PMID- 37768279
OWN - NLM
STAT- MEDLINE
DCOM- 20240104
LR  - 20240106
IS  - 1524-475X (Electronic)
IS  - 1067-1927 (Linking)
VI  - 31
IP  - 6
DP  - 2023 Nov-Dec
TI  - Evaluating skin colour diversity in the validation of scar assessment tools.
PG  - 731-737
LID - 10.1111/wrr.13120 [doi]
AB  - Across scar studies, there is a lack of dark-skinned individuals, who have a 
      predisposition for keloid formation, altered pigmentation and poorer quality of 
      life (QOL). There is a need for patients of colour to be included in scar scale 
      development and validation. In this study, we evaluate the racial diversity of 
      patients included in the validation of scar assessment scales. A systematic 
      review was conducted for articles reporting on the validation of a scar 
      assessment tool. Racial, ethnic and Fitzpatrick skin type (FST) data were 
      extracted. Fifteen scar scale validation studies were included. Nine of the 
      studies did not mention FST, race or ethnicity of the patients. Two of the 
      studies that reported FST or race information only included White patients or 
      included no FST V/VI patients: mapping assessment of scars (MAPS) and University 
      of North Carolina '4P'. Only four studies included non-White patients or 
      dark-skinned patients in the validation of their scar scale: the modified 
      Vancouver Scar Scale (VSS), modified Patient and Observer Scar Assessment Scale 
      (POSAS), acne QOL and SCAR-Q scales. The patients included in the modified VSS 
      validation were 7% and 13% FST V/VI, 14% African in the modified POSAS and 4.5% 
      FST V/VI in the SCAR-Q. We highlight the severe lack of diversity in scar scale 
      validation, with only 4 out of 15 studies including dark-skinned patients. Given 
      the susceptibility of darker-skinned individuals to have poorer scarring 
      outcomes, it is critical to include patients of colour in the very assessment 
      tools that determine their scar prognosis. Inclusion of patients of colour in 
      scar scale development will improve scar assessment and clinical decision-making.
CI  - (c) 2023 The Authors. Wound Repair and Regeneration published by Wiley Periodicals 
      LLC on behalf of The Wound Healing Society.
FAU - Garg, Stuti P
AU  - Garg SP
AUID- ORCID: 0000-0002-8847-5005
AD  - Division of Plastic & Reconstructive Surgery, Northwestern University Feinberg 
      School of Medicine, Chicago, Illinois, USA.
FAU - Williams, Tokoya
AU  - Williams T
AD  - Division of Plastic & Reconstructive Surgery, Northwestern University Feinberg 
      School of Medicine, Chicago, Illinois, USA.
FAU - Taritsa, Iulianna C
AU  - Taritsa IC
AD  - Division of Plastic & Reconstructive Surgery, Northwestern University Feinberg 
      School of Medicine, Chicago, Illinois, USA.
FAU - Wan, Rou
AU  - Wan R
AUID- ORCID: 0000-0002-9029-4721
AD  - Division of Plastic & Reconstructive Surgery, Mayo Clinic Rochester, Rochester, 
      Minnesota, USA.
FAU - Goel, Chirag
AU  - Goel C
AD  - Division of Plastic & Reconstructive Surgery, Northwestern University Feinberg 
      School of Medicine, Chicago, Illinois, USA.
FAU - Harris, Raiven
AU  - Harris R
AD  - Division of Plastic & Reconstructive Surgery, Northwestern University Feinberg 
      School of Medicine, Chicago, Illinois, USA.
FAU - Huffman, Kristin
AU  - Huffman K
AD  - Division of Plastic & Reconstructive Surgery, Northwestern University Feinberg 
      School of Medicine, Chicago, Illinois, USA.
FAU - Galiano, Robert D
AU  - Galiano RD
AUID- ORCID: 0000-0001-9552-6483
AD  - Division of Plastic & Reconstructive Surgery, Northwestern University Feinberg 
      School of Medicine, Chicago, Illinois, USA.
LA  - eng
PT  - Journal Article
PT  - Review
PT  - Systematic Review
DEP - 20231015
PL  - United States
TA  - Wound Repair Regen
JT  - Wound repair and regeneration : official publication of the Wound Healing Society 
      [and] the European Tissue Repair Society
JID - 9310939
SB  - IM
MH  - Humans
MH  - *Cicatrix/pathology
MH  - *Quality of Life
MH  - Skin Pigmentation
MH  - Wound Healing
MH  - Skin/pathology
OTO - NOTNLM
OT  - dark-skinned patients
OT  - patients of colour
OT  - scar scale validation
OT  - scarring
EDAT- 2023/09/28 12:46
MHDA- 2024/01/04 11:45
CRDT- 2023/09/28 10:33
PHST- 2023/08/23 00:00 [revised]
PHST- 2023/06/20 00:00 [received]
PHST- 2023/09/13 00:00 [accepted]
PHST- 2024/01/04 11:45 [medline]
PHST- 2023/09/28 12:46 [pubmed]
PHST- 2023/09/28 10:33 [entrez]
AID - 10.1111/wrr.13120 [doi]
PST - ppublish
SO  - Wound Repair Regen. 2023 Nov-Dec;31(6):731-737. doi: 10.1111/wrr.13120. Epub 2023 
      Oct 15.