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Related Concept Videos

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Related Experiment Video

Updated: Oct 29, 2025

Visualizing Scar Development Using SCAD Assay - An Ex-situ Skin Scarring Assay
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Scar Assessment Tools: How Do They Compare?

Amanda Min Hui Choo1, Yee Siang Ong2, Fadi Issa3,4

  • 1Ministry of Health, Singapore, Singapore.

Frontiers in Surgery
|July 12, 2021
PubMed
Summary
This summary is machine-generated.

Assessing scar outcomes requires more than just appearance. This review highlights the need for better patient-reported outcome measures (PROMs) and clinician-reported outcome measures (CROMs) to evaluate scar healing effectively.

Keywords:
burn scar assessmentclinician reported outcomeslinear scarspatient reported outcomescar assessmentsurgical scar

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Area of Science:

  • Dermatology
  • Wound Healing
  • Regenerative Medicine

Background:

  • Scarring after dermal injury is a complex process with varied outcomes impacting patient well-being.
  • Scar assessment involves appearance, symptoms (itch, pain), function, psychological, and quality of life factors.
  • Accurate assessment tools are crucial for measuring outcomes and evaluating treatments.

Purpose of the Study:

  • To review and evaluate existing scar assessment tools, focusing on their reliability, relevance, responsiveness, and feasibility.
  • To examine both objective and subjective scar measurements, including Clinician-Reported Outcome Measures (CROMs) and Patient-Reported Outcome Measures (PROMs).
  • To provide insights into future directions for scar assessment methodologies.

Main Methods:

  • A comprehensive literature search of PubMed was conducted up to March 31, 2020.
  • Evaluated ten objective scar measurements, four CROMs, six PROMs, and one combined measure.
  • Assessed tools based on reliability, clinical relevance, responsiveness to change, and feasibility.

Main Results:

  • Many quantitative scar measurement tools demonstrated limitations in clinical relevance and feasibility.
  • Few qualitative CROMs and PROMs have undergone rigorous scientific assessment.
  • Subjective measures (CROMs, PROMs) are critical but require further validation.

Conclusions:

  • Current objective scar assessment tools often lack clinical relevance and feasibility.
  • There is a need for more rigorously assessed and validated subjective outcome measures (PROMs and CROMs) for scars.
  • Future research should focus on developing and validating comprehensive assessment strategies for scar healing.