Burns objective scar scale (BOSS): Validation of an objective measurement devices based burn scar scale panel

Lee, Kwang Chear; Bamford, Amy; Gardiner, Fay; Agovino, Annarita; Horst, Britt ter; Bishop, Jonathan; Grover, Liam M.; Logan, Ann; Moiemen, Naiem

doi:10.1016/j.burns.2019.05.008

Cited by 19 publications

(34 citation statements)

References 31 publications

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“…The results of the present study fulfill the OMERACT filter [32], including face validity, content validity, criterion validity, construct validity, reliability, and feasibility of suction as an objective measurement procedure for skin involvement in SSc patients. Our results are in line with biomechanical measurements for other fibrotic diseases [33][34][35]. The reliability and feasibility of suction measurements suggest that this method could be a promising complement for clinical assessment of skin fibrosis in patients with SSc.…”

Section: Resultssupporting

confidence: 85%

Validation of the suction device Nimble for the assessment of skin fibrosis in systemic sclerosis

et al. 2020

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Objectives: Skin fibrosis is a main hallmark of systemic sclerosis (SSc). Clinical assessment is done semi-quantitatively using the modified Rodnan skin score (mRSS). Objective measurements for quantifying skin fibrosis could complement the mRSS to achieve higher reproducibility. The aim of this study was to explore the potential of suction measurements to detect structural changes in the skin that are associated with skin fibrosis. Methods: This clinical trial included 30 SSc patients and 30 healthy volunteers (HC). We validated a novel suction devicethe Nimble-to quantify skin stiffness in comparison to the Cutometer using the OMERACT filter. Results: A significant difference (p < 0.05) between the skin stiffness of HC and SSc patient groups was found for each location measured. The correlation between the measurements of forearm skin stiffness and the mRSS values was high for the Nimble (r = 0.82) and moderate for the Cutometer (r = 0.58). A ROC analysis showed good ability for the Nimble to distinguish between SSc patients with and without skin involvement (AUC = 0.82). Both suction devices provided excellent reliability in all measurements on HC and SSc patients and proved face validity and feasibility. Conclusion: Suction devices assessing skin stiffness, such as the Nimble, show clear potential to objectively quantify skin fibrosis in SSc patients and might be promising outcome measures complementing established methods such as the mRSS.

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Section: Resultssupporting

confidence: 85%

Validation of the suction device Nimble for the assessment of skin fibrosis in systemic sclerosis

et al. 2020

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“…Previous research has demonstrated the inter-user variability of scar assessment scales, with factors such as clinician experience and patient psychological distress influencing scoring [ 16 ]. Objective measures can potentially be used to overcome this limitation, for example, high-frequency ultrasound scanners and cutometers are able to distinguish between hypertrophic and non-hypertrophic scarring [ 17 ]. However, they do not address HRQoL associated with scarring, such as tools like the BBSIP.…”

Section: Introductionmentioning

confidence: 99%

“…Exploring the patient perspective can help to establish whether scar assessment is conducted in a beneficial manner and determine the patient relevance of assessment tools. Examining patients’ experiences could prove valuable, given that researchers have been unable to identify a superior assessment method and with the emergence of data supporting the use of objective scar measures [ 13 , 17 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

Patient experience of scar assessment and the use of scar assessment tools during burns rehabilitation: a qualitative study

