Evidence map›Paper›PMID 41912279›Full record

Observational studyInternational wound journal2026

Racial and Skin Tone Differences in Scar Maturation: A Prospective Analysis of Aesthetic and Physiological Outcomes Using the Modified POSAS Scale.

Antoinette T Nguyen, Rena A Li, Tarifa H Adam, Thomas A Mustoe, Chad Teven, Robert D Galiano

Abstract readObservational Study
In one paragraph

Observational study in International wound journal, 2026. 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

6 authors.

Antoinette T NguyenUniversity of Rochester School of Medicine and Dentistry, Rochester, New York, USA.ORCID https://orcid.org/0009-0003-3375-3818
Rena A LiNorthwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Tarifa H AdamNorthwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Thomas A MustoeNorthwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Chad TevenNorthwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Robert D GalianoNorthwestern University Feinberg School of Medicine, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0001-9552-6483

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Scar outcomes are known to vary by skin tone and race, yet few studies have systematically evaluated these differences using validated tools. To evaluate differences in scar maturation across Fitzpatrick skin types and racial groups from 3 to 12 months postoperatively using the modified Patient and Observer Scar Assessment Scale (POSAS) scale. We conducted a prospective observational study of 40 patients undergoing breast surgery at a single academic centre. All scars were assessed at 3 and 12 months postoperatively using the modified POSAS. Fitzpatrick skin types were categorized into I-II, III-IV, and V-VI, and racial groups included Caucasian, Black, and Hispanic patients. Fitzpatrick Types I-II had the greatest vascularity reduction (-2.06 ± 2.10), while Types V-VI showed the least improvement (-0.80 ± 1.61). Pigmentation increased in Types V-VI (+0.35 ± 1.89) and improved in lighter skin tones. Black and Hispanic patients had significantly lower odds of favourable pigmentation outcomes (p < 0.07). Fitzpatrick Types V-VI also had lower odds of improved scar relief (OR = 0.125, p = 0.034). This study highlights differences in scar maturation across skin tone and racial categories using a standardized scale. These trends underscore the importance of tailoring postoperative scar counselling and interventions to individual patients' skin types and racial backgrounds.

Indexed as

CicatrixEstheticsRacial GroupsSkin PigmentationAdultAgedBlack or African AmericanFemaleHispanic or LatinoHumansMiddle AgedProspective StudiesWhiteFitzpatrick skin typesPOSASracescar assessmentskin tones

Identifiers

PMID41912279
PMCPMC13140535

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.