Xeroform for the Management of Pediatric and Adult Split Thickness Skin Graft Donor Sites

TypeinterventionalSponsorUniversity of Colorado, DenverRan2019 to 2020Enrolled10ConditionsBurns, Skin Graft Complications, Skin, DeformityArmsSuprathel or Xeroform donor site application
3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  20. Co-design of an outcome measure for hand burn injuries.The British journal of occupational therapy · 2025
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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

6 authors.

Martijn B A van der WalAssociation of Dutch Burn Centers, Beverwijk, The Netherlands.
Wim E Tuinebreijer
Monica C T Bloemen
Pauline D H M Verhaegen
Esther Middelkoop
Paul P M van Zuijlen

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe Patient and Observer Scar Assessment Scale (POSAS) is a questionnaire that was developed to assess scar quality. It consists of two separate six-item scales (Observer Scale and Patient Scale), both of which are scored on a 10-point rating scale. After many years of experience with this scale in burn scar assessment, it is appropriate to examine its psychometric properties using Rasch analysis.

methodsCross-sectional data collection from seven clinical trials resulted in a data set of 1,629 observer scores and 1,427 patient scores of burn scars. We examined the person-item map, item fit statistics, reliability, response category ordering, and dimensionality of the POSAS.

resultsThe POSAS showed an adequate fit to the Rasch model, except for the item surface area. Person reliability of the Observer Scale and Patient Scale was 0.82 and 0.77, respectively. Dimensionality analysis revealed that the unexplained variance by the first contrast of both scales was 1.7 units. Spearman correlation between the Observer Scale Rasch measure and the overall opinion of the clinician was 0.75.

conclusionThe Rasch model demonstrated that the POSAS is a reliable and valid scale that measures the single-construct scar quality.

Indexed as

AdolescentAdultAgedAged, 80 and overBurnsChildChild, PreschoolCicatrixCross-Sectional StudiesFemaleHumansInfantMaleMiddle AgedPatientsPsychometrics

Identifiers

PMID21598065
PMCPMC3254877

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.