A guide to choosing a burn scar rating scale for clinical or research use

Tyack, Zephanie, Wasiak, Jason, Spinks, Anneliese, Kimble, Roy and Simons, Megan (2013) A guide to choosing a burn scar rating scale for clinical or research use. Burns, 39 7: 1341-1350. doi:10.1016/j.burns.2013.04.021

Author Tyack, Zephanie
Wasiak, Jason
Spinks, Anneliese
Kimble, Roy
Simons, Megan
Title A guide to choosing a burn scar rating scale for clinical or research use
Journal name Burns   Check publisher's open access policy
ISSN 0305-4179
Publication date 2013-11-01
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1016/j.burns.2013.04.021
Volume 39
Issue 7
Start page 1341
End page 1350
Total pages 10
Place of publication Kidlington, Oxford, United Kingdom
Publisher Pergamon
Language eng
Formatted abstract
Introduction A lack of high quality burn scar rating scales underpins the urgent need to introduce a guide for clinicians and researchers to choose the most appropriate scale for their requirements.

Methods An updated electronic search of Medline, CINAHL, and EMBASE databases from 2010 to 2011 of a previous published systematic review were used to identify English articles related to burn scar rating scales. The clinimetric properties, content, purpose, characteristics of the subjects tested and feasibility of each scale were critically reviewed.

Results An additional seven papers were identified by the updated search, bringing the total number of papers reviewed to 36. The majority (88%) covered items pertaining to the physical properties of the skin rated by an observer. All of the scales had been tested for the purpose of discriminating between patient groups; however, only preliminary evidence exists for the ability of the scales to measure change in scar properties over time. The majority of testing of scales occurred using Caucasian subjects, males, upper limb sites and adults.

Conclusions This paper provides a guide to selecting the most appropriate burn scar rating scale for research and clinical practice by reviewing the content, purpose, test sample characteristics and feasibility of each scale.
Keyword Burn scar rating measure
Scar assessment
Clinimetric quality
Outcome measure
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

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Created: Sat, 16 Nov 2013, 07:59:53 EST by Zephanie Tyack on behalf of School of Health & Rehabilitation Sciences