Document Detail

Epidemiology and impact of scarring after burn injury: a systematic review of the literature.
MedLine Citation:
PMID:  22138807     Owner:  NLM     Status:  MEDLINE    
The purpose of this study was to perform a systematic review of the existing literature on the incidence of hypertrophic scarring and the psychosocial impact of burn scars. In a comprehensive literature review, the authors identified 48 articles published since 1965 and written in English which reported the incidence and risk factors for hypertrophic scarring or assessed outcomes related to scarring. Most studies had important methodological limitations limiting the generalizability of the findings. In particular, the absence of standardized valid measures of scarring and other outcome variables was a major barrier to drawing strong conclusions. Among studies on hypertrophic scarring, the prevalence rate varied between 32 and 72%. Identified risk factors included dark skin, female gender, young age, burn site on neck and upper limb, multiple surgical procedures, meshed skin graph, time to healing, and burn severity. With regard to psychosocial outcomes, two studies compared pediatric burn survivors with a nonburn comparison group on a body image measure; neither study found differences between groups. Across studies, burn severity and location had a modest relationship with psychosocial outcome variables. Psychosocial variables such as social comfort and perceived stigmatization were more highly associated with body image than burn characteristics. To advance our knowledge of the epidemiology of scars and the burden of scars, future studies need to implement more rigorous methodologies. In particular, standardized valid measures of scarring and other outcomes should be developed. This process could be facilitated by an international collaboration among burn centers.
John W Lawrence; Shawn T Mason; Katherine Schomer; Matthew B Klein
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Review    
Journal Detail:
Title:  Journal of burn care & research : official publication of the American Burn Association     Volume:  33     ISSN:  1559-0488     ISO Abbreviation:  J Burn Care Res     Publication Date:    2012 Jan-Feb
Date Detail:
Created Date:  2012-01-09     Completed Date:  2012-05-17     Revised Date:  2013-03-14    
Medline Journal Info:
Nlm Unique ID:  101262774     Medline TA:  J Burn Care Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  136-46     Citation Subset:  IM    
Department of Psychology, College of Staten Island, City University of New York, New York, USA.
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MeSH Terms
Adaptation, Psychological
Age Distribution
Body Image*
Burns / complications*,  diagnosis,  therapy
Cicatrix, Hypertrophic / epidemiology*,  etiology*,  psychology
Injury Severity Score
Quality of Life*
Risk Factors
Self Concept
Severity of Illness Index
Sex Distribution
Social Adjustment
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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