Lari Ali, Alherz Mohammad, Hussain Salman, Burhamah Waleed, Alabbad Fahad, Jarragh Ali, Lari Aqeel
Department of Orthopedic Surgery, Al Razi Hospital, Kuwait.
Department of Anatomy, Trinity College Dublin, Dublin, Ireland.
Plast Reconstr Surg Glob Open. 2022 Mar 22;10(3):e4219. doi: 10.1097/GOX.0000000000004219. eCollection 2022 Mar.
Existing disparities in the perception of scars between patients and practitioners can translate into undesirable physical and psychological outcomes. An understanding of the determinants of surgeons' perceptions on the importance of scar cosmesis is a first step toward bridging this gap.
In an online survey, surgeons were asked about the extent to which various patient and technical factors affect the importance of scar cosmesis. Additional data were obtained on surgeon characteristics, including their specialty, gender, years of experience, and work sector to investigate potential relationships.
A total of 303 responses were obtained from surgeons across six specialties. Based on the survey, the importance of scar cosmesis was rated highest among plastic surgeons and obstetricians and gynecologists, and lowest among orthopedic and vascular surgeons. Compared with surgeons in private practice, publicly employed surgeons' rating of the importance of cosmesis was lower. The patient's request for a cosmetic outcome was the most highly rated factor. Regarding the influence of patient demographics on surgeons' attitudes, scar cosmesis in young and female patients was favored in comparison with older and male patients. Factors that reduced the importance of cosmesis were emergency and late-night surgeries followed by lengthy procedures, large incisions, and busy operative lists.
These initial findings highlight a need to investigate means of fostering a more holistic, impartial approach toward scar cosmesis, as well as addressing potential workplace barriers that may prevent surgeons from seeking a more cosmetic result. Greater alignment between the priorities of surgeons and patients may manifest in objective and subjective improvements in patient's scars and well-being.
患者与从业者在疤痕认知上现有的差异可能会导致不良的生理和心理后果。了解外科医生对疤痕美容重要性认知的决定因素是弥合这一差距的第一步。
在一项在线调查中，询问外科医生各种患者和技术因素在多大程度上影响疤痕美容的重要性。还获取了关于外科医生特征的其他数据，包括他们的专业、性别、经验年限和工作部门，以调查潜在关系。
共收到来自六个专业的303名外科医生的回复。根据调查，疤痕美容的重要性在整形外科医生、妇产科医生中评分最高，在骨科和血管外科医生中评分最低。与私人执业的外科医生相比，受雇于公立医院的外科医生对美容重要性的评分较低。患者对美容效果的要求是评分最高的因素。关于患者人口统计学对外科医生态度的影响，与老年男性患者相比，年轻女性患者的疤痕美容更受青睐。降低美容重要性的因素包括急诊和夜间手术，其次是手术时间长、切口大以及手术安排繁忙。
这些初步研究结果凸显了有必要研究如何培养一种更全面、公正地对待疤痕美容的方法，以及解决可能阻碍外科医生追求更美观效果的潜在工作场所障碍。外科医生和患者的优先事项之间更大程度的一致可能会在患者疤痕和幸福感的客观和主观改善中体现出来。
