Vercelli Stefano, Ferriero Giorgio, Sartorio Francesco, Cisari Carlo, Bravini Elisabetta
aUnit of Occupational Rehabilitation and Ergonomics, Salvatore Maugeri Foundation - IRCCS, Veruno bPhysical and Rehabilitative Medicine, Department of Health Sciences, Università del Piemonte Orientale, Novara cSchool in Advanced Sciences and Technology in Rehabilitation Medicine and Sport, Tor Vergata University, Rome, Italy.
Int J Rehabil Res. 2015 Dec;38(4):279-86. doi: 10.1097/MRR.0000000000000134.
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.
本研究的目的是回顾并批判性地评估目前在康复领域用于术后瘢痕评估的最常用且具有临床测量学可靠性的结局指标。我们对截至2015年6月的Medline和Embase数据库进行了系统综述。筛选了所有已发表的、经同行评审的关于线性瘢痕患者量表或问卷的开发、验证或临床应用的研究。在文献检索最初识别出的922篇文章中，检索到48篇全文文章进行评估。其中，16篇符合数据收集的纳入标准。收集了有关工具项目领域、效度、信度和拉施分析的数据。确定的八项结局指标如下：温哥华瘢痕量表、皮肤病生活质量指数、曼彻斯特瘢痕量表、患者和观察者瘢痕评估量表、博克生活质量（Bock QoL）问卷、石溪瘢痕评估量表、患者报告的瘢痕影响测量量表和患者瘢痕评估问卷。对量表的临床测量学特性进行了检查，并对其临床或研究应用及选择提出了建议。目前在康复领域尚无用于评估术后瘢痕的绝对金标准，尽管患者和观察者瘢痕评估量表以及患者报告的瘢痕影响测量量表是最可靠的量表。
