PMID- 9660284
OWN - NLM
STAT- MEDLINE
DCOM- 19980722
LR  - 20220410
IS  - 1069-6563 (Print)
IS  - 1069-6563 (Linking)
VI  - 5
IP  - 6
DP  - 1998 Jun
TI  - An assessment of clinical wound evaluation scales.
PG  - 583-6
AB  - OBJECTIVE: To compare 2 clinical wound scales and to determine a minimal 
      clinically important difference (MCID) on the visual analog cosmesis scale. 
      METHODS: Using data from 2 previously published clinical trials, 91 lacerations 
      and 43 surgical incisions were assessed on the 2 scales; a 100-mm visual analog 
      scale (VAS) (0 = worst possible scar, 100 = best possible scar) and a wound 
      evaluation scale (WES) assessing 6 clinical variables (a score of 6 is considered 
      optimal, while a score of < or =5 suboptimal). All wound assessments on the VAS 
      were done by 2 cosmetic surgeons who rated photographs on 2 occasions. A cohort 
      of wounds on the WES were assessed by a second observer. The difference of the 
      mean optimal and suboptimal VAS scores for each study was used to determine a 
      MCID on the VAS scale. RESULTS: The VAS scale yielded intraobserver agreements of 
      0.93 and 0.87 (95% CI: 0.89-0.96 and 0.78-0.93) and interobserver agreements of 
      0.50 and 0.71 (95% CI: 0.32-0.65 and 0.52-0.84) for lacerations and incisions, 
      respectively. Kappa coefficient measuring agreement on the WES was 0.79 (95% CI: 
      0.57-1.0). The mean (+/-SD) VAS scores of optimal wounds were 72 +/- 12 mm and 65 
      +/- 20 mm, while the mean scores of suboptimal wounds were 57 +/- 17 mm and 50 
      +/- 23 mm for lacerations and incisions, respectively. CONCLUSIONS: An MCID on 
      the VAS cosmesis scale is 15 mm. Studies should be designed to have a sample size 
      and power to detect this difference.
FAU - Quinn, J V
AU  - Quinn JV
AD  - Department of Surgery, University of Michigan, Ann Arbor 48109-0303, USA. 
      jaquinn@umich.edu
FAU - Wells, G A
AU  - Wells GA
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Acad Emerg Med
JT  - Academic emergency medicine : official journal of the Society for Academic 
      Emergency Medicine
JID - 9418450
SB  - IM
CIN - Acad Emerg Med. 1998 Jun;5(6):564-6. PMID: 9660280
MH  - *Cicatrix
MH  - *Esthetics
MH  - Humans
MH  - Observer Variation
MH  - Outcome Assessment, Health Care
MH  - *Trauma Severity Indices
MH  - Wound Healing
MH  - *Wounds and Injuries/therapy
EDAT- 1998/07/11 00:00
MHDA- 1998/07/11 00:01
CRDT- 1998/07/11 00:00
PHST- 1998/07/11 00:00 [pubmed]
PHST- 1998/07/11 00:01 [medline]
PHST- 1998/07/11 00:00 [entrez]
AID - 10.1111/j.1553-2712.1998.tb02465.x [doi]
PST - ppublish
SO  - Acad Emerg Med. 1998 Jun;5(6):583-6. doi: 10.1111/j.1553-2712.1998.tb02465.x.