Kučinskaitė Alvija, Stundys Domantas, Gervickaitė Simona, Tarutytė Gabrielė, Grigaitienė Jūratė, Tutkuvienė Janina, Jančorienė Ligita
Faculty of Medicine, Vilnius University, 01513 Vilnius, Lithuania.
Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, 01513 Vilnius, Lithuania.
Cancers (Basel). 2024 May 30;16(11):2091. doi: 10.3390/cancers16112091.
Facial basal cell carcinoma (BCC) surgery enhances the quality of life (QoL) but leaves patients with inferior QoL, presumably caused by scarring, emphasizing the need to understand post-surgery aesthetic satisfaction. This study aimed to validate the Lithuanian version of the Patient and Observer Scar Assessment Scale (POSAS) 2.0 and utilise it to identify scar evaluation differences and correlations among POSAS scores and specific aesthetic facial regions, age, gender, surgery types, and short- and long-term QoL. Employing a prospective longitudinal design, 100 patients with facial scars after surgical BCC removal were enrolled. The validation phase confirmed the translated POSAS 2.0 psychometric properties, while the pilot phase used statistical analyses to compare scores among demographic and clinical groups and evaluate correlations between scar assessment and QoL. The findings indicate that the translated Lithuanian version of POSAS 2.0 exhibits good psychometric properties, revealing insights into aesthetic satisfaction with post-surgical facial scars and their impact on QoL. The Lithuanian version of the POSAS 2.0 was established as a valid instrument for measuring post-surgical linear scars. QoL with scar assessment statistically significantly correlates, 6 months after surgery, with worse scores, particularly notable among women, younger patients, and those with tumours in the cheek region.
面部基底细胞癌（BCC）手术可提高生活质量（QoL），但术后患者的生活质量仍较差，推测这是由瘢痕所致，这凸显了了解术后美学满意度的必要性。本研究旨在验证立陶宛语版的患者和观察者瘢痕评估量表（POSAS）2.0，并利用该量表识别瘢痕评估差异以及POSAS评分与特定面部美学区域、年龄、性别、手术类型和短期及长期生活质量之间的相关性。采用前瞻性纵向设计，招募了100例手术切除面部基底细胞癌后留有瘢痕的患者。验证阶段证实了翻译后的POSAS 2.0的心理测量特性，而试点阶段则使用统计分析比较人口统计学和临床组之间的评分，并评估瘢痕评估与生活质量之间的相关性。研究结果表明，翻译后的立陶宛语版POSAS 2.0具有良好的心理测量特性，揭示了对面部手术瘢痕美学满意度及其对生活质量影响的见解。立陶宛语版的POSAS 2.0被确立为测量术后线性瘢痕的有效工具。术后6个月，瘢痕评估与生活质量在统计学上显著相关，评分较差，在女性、年轻患者以及脸颊区域有肿瘤的患者中尤为明显。
