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Guidelines for Writing Outcome01:11

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Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
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Systematic Review on the Content of Outcome Measurement Instruments on Scar Quality.

Michelle E Carrière1,2,3,4, Kelly A A Kwa1,5, Louise E M de Haas1

  • 1Burn Center and Department of Plastic, Reconstructive and Hand Surgery, Red Cross Hospital, Beverwijk, Noord-Holland, the Netherlands.

Plastic and Reconstructive Surgery. Global Open
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Summary
This summary is machine-generated.

This study reviewed 909 scar assessment instruments, finding clinician-reported scales most common. Key scar quality measures include thickness, vascularity, pigmentation, pliability, pain, and itch.

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Area of Science:

  • Scar assessment and measurement.
  • Dermatology and wound healing outcomes.

Background:

  • Accurate scar quality measurement is vital for assessing treatment efficacy and monitoring scar progression.
  • A wide array of scar assessment instruments complicates selection for clinical use.

Purpose of the Study:

  • To provide a comprehensive overview of the content and usage frequency of scar quality measurement instruments.
  • To analyze instruments across various scar types, including burn, surgical, keloid, and necrotizing fasciitis scars.

Main Methods:

  • A systematic literature search was conducted in PubMed and Embase up to October 31, 2018.
  • Included studies reported on instruments measuring scar quality characteristics.
  • Instrument content was extracted from 440 relevant studies.

Main Results:

  • A total of 909 instruments were identified: 41% clinician-reported scales, 30% measurement devices, 26% patient-reported scales, and 3% combined.
  • The most frequently used instruments included the Observer scale (POSAS), Cutometer, Patient scale (POSAS), and modified Vancouver Scar Scale.
  • Commonly assessed scar parameters were thickness, vascularity, pigmentation, pliability, pain, and itch.

Conclusions:

  • The findings establish a basis for future research into scar quality definition and measurement.
  • Upcoming studies will involve international Delphi and focus groups with experts and patients.
  • The goal is to define and measure scar quality from both professional and patient viewpoints.