PMID- 22386498
OWN - NLM
STAT- MEDLINE
DCOM- 20120920
LR  - 20191210
IS  - 1878-0539 (Electronic)
IS  - 1748-6815 (Linking)
VI  - 65
IP  - 7
DP  - 2012 Jul
TI  - Evaluating keloid recurrence after surgical excision with prospective 
      longitudinal scar assessment scales.
PG  - e175-81
LID - 10.1016/j.bjps.2012.02.005 [doi]
AB  - INTRODUCTION: Evaluation tools are used to quantify scar evolution and determine 
      treatment effectiveness. In clinical practice, scar assessment scales are less 
      costly, tend to cover a greater number of aspects related to scar characteristics 
      and can incorporate a patient's opinion in the assessment. However, the scales 
      have not yet been used as an evaluation method for the postoperative recurrence 
      of keloids. OBJECTIVE: The study aims to evaluate the effectiveness of scar 
      rating scales for keloid recurrence after surgical excision. METHODS: Patients (n 
      = 25) with keloids on the trunk were treated by surgical resection and 
      postoperative beta radiation therapy. On the 3rd, 6th, 9th and 12th postoperative 
      months, two specialists classified the lesions qualitatively in recurrent and 
      non-recurrent cases. Furthermore, in the objective evaluation, the items on the 
      Seattle Scar Scale (SSS) and the Stony Brook Scar Evaluation Scale (SBSES) were 
      assessed by specialists, and the patients assessed items on the Patient Scar 
      Assessment Scale (PSAS) for the pre- and postoperative periods. The scars were 
      classified qualitatively as "good" or "poor." RESULTS: Recurrence was observed in 
      18 patients (72%), according to the specialists' qualitative assessments. The 
      best scores on the SSS and SBSES were given to the non-recurrent (p < 0.001) 
      scars. The highest PSAS values were for the scars classified as "poor" (p < 
      0.001). There were no differences in the PSAS values for the preoperative period 
      and outcomes for the recurrent scars (p = 0.519). The outcomes showed that the 
      non-recurrent scars had lower values on the PSAS compared to the recurrent scars 
      (p = 0.001) and compared to the preoperative period (p = 0.004). CONCLUSIONS: The 
      PSAS, SSS and SBSES scales were effective methods in distinguishing keloid 
      postoperative recurrence. It is necessary to establish the recurrence cut-off 
      scores for each of the scales according to the treatment used.
CI  - Copyright (c) 2012 British Association of Plastic, Reconstructive and Aesthetic 
      Surgeons. Published by Elsevier Ltd. All rights reserved.
FAU - Furtado, F
AU  - Furtado F
AD  - Postgraduate Program in Plastic Surgery, Universidade Federal de Sao Paulo, Sao 
      Paulo, Brazil. bernardohochman@uol.com.br
FAU - Hochman, B
AU  - Hochman B
FAU - Ferreira, L M
AU  - Ferreira LM
LA  - eng
PT  - Journal Article
DEP - 20120303
PL  - Netherlands
TA  - J Plast Reconstr Aesthet Surg
JT  - Journal of plastic, reconstructive & aesthetic surgery : JPRAS
JID - 101264239
SB  - IM
MH  - Adult
MH  - Female
MH  - Humans
MH  - Keloid/*pathology/radiotherapy/surgery
MH  - Male
MH  - *Outcome Assessment, Health Care
MH  - *Patient Satisfaction
MH  - Prospective Studies
MH  - Recurrence
MH  - Surveys and Questionnaires
MH  - Thorax
EDAT- 2012/03/06 06:00
MHDA- 2012/09/21 06:00
CRDT- 2012/03/06 06:00
PHST- 2011/06/04 00:00 [received]
PHST- 2011/11/23 00:00 [revised]
PHST- 2012/02/04 00:00 [accepted]
PHST- 2012/03/06 06:00 [entrez]
PHST- 2012/03/06 06:00 [pubmed]
PHST- 2012/09/21 06:00 [medline]
AID - S1748-6815(12)00086-1 [pii]
AID - 10.1016/j.bjps.2012.02.005 [doi]
PST - ppublish
SO  - J Plast Reconstr Aesthet Surg. 2012 Jul;65(7):e175-81. doi: 
      10.1016/j.bjps.2012.02.005. Epub 2012 Mar 3.