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Rating the Burn Scar
Abstract
A reliable, objective, and universal method of assessing burn scars does not exist in today's burn literature. Such a method is necessary to provide a descriptive terminology for the comparison of burn scars and the results of treatment. The method should be applicable to patients both within an institution and between burn centers. A burn scar assessment has been devised based on physical parameters. These relate to the healing and maturation of wounds, cosmetic appearance, and the function of the healed skin. Pigmentation, vascularity, pliability, and scar height are assessed independently, with increasing score being assigned to the greater pathologic condition. Normal skin has a score of 0. Seventy-three patients were assessed by three separate occupational therapists and the findings subjected to statistical analysis for interrater reliability. For each parameter a Cohen's kappa statistic of approximately 0.5 +/- 0.1 indicates a statistically significant agreement between observers. These values were found to improve with time. This appears to be a useful tool for the assessment of burn scars, allowing objective comparison of the same scar by different observers.
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Cited by
van der Wal, M., Bloemen, M., Verhaegen, P., Tuinebreijer, W., de Vet, H., van Zuijlen, P., & Middelkoop, E. (2013) · Journal of Burn Care & Research · doi:10.1097/bcr.0b013e318264bf7d · Cited by 96
Scar Treatment Variations by Skin Type
Visscher, M. O., Bailey, J. K., & Hom, D. B. (2014) · Facial Plastic Surgery Clinics of North America · doi:10.1016/j.fsc.2014.04.010 · Cited by 44
Kim, J. H., Jeong, J. J., Lee, Y. I., Lee, W. J., Lee, C., Chung, W. Y., Nam, K., & Lee, J. H. (2018) · Lasers in Surgery and Medicine · doi:10.1002/lsm.22812 · Cited by 32
Matiasek, J., Kienzl, P., Unger, L. W., Grill, C., Koller, R., & Turk, B. R. (2018) · International Wound Journal · doi:10.1111/iwj.12944 · Cited by 20
Metadata
- Authors
- Sullivan, T., Smith, J., Kermode, J., Mclver, E., & Courtemanche, D. J.
- Venue
- Journal of Burn Care & Rehabilitation
- Publisher
- Oxford University Press (OUP)
- Published
- 1990-05
- Volume
- 11
- Issue
- 3
- Pages
- 256-260
- ISSN
- 0273-8481 (ISSN-L)
- OpenAlex
- W2057467361
- Cited by
- 844
- References
- 0
- FWCI
- 0.65
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Rating the Burn Scar. https://app.cochat.ai/papers/10.1097/00004630-199005000-00014
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- Sullivan, T., Smith, J., Kermode, J., Mclver, E., & Courtemanche, D. J. (1990). Rating the Burn Scar. Journal of Burn Care & Rehabilitation. https://doi.org/10.1097/00004630-199005000-00014
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
