Reporting of scar outcomes in the hand and wrist; a state-of-the-art literature review

Kennedy, Donna; Chism-Balangue, Tracy; Furniss, Dominic

doi:10.1186/s12891-023-06296-y

Cited by 2 publications

(1 citation statement)

References 107 publications

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“…They must observe the lines of forces that are physiological at various levels of the skin. Any scar placed perpendicular to these lines of force will widen over time [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Surgical scar management - an evaluation of surgical techniques

Căiță,

Lascu,

Bodog

et al. 2024

Medicine and Pharmacy Reports

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The purpose of this narrative review is to analyze surgical techniques for removing scar tissue and minimizing them. A considerable proportion of the population have scars that are related to a traumatic event that they remember accurately, this being especially true for scars on the face, but also on the rest of the body if they are of significant size. The negative consequences of the esthetic damage are felt mainly in the family and at professional level, without losing sight of the fact that any person suffers as a result of the awareness of unsightly wounds or scars. To be successful, an aesthetic intervention must represent the optimal balance between science, the art of plastic surgery and the patient’s expectations. Good communication between surgeon and patient is also needed. We must state that there is no method of total removal of scars; even in the case of complex surgical techniques, the scar cannot be completely excised, but a much more aesthetic appearance can be obtained. Scars cannot be completely removed from the skin, they can improve their appearance by fading or thinning, initially by conservative treatment, later, if necessary, by surgical scar reduction techniques. Improving the appearance of a scar depends on the type of scar, its severity, its surface and location, the causing factors, the time elapsed from production to the application of specialized treatment.

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“…They must observe the lines of forces that are physiological at various levels of the skin. Any scar placed perpendicular to these lines of force will widen over time [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Surgical scar management - an evaluation of surgical techniques

Căiță,

Lascu,

Bodog

et al. 2024

Medicine and Pharmacy Reports

View full text Add to dashboard Cite

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What outcomes are important when evaluating people with hand scars? Results of an international clinician and researcher survey

Kennedy

Chism-Balangue

Dereham

et al. 2023

Preprint

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Background: Outcome evaluation in people with hand and wrist scars is not standardised. To improve clinical care and research rigour, the authors are developing a core outcome set (COS) for the evaluation of hand scars. This survey identified what international clinicians and academics consider important outcomes for inclusion when evaluating people with hand scarring. Methods: An electronic survey was developed, peer reviewed and disseminated via professional networks and social media. Professionals of diverse clinical backgrounds and geographical location with experience in the evaluation of hand and wrist scar outcomes in adults were invited to participate. The survey opened in February and closed in May 2022. Results: 162 participants, representing all World Health Organisation geographical regions, completed the survey. 32% of respondents reported using standardised scar patient reported outcome measures (PROMs); 31% using standardised scar clinician reported outcome measures (CROMs). In assessing physical symptoms of scar, sensitivity/hypersensitivity received the highest importance rating, and 36 additional physical symptom constructs were added as free text items by 72 participants. Regarding physical characteristic of scar, evaluation of adhesions was rated as most important and 19 additional physical characteristics were reported by 21 participants. Active range of motion was rated the most important impairment evaluation. In the domain of psychological impact of scarring, satisfaction with scarring and appearance acceptability were rated equally important. Sixty percent of participants reported using a standardised patient-reported outcome measure (PROM) for evaluating the functional impact of scars in the hand and wrist. Discussion: This survey identified items for inclusion in the first round of a stakeholder Delphi consensus study, to agree a COS for the evaluation of hand and wrist scars. Frequency of importance ratings for evaluation constructs were determined to gauge the priorities of survey participants, not to exclude constructs. The disparate outcomes reported by free text within outcome domains highlights the lack of an agreed scar evaluation taxonomy, an important consideration for future consensus work. 107 (66%) of survey respondents consented to contact regarding further scar outcome evaluation consensus work, highlighting this work as a clinical priority.

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Reporting of scar outcomes in the hand and wrist; a state-of-the-art literature review

Cited by 2 publications

References 107 publications

Surgical scar management - an evaluation of surgical techniques

Surgical scar management - an evaluation of surgical techniques

What outcomes are important when evaluating people with hand scars? Results of an international clinician and researcher survey

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