ArticleArchives of plastic surgery2019
A novel photonumeric hand grading scale for hand rejuvenation.
Article in Archives of plastic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- Dorsal Hand Rejuvenation: A Systematic Review of the Literature.Aesthetic plastic surgery · 2021Pooled it
- Efficacy and safety of non-thermal nitrogen plasma versus long-pulsed Nd:YAG laser for hand rejuvenation.Lasers in medical science · 2022Trial
- Evolving Trends and Practice in Plastic Surgery in a Resource-constrained Setting: A 27-year Review From Nepal.Plastic and reconstructive surgery. Global open · 2025Article
- Non-Facial Skin Rejuvenation of the Neck, Chest, and Hands. Part One: Using Injections.Journal of cosmetic dermatology · 2025Review
- Collagen Stimulators in Body Applications: A Review Focused on Poly-L-Lactic Acid (PLLA).Clinical, cosmetic and investigational dermatology · 2022Review
- A Single-Center Pilot Study to Classify Signs of Dorsal Hand Aging Using 3 Grading Scales.Aesthetic surgery journal. Open forum · 2022Article
- Validating a Series of Photonumeric Rating Scales for Use in Facial Aesthetics Using Statistical Analysis of Intra- and Inter-rater Reliability.Aesthetic surgery journal. Open forum · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundFew scales are currently available to evaluate changes in hand volume. We aimed to develop a hand grading scale for quantitative assessments of dorsal hand volume with additional consideration of changes in skin texture; to validate and prove the precision and reproducibility of the new scale; and to demonstrate the presence of clinically significant differences between grades on the scale.
methodsFive experienced plastic surgeons developed the Hand Volume Rating Scale (HVRS) and rated 91 images. Another five plastic surgeons validated the scale using 50 randomly selected images. Intra- and inter-rater agreement was calculated using the weighted kappa statistic and intraclass correlation coefficients (ICCs). Paired images were also evaluated to verify whether the scale reflected clinical differences.
resultsThe intra-rater agreement was 0.95 (95% confidence interval, 0.922-0.974). The interrater ICCs were excellent (first rating, 0.94; second rating, 0.94). Image pairs that differed by 1, 2, and 3 grades were considered to contain clinically relevant differences in 80%, 100%, and 100% of cases, respectively, while 84% of image pairs of the same grade were found not to show clinically relevant differences. This confirmed that the scale of the HVRS corresponded to clinically relevant distinctions.
conclusionsThe scale was proven to be precise, reproducible, and reflective of clinical differences.
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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.