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Evaluating Symptomatic and Psychosocial Well-being After Keloid Treatment With SCAR-Q.
Kim, Minji; Mirsky, Nicholas; Spielman, Amanda; Mathew, Prakash; Yechieli, Raphael; Tang, Jennifer C; Thaller, Seth R.
Afiliação
  • Kim M; University of Miami Miller School of Medicine, Miami, FL, USA.
  • Mirsky N; University of Miami Miller School of Medicine, Miami, FL, USA.
  • Spielman A; University of Miami Miller School of Medicine, Miami, FL, USA.
  • Mathew P; Division of Plastic Surgery, University of Pennsylvania, Pennsylvania, PA, USA.
  • Yechieli R; Department of Radiation Oncology, University of Miami Miller School of Medicine, Miami, FL, USA.
  • Tang JC; Dr Philip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
  • Thaller SR; Division of Plastic, Aesthetic, and Reconstructive Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
Aesthet Surg J ; 42(6): NP416-NP422, 2022 05 18.
Article em En | MEDLINE | ID: mdl-35224618
BACKGROUND: Many patients with keloids experience symptoms, such as pain and pruritus, and may present with significant psychosocial burdens. However, no single therapeutic regimen has been firmly established for treatment of keloids. OBJECTIVES: The aim of this study was to assess patients' perspectives on their keloids after treatment by comparing preoperative and postoperative surveys. METHODS: All patients seen at the keloid clinic, both preoperatively and postoperatively, were contacted by telephone call. Information about demographics, keloid characteristics, and levels of pain and pruritus were recorded. Participants also completed all 3 parts (appearance, symptoms, and psychosocial impact) of the SCAR-Q, a validated patient-reported outcome measure questionnaire. Statistical analysis was performed with SPSS version 23 (IBM Corp., Armonk, NY). RESULTS: Of the 60 patients who participated in the study, 35 preoperative and 34 postoperative surveys were completed. Patients experienced significant reductions in mean [standard deviation] pain levels (from 5.6 [4.0] to 0.1 [0.4], P < 0.001) and pruritus (from 6.5 [3.0] to 0.8 [1.5], P < 0.001) postintervention. Significant improvements in all 3 parts of the SCAR-Q were noted. Appearance improved from 26.5 [22.3] to 73.4 [23.0] (P < 0.001); symptoms from 44.0 [15.7] to 81.4 [16.7] (P < 0.001); and psychosocial impact from 27.7 [30.7] to 82.6 [26.3] (P < 0.001). CONCLUSIONS: Patients with keloids experience significant improvement in their symptomatic and psychosocial burden after treatment. Although management modalities are not well established, it is essential that plastic surgeons do not overlook the therapeutic benefits for their patients' well-being.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Queloide Tipo de estudo: Diagnostic_studies / Etiology_studies Limite: Humans Idioma: En Revista: Aesthet Surg J Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Queloide Tipo de estudo: Diagnostic_studies / Etiology_studies Limite: Humans Idioma: En Revista: Aesthet Surg J Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos