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Clinimetric properties and clinical utility in rehabilitation of postsurgical scar rating scales

VERCELLI S; FERRIERO G; SARTORIO F; CISARI C; BRAVINI E
INT J REHABIL RES , 2015, vol. 38, n° 4, p. 279-286
Doc n°: 176235
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1097/MRR.0000000000000134
Descripteurs : DA46 - CICATRICES

The aim of this study was to review and critically assess the most used and
clinimetrically sound outcome measures currently available for postsurgical scar
assessment in rehabilitation.
We performed a systematic review of the Medline and
Embase databases to June 2015. All published peer-reviewed studies referring to
the development, validation, or clinical use of scales or questionnaires in
patients with linear scars were screened. Of 922 articles initially identified in
the literature search, 48 full-text articles were retrieved for assessment. Of
these, 16 fulfilled the inclusion criteria for data collection. Data were
collected pertaining to instrument item domains, validity, reliability, and Rasch
analysis. The eight outcome measures identified were as follows: Vancouver Scar
Scale, Dermatology Life Quality Index, Manchester Scar Scale, Patient and
Observer Scar Assessment Scale, Bock Quality of Life (Bock QoL) questionnaire,
Stony Brook Scar Evaluation Scale, Patient-Reported Impact of Scars Measure, and
Patient Scar Assessment Questionnaire. Scales were examined for their clinimetric
properties, and recommendations for their clinical or research use and selection
were made. There is currently no absolute gold standard to be used in
rehabilitation for the assessment of postsurgical scars, although the Patient and
Observer Scar Assessment Scale and the Patient-Reported Impact of Scars Measure
emerged as the most robust scales.

Langue : ANGLAIS

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