The patient-reported impact of scars measure: development and validation
Skin scars have a unique impact on patients' lives. Quantification with disease-specific patient-reported outcome measures is essential for assessing disease severity. This study aimed to develop and validate the first scar-specific patient-reported outcome measure. Instrument content was deriv...
Saved in:
| Published in: | Plastic and reconstructive surgery (1963) Vol. 125; no. 5; p. 1439 |
|---|---|
| Main Authors: | , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
United States
01.05.2010
|
| Subjects: | |
| ISSN: | 1529-4242, 1529-4242 |
| Online Access: | Get more information |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Abstract | Skin scars have a unique impact on patients' lives. Quantification with disease-specific patient-reported outcome measures is essential for assessing disease severity. This study aimed to develop and validate the first scar-specific patient-reported outcome measure.
Instrument content was derived from qualitative interviews with scar patients. Quotes were identified from transcripts for use as instrument items. This draft measure was field tested in cognitive debriefing interviews. The final instrument was determined using Rasch analysis in a large-scale validation survey.
Five hundred sixty-seven potential items were extracted from interviews (n = 34 patients; 24 women; mean age, 35.7 years). Patients primarily reported physical symptoms and impacts on quality of life. Consequently, a symptom scale (16 items) and quality-of-life scale (36 items) were created. Cognitive debriefing (n = 16 patients; 10 women; mean age, 32.8 years) indicated the draft measure was relevant, clear, and practical. Two quality-of-life items, considered too extreme by patients, were deleted. Ten quality-of-life and three symptom items were removed as a result of the validation survey (n = 103 patients; 69 women; mean age, 35.5 years). Final Rasch analysis confirmed two unidimensional scales (p > 0.05) with good internal consistency (0.85 for the symptom scale and 0.93 for the quality-of-life scale). Reproducibility was adequate for the symptom scale (0.83) and good for the quality-of-life scale (0.89).
The Patient-Reported Impact of Scars Measure is the first scientifically rigorous, scar-specific, patient-reported outcome measure. It has two unidimensional scales with good psychometric and scaling properties. It is well accepted by patients and easy to use, and should prove valuable for assessing scar disease severity in clinical trials and in general and specialty clinics. |
|---|---|
| AbstractList | Skin scars have a unique impact on patients' lives. Quantification with disease-specific patient-reported outcome measures is essential for assessing disease severity. This study aimed to develop and validate the first scar-specific patient-reported outcome measure.
Instrument content was derived from qualitative interviews with scar patients. Quotes were identified from transcripts for use as instrument items. This draft measure was field tested in cognitive debriefing interviews. The final instrument was determined using Rasch analysis in a large-scale validation survey.
Five hundred sixty-seven potential items were extracted from interviews (n = 34 patients; 24 women; mean age, 35.7 years). Patients primarily reported physical symptoms and impacts on quality of life. Consequently, a symptom scale (16 items) and quality-of-life scale (36 items) were created. Cognitive debriefing (n = 16 patients; 10 women; mean age, 32.8 years) indicated the draft measure was relevant, clear, and practical. Two quality-of-life items, considered too extreme by patients, were deleted. Ten quality-of-life and three symptom items were removed as a result of the validation survey (n = 103 patients; 69 women; mean age, 35.5 years). Final Rasch analysis confirmed two unidimensional scales (p > 0.05) with good internal consistency (0.85 for the symptom scale and 0.93 for the quality-of-life scale). Reproducibility was adequate for the symptom scale (0.83) and good for the quality-of-life scale (0.89).
