患者和观察者瘢痕评估量表在评价甲状腺切除术后线性瘢痕中的可靠性。
Reliability of the Patient and Observer Scar Assessment Scale in Evaluating Linear Scars after Thyroidectomy.
机构信息
In the Department of Plastic and Reconstructive Surgery, Korea University Hospital, Seoul, Republic of Korea, Jae-Ho Chung, MD, PhD, is Clinical Assistant Professor; Sang-Ho Kwon, MD, is a resident; Ki-Jae Kim, MD, MS, is a resident; Jae-Min Lee, MD, MS, is a resident; Jeong-Min Yoon, MD, MS, is Public Health Physician; Jeong-Hyun Cheon, MD, MS, is Clinical Instructor; Eul-Sik Yoon, MD, PhD, is Professor; Seung-Ha Park, MD, PhD, MBA, is Professor. The authors have disclosed no financial relationships related to this article. Submitted October 19, 2020; accepted in revised form December 4, 2020.
出版信息
Adv Skin Wound Care. 2021 Jun 1;34(6):1-6. doi: 10.1097/01.ASW.0000744344.46898.6e.
OBJECTIVE
To compare the reliability of the Patient and Observer Scar Assessment Scale (POSAS) with the Vancouver Scar Scale (VSS) in evaluating thyroidectomy scars.
METHODS
At 6 months after the operation, 112 patients who underwent thyroid surgery via collar neck incision were evaluated by two blinded plastic surgeons and two senior residents using the VSS and the observer component of the POSAS. In addition, the observer-reported VAS score and patient-reported Likert score were evaluated. Internal consistency, interobserver reliability, and correlations between the patient- and observer-reported outcomes were examined.
RESULTS
The observer component of POSAS scores demonstrated higher internal consistency and interobserver reliability than the VSS. However, the correlations between the observer-reported VAS score and the patient-reported Likert score (0.450) and between the total sum of patient and observer component scores (0.551) were low to moderate.
CONCLUSIONS
The POSAS is more consistent over repeated measurements; accordingly, it may be considered a more objective and reliable scar assessment tool than the VSS. However, a clinician's perspective may not exactly match the patient's perception of the same scar.
目的
比较患者和观察者瘢痕评估量表（POSAS）与温哥华瘢痕量表（VSS）在评估甲状腺切除术瘢痕中的可靠性。
方法
术后 6 个月，由 2 名盲法整形外科医生和 2 名高级住院医师使用 VSS 和 POSAS 的观察者部分对接受颈领切口甲状腺手术的 112 名患者进行评估。此外，还评估了观察者报告的视觉模拟评分（VAS）和患者报告的李克特评分。检查了患者和观察者报告结果之间的内部一致性、观察者间可靠性和相关性。
结果
POSAS 的观察者部分评分表现出比 VSS 更高的内部一致性和观察者间可靠性。然而，观察者报告的 VAS 评分与患者报告的李克特评分（0.450）以及患者和观察者部分总分（0.551）之间的相关性较低。
结论
POSAS 在重复测量中更一致；因此，与 VSS 相比，它可能被认为是一种更客观和可靠的瘢痕评估工具。然而，临床医生的观点可能并不完全符合患者对同一瘢痕的感知。
Zotero 插件