{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T21:21:53Z","timestamp":1777324913444,"version":"3.51.4"},"reference-count":37,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,3,6]],"date-time":"2019-03-06T00:00:00Z","timestamp":1551830400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003503","name":"Nederlandse Brandwonden Stichting","doi-asserted-by":"publisher","award":["grant number 15.102"],"award-info":[{"award-number":["grant number 15.102"]}],"id":[{"id":"10.13039\/501100003503","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003503","name":"Nederlandse Brandwonden Stichting","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003503","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Wound Repair Regeneration"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Scar formation is an important adverse consequence of burns. How patients appraise their scar quality is often studied shortly after sustaining the injury, but information in the long\u2010term is scarce. Our aim was, therefore, to evaluate long\u2010term patient\u2010reported quality of burn scars. Adults with a burn center admission of \u22651\u2009day between August 2011 and September 2012 were invited to complete a questionnaire on long\u2010term consequences of burns. We enriched this sample with patients with severe burns (&gt;20% total body surface area [TBSA] burned or TBSA full thickness\u2009&gt;5%) treated between January 2010 and March 2013. Self\u2010reported scar quality was assessed with the Patient Scale of the Patient and Observer Scar Assessment Scale (POSAS). Patients completed this scale for their\u2014in their opinion\u2014most severe scar \u22655\u2009years after burns. This study included 251 patients with a mean %TBSA burned of 10%. The vast majority (91.4%) reported at least minor differences with normal skin (POSAS item score\u2009\u22652) on one or more scar characteristics and 78.9% of the patients\u2019 overall opinion was that their scar deviated from normal skin. Patients with severe burns had higher POSAS scores, representing worse scar quality, than patients with mild\/intermediate burns, except for color, which was high in both groups. A longer hospital stay predicted reduced scar quality (both mean POSAS and mean overall opinion of the scar) in multivariate analyses. In addition, female gender was also associated with a poorer overall opinion of the scar. In conclusion, this study provides new insights in long\u2010term scar quality. Scars differed from normal skin in a large part of the burn population more than 5 years after burns, especially in those with severe burns. Female gender is associated with a poorer patients\u2019 overall opinion of their scar, which may be an indication of gender differences in perception of scar quality after burns.<\/jats:p>","DOI":"10.1111\/wrr.12709","type":"journal-article","created":{"date-parts":[[2019,2,22]],"date-time":"2019-02-22T04:19:13Z","timestamp":1550809153000},"page":"406-414","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":58,"title":["Patient\u2010reported scar quality of adults after burn injuries: A five\u2010year multicenter follow\u2010up study"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9571-576X","authenticated-orcid":false,"given":"Inge","family":"Spronk","sequence":"first","affiliation":[{"name":"Association of Dutch Burn Centres Maasstad Hospital  Rotterdam The Netherlands"},{"name":"Department of Public Health Erasmus MC, University Medical Center Rotterdam  Rotterdam The Netherlands"},{"name":"Department of Plastic, Reconstructive and Hand Surgery, Amsterdam Movement Sciences Amsterdam UMC, Vrije Universiteit Amsterdam  Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzanne","family":"Polinder","sequence":"additional","affiliation":[{"name":"Department of Public Health Erasmus MC, University Medical Center Rotterdam  Rotterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juanita A.","family":"Haagsma","sequence":"additional","affiliation":[{"name":"Department of Public Health Erasmus MC, University Medical Center Rotterdam  Rotterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marianne","family":"Nieuwenhuis","sequence":"additional","affiliation":[{"name":"Association of Dutch Burn Centres Martini Hospital  Groningen The Netherlands"},{"name":"Center for Human Movement Sciences University of Groningen, University Medical Center Groningen 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