The Patient-Reported Impact of Scars Measure is the first scientifically rigorous, scar-specific, patient-reported outcome measure. It has two unidimensional scales with good psychometric and scaling properties. It is well accepted by patients and easy to use, and should prove valuable for assessing scar disease severity in clinical trials and in general and specialty clinics. Skin scars have a unique impact on patients' lives. Quantification with disease-specific patient-reported outcome measures is essential for assessing disease severity. This study aimed to develop and validate the first scar-specific patient-reported outcome measure.BACKGROUNDSkin scars have a unique impact on patients' lives. Quantification with disease-specific patient-reported outcome measures is essential for assessing disease severity. This study aimed to develop and validate the first scar-specific patient-reported outcome measure.Instrument content was derived from qualitative interviews with scar patients. Quotes were identified from transcripts for use as instrument items. This draft measure was field tested in cognitive debriefing interviews. The final instrument was determined using Rasch analysis in a large-scale validation survey.METHODSInstrument content was derived from qualitative interviews with scar patients. Quotes were identified from transcripts for use as instrument items. This draft measure was field tested in cognitive debriefing interviews. The final instrument was determined using Rasch analysis in a large-scale validation survey.Five hundred sixty-seven potential items were extracted from interviews (n = 34 patients; 24 women; mean age, 35.7 years). Patients primarily reported physical symptoms and impacts on quality of life. Consequently, a symptom scale (16 items) and quality-of-life scale (36 items) were created. Cognitive debriefing (n = 16 patients; 10 women; mean age, 32.8 years) indicated the draft measure was relevant, clear, and practical. Two quality-of-life items, considered too extreme by patients, were deleted. Ten quality-of-life and three symptom items were removed as a result of the validation survey (n = 103 patients; 69 women; mean age, 35.5 years). Final Rasch analysis confirmed two unidimensional scales (p > 0.05) with good internal consistency (0.85 for the symptom scale and 0.93 for the quality-of-life scale). Reproducibility was adequate for the symptom scale (0.83) and good for the quality-of-life scale (0.89).RESULTSFive hundred sixty-seven potential items were extracted from interviews (n = 34 patients; 24 women; mean age, 35.7 years). Patients primarily reported physical symptoms and impacts on quality of life. Consequently, a symptom scale (16 items) and quality-of-life scale (36 items) were created. Cognitive debriefing (n = 16 patients; 10 women; mean age, 32.8 years) indicated the draft measure was relevant, clear, and practical. Two quality-of-life items, considered too extreme by patients, were deleted. Ten quality-of-life and three symptom items were removed as a result of the validation survey (n = 103 patients; 69 women; mean age, 35.5 years). Final Rasch analysis confirmed two unidimensional scales (p > 0.05) with good internal consistency (0.85 for the symptom scale and 0.93 for the quality-of-life scale). Reproducibility was adequate for the symptom scale (0.83) and good for the quality-of-life scale (0.89).The Patient-Reported Impact of Scars Measure is the first scientifically rigorous, scar-specific, patient-reported outcome measure. It has two unidimensional scales with good psychometric and scaling properties. It is well accepted by patients and easy to use, and should prove valuable for assessing scar disease severity in clinical trials and in general and specialty clinics.CONCLUSIONSThe Patient-Reported Impact of Scars Measure is the first scientifically rigorous, scar-specific, patient-reported outcome measure. It has two unidimensional scales with good psychometric and scaling properties. It is well accepted by patients and easy to use, and should prove valuable for assessing scar disease severity in clinical trials and in general and specialty clinics. |
| Author | Solomon, Mattea Bayat, Ardeshir McKenna, Stephen P Wilburn, Jeanette McGrouther, Duncan A Brown, Benjamin C |
