Evaluating Current Scar Assessment Methods

• Published in: Annals of plastic surgery Vol. 84; no. 2; pp. 222 - 231
• Main Authors: Lipman, Kelsey, Wang, Maxwell, Berthiaume, Emily, Holloway, Janell, Da Lio, Andrew, Ting, Kang, Soo, Chia, Zheng, Zhong
• Format: Journal Article
• Language: English
• Published: United States Lippincott Williams & Wilkins 01-02-2020; Copyright Wolters Kluwer Health, Inc. All rights reserved
• Subjects: Cicatrix - classification; Cicatrix - psychology; Decision Making; Humans; Quality of Life; Reproducibility of Results; Severity of Illness Index
• ISSN: 0148-7043; 1536-3708
• DOI: 10.1097/SAP.0000000000002029

ABSTRACTCurrent scar surveys have included many questions to evaluate the physical characteristics of scars, with some expanding to include physical implications and patient opinions. This review provides an analysis of frequently used scar assessment methods to date and highlights potential areas for improvement. We build the case that a new assessment tool is necessary, specifically one that centers on psychosocial consequences of scars that influence patient decision making for treatment, allowing physicians to individualize treatment conversations with patients. We postulate that survey techniques used in consumer product marketing, such as choice-based conjoint analysis, may be effective in determining the factors strongly influencing patient decision making and spending in scar treatment; therefore, more research in this area is warranted. By incorporating these psychosocial and economic considerations driving scar treatment decisions, future scar assessment tools may accomplish much more than characterizing/documenting the clinical aspects of scars. Rather, these patient-centered, holistic tools may be implemented by plastic surgeons and other clinicians specifically to provide patients with personalized treatment options that maximize long-term patient satisfaction.