Subjective scar assessment scales in orthopaedic surgery and determinants of patient satisfaction: A systematic review of the literature  

作　　者：Diego A Abelleyra Lastoria Clerin K Benny Caroline B Hing 

机构地区：[1]Institute for Medical and Biomedical Education,St George's University of London,London,SW17 ORE,United Kingdom [2]Faculty of Medicine,Medical University of Sofia,Sofia,1641,Bulgaria [3]Department of Trauma and Orthopaedics,St George's University Hospitals NHS Foundation Trust,London,SW17 OQT,United Kingdom

出　　处：《Chinese Journal of Traumatology》2023年第5期276-283,共8页中华创伤杂志（英文版）

基　　金：This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

摘　　要：Purpose:Scar assessment tools can be utilized during the post-operative period to monitor scar progress.The primary aim of this systematic review was to evaluate current subjective scar assessment scales utilized in orthopaedic surgery.The secondary aim was to identify determinants of patients'satisfaction with their scars and evaluate current measurement scales.Methods:The preferred reporting items for systematic reviews and meta-analyses checklist was followed.Electronic databases,curently registered studies,conference proceedings and the reference lists of included studies were searched.There were no constraints based on language or publication status.A narrative synthesis provided a description and evaluation of scales utilized in orthopaedic surgery.Determinants of patient satisfaction were identified along with the scales used to measure satisfaction.Results:A total of 6059 records were screened in the initial search.Twenty-six articles satisfied the inclusion criteria,assessing 7130 patients.In the literature,six validated subjective scar scales were identified,including the Vancouver scar scale,patient and observer scar assessment scale,Manchester scar scale,Stony Brook scar evaluation scale,visual analogue scale,and Hollander wound evaluation scale.Studies utilizing these scales to evaluate scars following orthopaedic procedures did so successfully.These were total hip arthroplasty,total knee arthroplasty,and limb reconstruction.The scales demonstrated satisfactory validity.Functional outcomes such as restoration of movement ranked among patients'highest concerns.Scar cosmesis was found to be amongst patients'lowest priorities.Conclusions:Subjective scar assessment scales identified in the literature were not designed specifically for orthopaedic surgery.However,these were able to appropriately assess scars in the studies identified in this review.Current evidence suggests the effect of scar cosmesis on patient satisfaction with orthopaedic procedures is limited.

关 键 词：SCAR COSMESIS ORTHOPAEDICS Patient satisfaction 

分 类 号：R687.3[医药卫生—骨科学]