et al. 2021

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Background Scar assessment plays a key role during burns aftercare, to monitor scar remodelling and patients’ psychosocial well-being. To aid assessment, subjective scar assessment scales are available that use health-care professionals’ and patients’ opinions to score scar characteristics. The subjective scales are more widely used in clinical practice over objective scar measures. To date, there is no research that considers patients’ views on scar assessment and the role of subjective and objective assessment tools. Therefore, the aim of this qualitative study was to explore patients’ perspectives on scar assessment and the utility of scar assessment tools during burns rehabilitation. Methods Semi-structured interviews were conducted with 10 adult burn patients who were being reviewed in clinic for scarring. Participants were recruited via their clinical care team and research nurses at the Queen Elizabeth Hospital, Birmingham, UK. Topics covered during interview included patient experience of scar assessment, the use of scar assessment tools and discussion surrounding important factors to be addressed when assessing scars. A thematic analysis using the Framework Method was conducted. Results Participants identified key subthemes that contribute towards the overarching theme of patient-centred scar assessment. These are: patient-led care; continuity in care; learning how to self-manage scarring; and psychological assessment. Links were demonstrated between these subthemes and the remaining themes that describe scar assessment strategies, indicating their potential patient-centred contributions. The subjective opinions of clinicians were found to be valued above the use of subjective or objective scar assessment tools. Scar assessment scales were perceived to be a beneficial method for self-reflection in relation to psychosocial functioning. However, minimal feedback and review of completed assessment scales led to uncertainty regarding their purpose. Patients perceived objective tools to be of primary use for health-care professionals, though the measures may aid patients’ understanding of scar properties. Conclusions Scar assessment tools should be used to support, rather than replace, health-care professionals’ subjective judgements of scarring. Adapting the way in which clinicians introduce and use scar assessment tools, according to patient needs, can support a patient-centred approach to scar assessment.

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“…Es necesario el equilibrio entre la replicación y la apoptosis de las células que participan en la producción de los nuevos elementos de la matriz extracelular durante el proceso de cicatrización. Este equilibrio puede ser afectado por múltiples factores dependientes del individuo, como la edad, predisposición genética, raza, niveles hormonales, respuesta inmunológica y estado nutricional; y por factores específicos de la herida como el mecanismo del trauma, dimensiones de la herida, profundidad, ubicación anatómica, tensión a la que están expuestas las lesiones, presencia de infección y tratamientos aplicados 10,11,14 .…”

Section: Introductionunclassified

“…La valoración de la evolución de la cicatriz se hace mediante la evaluación de características como el color (eritema y pigmentación), flexibilidad, grosor e irregularidad, las cuales se pueden consignar a través de diferentes escalas como la escala de cicatriz de Vancouver (VSS) y la evaluación de la cicatriz del observador (POSAS), ampliamente utilizados en la práctica clínica debido a su facilidad de uso; sin embargo, con limitada reproducibilidad por ser observador-dependientes 14,36 .…”

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Máscara termoplástica recubierta de silicona para el manejo de la cicatriz hipertrófica facial

et al. 2020

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Las quemaduras secundarias a agresión física con intención de desfigurar, torturar o incluso asesinar, se han convertido en un motivo de consulta común en el siglo XXI, siendo Bangladesh el país con la más alta incidencia en el mundo. Colombia es uno de los países con mayor incidencia a nivel de Latinoamérica. La mayoría de las lesiones ocurre en áreas expuestas como el rostro y se acompaña de gravs secuelas físicas, estéticas y funcionales. Se realiza la presentación de caso de una paciente de 35 años con quemaduras de tercer grado en región frontal, periocular, malar bilateral, nasal, labial superior y pabellón auricular derecho, manejada con injertos de piel, quien posteriormente desarrolla cicatriz hipertrófica. Se describe el tratamiento con máscara termoplástica elaborada por los profesionales tratantes, con cubierta interna de silicona, fabricada sobre molde a medida y ajustada con bandas elásticas; integrando en un único dispositivo removible, cómodo y de bajo costo, diferentes alternativas terapéuticas que logran modular efectivamente el roceso de cicatrización y por su simplicidad favorecen la adherencia al tratamiento, la cual es indispensable para obtener resultados satisfactorios.

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Burns objective scar scale (BOSS): Validation of an objective measurement devices based burn scar scale panel

Cited by 19 publications

References 31 publications

Validation of the suction device Nimble for the assessment of skin fibrosis in systemic sclerosis

Validation of the suction device Nimble for the assessment of skin fibrosis in systemic sclerosis

Patient experience of scar assessment and the use of scar assessment tools during burns rehabilitation: a qualitative study

Máscara termoplástica recubierta de silicona para el manejo de la cicatriz hipertrófica facial

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