Evidence map›Paper›PMID 30793408›Full record

ArticleWound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society2019

Patient-reported scar quality of adults after burn injuries: A five-year multicenter follow-up study.

Inge Spronk, Suzanne Polinder, Juanita A Haagsma, Marianne Nieuwenhuis, Anouk Pijpe, Cornelis H van der Vlies, Esther Middelkoop, Margriet E van Baar

Abstract readMulticenter Study
In one paragraph

Article in Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. The Short- and Long-Term Outcome Priorities of a Western Australian Adult Burn Population.Journal of burn care & research : official publication of the American Burn Association · 2024
    Article
  10. Working Towards Holistic Scar Assessment and Improved Shared Decision Making in Global Burn Care.Journal of burn care & research : official publication of the American Burn Association · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Wound Pain as a Determinant of Function in Patients Hospitalised for Burns.International journal of environmental research and public health · 2023
    Article
  16. Article
  17. Article
  18. Article
  19. Activity Impairment, Work Status, and Work Productivity Loss in Adults 5-7 Years After Burn Injuries.Journal of burn care & research : official publication of the American Burn Association · 2022
    Article
  20. Scar quality in children with burns 5-7 years after injury: A cross-sectional multicentre study.Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society · 2021
    Article
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

8 authors.

Inge SpronkAssociation of Dutch Burn Centres, Maasstad Hospital, Rotterdam, The Netherlands.ORCID 0000-0001-9571-576X
Suzanne PolinderDepartment of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Juanita A HaagsmaDepartment of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Marianne NieuwenhuisAssociation of Dutch Burn Centres, Martini Hospital, Groningen, The Netherlands.
Anouk PijpeDepartment of Plastic, Reconstructive and Hand Surgery, Amsterdam Movement Sciences, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Cornelis H van der VliesBurn Centre, Maasstad Hospital, Rotterdam, The Netherlands.
Esther MiddelkoopDepartment of Plastic, Reconstructive and Hand Surgery, Amsterdam Movement Sciences, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
Margriet E van BaarAssociation of Dutch Burn Centres, Maasstad Hospital, Rotterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Scar formation is an important adverse consequence of burns. How patients appraise their scar quality is often studied shortly after sustaining the injury, but information in the long-term is scarce. Our aim was, therefore, to evaluate long-term patient-reported quality of burn scars. Adults with a burn center admission of ≥1 day between August 2011 and September 2012 were invited to complete a questionnaire on long-term consequences of burns. We enriched this sample with patients with severe burns (>20% total body surface area [TBSA] burned or TBSA full thickness >5%) treated between January 2010 and March 2013. Self-reported scar quality was assessed with the Patient Scale of the Patient and Observer Scar Assessment Scale (POSAS). Patients completed this scale for their-in their opinion-most severe scar ≥5 years after burns. This study included 251 patients with a mean %TBSA burned of 10%. The vast majority (91.4%) reported at least minor differences with normal skin (POSAS item score ≥2) on one or more scar characteristics and 78.9% of the patients' overall opinion was that their scar deviated from normal skin. Patients with severe burns had higher POSAS scores, representing worse scar quality, than patients with mild/intermediate burns, except for color, which was high in both groups. A longer hospital stay predicted reduced scar quality (both mean POSAS and mean overall opinion of the scar) in multivariate analyses. In addition, female gender was also associated with a poorer overall opinion of the scar. In conclusion, this study provides new insights in long-term scar quality. Scars differed from normal skin in a large part of the burn population more than 5 years after burns, especially in those with severe burns. Female gender is associated with a poorer patients' overall opinion of their scar, which may be an indication of gender differences in perception of scar quality after burns.

Indexed as

AdultBody Surface AreaBurnsCicatrixCross-Sectional StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedNetherlandsPatient Reported Outcome MeasuresWound Healing

Identifiers

PMID30793408
PMCPMC6850449

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.