Scales for skin scar assessment. Clinical significance: a systematic review

Abstract

A skin scar is a serious psychosocial problem for a person. Scars and cicatrices are synonymous terms. Interpretation of scar characteristics is necessary for monitoring purposes and, if necessary, for determining management tactics. Subjective characteristics of the scar (pain, itching, etc.) are very important for comprehensive understanding of its nature. Healing of skin wounds can lead to the formation of different types of scars: from minor lines to keloids. Physical and psychosocial aspects arising from a skin scar can worsen the patient's quality of life. Currently, an issue of the criteria, which are necessary to include them into a particular tool (scale) for comprehensive assessment of scars, remains controversial. The ideal scar rating scale should be easy for filling-in, and the measured parameters should be easily reproducible and interpretative. It is also important to define the scar impact at person’s psychosocial aspects (quality of life, self-esteem, social functioning). This literature review includes 19 full-text articles about 10 developed skin scar rating scales. The literature review was carried using data bases of PubMed, Web of Science, Google Scholar and Elibrary. The authors also have made a critical evaluation of the developed scales by clinimetrics requirements and denote their benefits for clinical practice.

Keywords

scar rating scale / postoperative scar / cicatrice / surgery

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