| Author_xml | – sequence: 1 givenname: Benjamin C surname: Brown fullname: Brown, Benjamin C organization: Manchester, United Kingdom From Plastic and Reconstructive Surgery Research, Manchester Interdisciplinary Biocenter, The University of Manchester; Galen Research Ltd.; and the University of Manchester, Manchester Academic Health Science Center, South Manchester University Hospital Foundation Trust, Wythenshawe Hospital – sequence: 2 givenname: Stephen P surname: McKenna fullname: McKenna, Stephen P – sequence: 3 givenname: Mattea surname: Solomon fullname: Solomon, Mattea – sequence: 4 givenname: Jeanette surname: Wilburn fullname: Wilburn, Jeanette – sequence: 5 givenname: Duncan A surname: McGrouther fullname: McGrouther, Duncan A – sequence: 6 givenname: Ardeshir surname: Bayat fullname: Bayat, Ardeshir |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/20440163$$D View this record in MEDLINE/PubMed |
| BookMark | eNpNj0tLxDAYRYOMOA_9ByLZueqYZ5O4k0EdYUDRcV3S5AtW-jJpB_z3FhzB1T2Lcy_cJZq1XQsIXVKypsSom5fXtzUpCeXAqaZeBK_NCVpQyUwmmGCzfzxHy5Q-CaGK5_IMzRkRgtCcL9B2_wG4t0MF7ZBF6Ls4gMdV01s34C7g5GxMuAGbxgi32MMB6q5vJhvb1uODrSs_tbv2HJ0GWye4OOYKvT_c7zfbbPf8-LS522WOS5pn0tDgPOOBW60hGNBOUuJVHjidSBshhSHeSe5M7olS2pai1IoTnzMnJFuh69_dPnZfI6ShaKrkoK5tC92YCsW5EUIoPZlXR3MsG_BFH6vGxu_i7zz7AdDgXrE |
| CitedBy_id | crossref_primary_10_1597_10_254 crossref_primary_10_1097_MOP_0b013e3283535790 crossref_primary_10_1007_s00403_012_1295_4 crossref_primary_10_1007_s00345_012_0862_9 crossref_primary_10_1016_j_burns_2023_02_009 crossref_primary_10_1016_j_burns_2015_05_021 crossref_primary_10_1016_j_burns_2015_11_012 crossref_primary_10_1097_GOX_0000000000003522 crossref_primary_10_1007_s00266_016_0642_9 crossref_primary_10_1016_j_burns_2019_07_012 crossref_primary_10_1016_j_jht_2022_01_004 crossref_primary_10_1097_NMD_0000000000000436 crossref_primary_10_1097_GOX_0000000000004574 crossref_primary_10_1111_wrr_12162 crossref_primary_10_3389_fsurg_2021_643098 crossref_primary_10_1111_ijd_15060 crossref_primary_10_1097_PRS_0b013e31820a65e0 crossref_primary_10_1016_j_injury_2012_01_027 crossref_primary_10_1016_j_jval_2015_08_006 crossref_primary_10_1016_j_ajoms_2022_08_009 crossref_primary_10_1038_s41598_024_60684_5 crossref_primary_10_1097_DSS_0000000000000253 crossref_primary_10_1007_s00238_025_02334_1 crossref_primary_10_1007_s00403_015_1572_0 crossref_primary_10_7759_cureus_52848 crossref_primary_10_1177_0748806817742718 crossref_primary_10_1002_lary_30439 crossref_primary_10_1097_GOX_0000000000001672 crossref_primary_10_1097_GOX_0000000000002424 crossref_primary_10_1111_iwj_13218 crossref_primary_10_1111_iwj_12944 crossref_primary_10_1097_GOX_0000000000000103 crossref_primary_10_1111_wrr_13120 crossref_primary_10_1093_ced_llae550 crossref_primary_10_1097_MRR_0000000000000134 crossref_primary_10_1007_s00403_013_1328_7 crossref_primary_10_1016_j_jhsa_2013_03_036 crossref_primary_10_1097_PRS_0b013e31820a667c crossref_primary_10_1097_PRS_0000000000000895 crossref_primary_10_1111_j_1600_0625_2012_01476_x crossref_primary_10_1155_2013_270953 crossref_primary_10_1055_s_0043_1769807 crossref_primary_10_1007_s13555_016_0098_5 crossref_primary_10_1097_DSS_0000000000003077 crossref_primary_10_1093_jbcr_iraf048 crossref_primary_10_1590_S0102_86502014000500007 crossref_primary_10_1371_journal_pone_0184452 crossref_primary_10_1007_s00266_025_05083_5 |
| ContentType | Journal Article |
| DBID | CGR CUY CVF ECM EIF NPM 7X8 |
| DOI | 10.1097/PRS.0b013e3181d4fd89 |
| DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic |
| DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE MEDLINE - Academic |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database |
| DeliveryMethod | no_fulltext_linktorsrc |
| Discipline | Medicine |
| EISSN | 1529-4242 |
| ExternalDocumentID | 20440163 |
| Genre | Journal Article |
