Evidence map›Paper›PMID 40035349›Full record

Trial reportJournal of cosmetic dermatology2025

A Retrospective Analysis of the Effectiveness of Fractional CO₂ Laser Therapy in Treating Linear Scars: Investigating the Ideal Timing for Intervention.

Ganlin Gu, Liyue Ji, Xiaonan Qiu, Jing Zhang

Abstract readClinical Trial
In one paragraph

Trial report in Journal of cosmetic dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. 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

4 authors.

Ganlin GuDepartment of Dermatology, The Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.
Liyue JiDepartment of Dermatology, Sun Yat-Sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Xiaonan QiuDepartment of Dermatology, Sun Yat-Sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.ORCID https://orcid.org/0000-0002-7547-9832
Jing ZhangDepartment of Dermatology, Sun Yat-Sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.ORCID https://orcid.org/0000-0002-7068-9814

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLinear scars, resulting from surgical incisions or traumatic injuries, can pose both aesthetic and functional dilemmas. Ablative fractional CO₂ laser (AFCL) therapy has been recognized for its ability to enhance the appearance and flexibility of scars; however, the ideal timing for such treatments remains a subject of debate.

aimsThis study retrospectively evaluates the effectiveness of AFCL in treating linear atrophic and hypertrophic scars, with a focus on identifying the optimal timing to achieve the best possible outcomes.

methodsPatients who underwent treatment for linear scars using AFCL at our hospital between January 2022 and July 2024 were included in the study. Participants were categorized into two groups: those with atrophic scars and those with hypertrophic scars. Hypertrophic scars were assessed using the Vancouver Scar Scale (VSS), whereas atrophic scars were evaluated with the Scar Cosmesis Assessment and Rating (SCAR) scale. Furthermore, considering the timing of scar formation-with a six-month period as the threshold-two subgroups were categorized as early treatment and late treatment. The disparities in scar improvement rates were then computed and subjected to analysis.

resultsAmong 55 patients, 31 had atrophic scars and 24 had hypertrophic scars. AFCL treatment significantly improved clinical scores in both groups. The SCAR score for atrophic scars decreased from 6.50 (SD 1.31) to 4.92 (SD 1.71) (p < 0.001), and the VSS score for hypertrophic scars decreased from 6.02 (SD 0.46) to 2.73 (SD 0.39) (p < 0.001). The early-treatment subgroup showed a 35.38% (SD 24.54%) improvement in atrophic scars, significantly higher than the 12.53% (SD 25.65%) in the late-treatment subgroup (p = 0.018). No significant timing effect was found for hypertrophic scars (p = 0.764).

conclusionAFCL is an effective treatment for linear scars. Early intervention, specifically within the first 6 months, leads to superior outcomes for atrophic scars. In contrast, the timing of treatment is less critical for hypertrophic scars.

trial registrationChinese clinical trial registry: Registration no. ChiCTR2400092038.

Indexed as

CicatrixLasers, GasLaser TherapyTime FactorsTime-to-TreatmentAdultFemaleHealth Status IndicatorsHumansMaleRetrospective StudiesTreatment OutcomeYoung Adultablative fractional CO₂ laseratrophic scarhypertrophic scarscar treatmenttreatment timing

Identifiers

PMID40035349
PMCPMC11877625

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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.