METHODS: SCAR-Q was shared with patients ages 8 and older. Thirty-two complete patient responses were recorded.
METHODS: SCAR-Q is a PROM that consists of three independent scales - appearance, symptoms, and psychosocial impact - associated with a scar.
METHODS: Mann-Whitney U, linear regression, and Pearson correlation tests were used to evaluate associations between the scales, in addition to patient characteristics such as sex and suture involvement.
RESULTS: Mean ages at time of surgery and survey completion were 9.65 ± 10.10 months and 12.10 ± 3.92 years, respectively. Mean scale scores were 81.5 ± 17.9 for appearance, 86.8 ± 12.4 for symptoms, and 79.3 ± 25.7 for psychosocial impact. Higher patient dissatisfaction with scar appearance correlated with more scar-related symptoms (r = 0.389; p = 0.028) and a greater psychosocial impact (r = 0.725; p < 0.001). SCAR-Q scales did not significantly correlate with age at surgery, age at survey completion, type of synostosis, or type of surgery; however, female patients reported lower mean appearance (65.4 vs. 86.0; p = 0.012) and psychosocial impact (57.3 vs. 85.5; p = 0.010) scores when compared to their male counterparts.
CONCLUSIONS: It is vital that surgeons discuss patients\' aesthetic satisfaction following craniosynostosis surgery in order to appropriately address and limit deleterious, long-term physical and psychosocial outcomes.
方法:SCAR-Q与8岁及以上的患者共享。记录了32例完整的患者反应。
方法:SCAR-Q是一个PROM,由三个独立的尺度组成-外观,症状,和心理社会影响-与疤痕有关。
方法:Mann-WhitneyU,线性回归,和Pearson相关性检验用于评估量表之间的关联,除了患者的性别和缝合参与等特征。
结果:手术和调查完成时的平均年龄分别为9.65±10.10个月和12.10±3.92岁,分别。外观的平均量表评分为81.5±17.9,症状为86.8±12.4,心理社会影响为79.3±25.7。患者对瘢痕外观的不满意程度越高,与瘢痕相关的症状越多(r=0.389;p=0.028)和社会心理影响越大(r=0.725;p<0.001)。SCAR-Q量表与手术年龄无显著相关性,调查完成时的年龄,滑膜类型,或手术类型;然而,女性患者报告平均外观较低(65.4vs.86.0;p=0.012)和社会心理影响(57.3vs.85.5;p=0.010)与男性相比时得分。
结论:至关重要的是,外科医生在颅骨融合手术后讨论患者的美学满意度,以便适当地解决和限制有害的,长期的身体和社会心理结果。