Department of Dermatology, University of Connecticut, Farmington, Connecticut.
Department of Dermatology, University of California San Francisco, San Francisco, California.
Dermatol Surg. 2022 Apr 1;48(4):418-422. doi: 10.1097/DSS.0000000000003405.
The relationship of postoperative facial scar assessments among patients, physicians, and societal onlookers is not clearly defined.
To identify differences in perceived scar outcomes by different stakeholders.
Retrospective cohort study at a single Mohs micrographic surgery (MMS) center during which scars were assessed by: patients, physicians, and medical student observers not involved in patients' care using the Patient and Observer Scar Assessment Scale (v.2). Eighty-one patients graded their scars at 2 visits: 1 to 2 weeks post-MMS and 3 months post-MMS. Deidentified patient photographs were taken at each visit and graded by 4 physicians and 12 observers.
At week 1, there was a significant difference in overall opinion of scar appearance between patient and physicians (p = .001) and medical student observers and physicians (p < .001). Physicians graded scars more favorably. At 3 months, there remained a difference in scar evaluations between patient and physicians (p = .005), whereas medical student observers rated scars more similarly to physicians (p = .404).
Postoperative scar perceptions differ among stakeholders. Physicians must be mindful of this disparity when counseling patients in the perioperative setting to align patient expectations with realistic scar outcomes.
患者、医生和社会旁观者对术后面部疤痕评估的关系尚不清楚。
确定不同利益相关者对疤痕结果的感知差异。
这是一项单 Mohs 显微外科手术 (MMS) 中心的回顾性队列研究，在此期间，采用患者和观察者疤痕评估量表 (v.2) 由患者、医生和未参与患者护理的医学生观察者对疤痕进行评估。81 名患者在 2 次就诊时对其疤痕进行评分：MMS 后 1 至 2 周和 3 个月。每次就诊时都会拍摄患者的照片，并由 4 名医生和 12 名观察者进行评分。
在第 1 周，患者和医生之间（p =.001）以及医学生观察者和医生之间（p <.001）对疤痕外观的整体看法存在显著差异。医生对疤痕的评分更为有利。在 3 个月时，患者和医生之间的疤痕评估仍存在差异（p =.005），而医学生观察者对疤痕的评估与医生更为相似（p =.404）。
术后疤痕的感知在不同利益相关者之间存在差异。医生在围手术期对患者进行咨询时，必须注意到这种差异，以将患者的期望与现实的疤痕结果保持一致。