| GroupedDBID | --- .-D .3C .55 .GJ .XZ .Z2 01R 0R~ 123 1CY 1J1 354 3EH 3O- 40H 4Q1 4Q2 4Q3 53G 5RE 5VS 71W 77Y 7O~ AAAAV AAAXR AAGIX AAHPQ AAIQE AAMOA AAMTA AAQKA AAQQT AARTV AASCR AASOK AASXQ AAUEB AAXQO ABASU ABBUW ABDIG ABJNI ABOCM ABVCZ ABXVJ ABZAD ACBNA ACCJW ACDDN ACEWG ACGFO ACGFS ACIJW ACILI ACLDA ACNWC ACOAL ACWDW ACWRI ACXJB ACXNZ ADFPA ADGGA ADHPY ADNKB AE3 AE6 AEETU AENEX AFDTB AFFNX AFSOK AFUWQ AGINI AHOMT AHQNM AHRYX AHVBC AIJEX AINUH AJCLO AJIOK AJNWD AJNYG AJZMW AKCTQ AKULP ALKUP ALMA_UNASSIGNED_HOLDINGS ALMTX AMJPA AMKUR AMNEI AOHHW AWKKM BOYCO BQLVK BS7 BYPQX C45 CGR CS3 CUY CVF DIWNM DU5 DUNZO E.X EBS ECM EEVPB EIF EJD ERAAH EX3 F2K F2L F2M F2N F5P FCALG FL- FW0 GNXGY GQDEL H0~ HLJTE HZ~ IKREB IKYAY IN~ IPNFZ J5H JF7 JF9 JG8 JK3 JK8 K8S KD2 KMI L-C L7B N4W N9A NPM N~7 N~B N~M O9- OAG OAH OBH OCUKA ODA OHH OHT OJAPA OL1 OLB OLG OLH OLU OLV OLW OLY OLZ OPUJH ORVUJ OUVQU OVD OVDNE OVIDH OVLEI OVOZU OWU OWV OWW OWX OWY OWZ OXXIT P-K P2P PKN R58 RIG RLZ RXW S4R S4S T8P TAF TEORI TSPGW TWZ V2I VVN W3M WH7 WOQ WOW X3V X3W X7M XXN XYM YOC ZFV ZGI ZXP ZY1 ZZMQN 7X8 ABPXF ACDOF ACZKN ADKSD |
| ID | FETCH-LOGICAL-c3516-591fcd23f3a88ef9e8c510d76f31c518945490dc53c96d0778ab4b8730d62c452 |
| IEDL.DBID | 7X8 |
| ISICitedReferencesCount | 54 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=00006534-201005000-00016&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 1529-4242 |
| IngestDate | Mon Sep 08 13:27:14 EDT 2025 Wed Feb 19 02:30:09 EST 2025 |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 5 |
| Language | English |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c3516-591fcd23f3a88ef9e8c510d76f31c518945490dc53c96d0778ab4b8730d62c452 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| PMID | 20440163 |
| PQID | 733944478 |
| PQPubID | 23479 |
| ParticipantIDs | proquest_miscellaneous_733944478 pubmed_primary_20440163 |
| PublicationCentury | 2000 |
| PublicationDate | 2010-May 20100501 |
| PublicationDateYYYYMMDD | 2010-05-01 |
| PublicationDate_xml | – month: 05 year: 2010 text: 2010-May |
| PublicationDecade | 2010 |
| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States |
| PublicationTitle | Plastic and reconstructive surgery (1963) |
| PublicationTitleAlternate | Plast Reconstr Surg |
| PublicationYear | 2010 |
| References | 21460690 - Plast Reconstr Surg. 2011 Apr;127(4):1744-5; author reply 1745-6 |
| References_xml | – reference: 21460690 - Plast Reconstr Surg. 2011 Apr;127(4):1744-5; author reply 1745-6 |
| SSID | ssj0017365 |
| Score | 2.2053936 |
| Snippet | Skin scars have a unique impact on patients' lives. Quantification with disease-specific patient-reported outcome measures is essential for assessing disease... |
| SourceID | proquest pubmed |
| SourceType | Aggregation Database Index Database |
| StartPage | 1439 |
| SubjectTerms | Adult Cicatrix Female Humans Interviews as Topic Male Patient Satisfaction Patients - psychology Psychometrics Quality of Life Reproducibility of Results Treatment Outcome |
| Title | The patient-reported impact of scars measure: development and validation |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/20440163 https://www.proquest.com/docview/733944478 |
| Volume | 125 |
| WOSCitedRecordID | wos00006534-201005000-00016&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV25TsNAEF0BQYiG-wiXtqBdxfbeNAghohQkiriUzrL3kFJgBwx8P7M-SAcFjeVmpdVodq43Mw-hSxlxHzbTEZdLAQmKzIgSOieJMNowxh2v1zG83MvJRM1metr25lRtW2VnE2tDbUsTauQDScMIJ5PqevFGAmlUAFdbBo1V1KMQyQSllrMliCBpzSQJHkoTBq6om5zTcjB9eFyWAGPLvFW_xJi1rxlu__OWO2irDTLxTaMVu2jFFXtoY9zC6PtoBMqB242qpEENnMXNwCQuPa4MpLv4tSkfXmG7bCzCWWExKOe8oWI6QM_Du6fbEWkpFYihPBaE69gbm1BPM6Wc104ZeJRWCk9j-FOaQb4YWcOp0cJGUqosZ7kCM2BFYhhPDtFaURbuGGGRJ3nsZJJJz0KWpRNpJTMMTtFccNZHuBNRCiobcIiscOVnlf4IqY-OGjGni2a1RpoEBmwIEU_-PnyKNjskP4rPUM_Dc3XnaN18fcyr94taFeA7mY6_AVTlvCM |
| linkProvider | ProQuest |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=The+patient-reported+impact+of+scars+measure%3A+development+and+validation&rft.jtitle=Plastic+and+reconstructive+surgery+%281963%29&rft.au=Brown%2C+Benjamin+C&rft.au=McKenna%2C+Stephen+P&rft.au=Solomon%2C+Mattea&rft.au=Wilburn%2C+Jeanette&rft.date=2010-05-01&rft.eissn=1529-4242&rft.volume=125&rft.issue=5&rft.spage=1439&rft_id=info:doi/10.1097%2FPRS.0b013e3181d4fd89&rft_id=info%3Apmid%2F20440163&rft_id=info%3Apmid%2F20440163&rft.externalDocID=20440163 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1529-4242&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1529-4242&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1529-4242&client=summon |