{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,5]],"date-time":"2025-10-05T12:35:43Z","timestamp":1759667743142,"version":"3.40.5"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,8,4]],"date-time":"2020-08-04T00:00:00Z","timestamp":1596499200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Wound Repair Regeneration"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>There exists little to no data on the development of donor\u2010site scars that remain after split skin graft harvesting. The objectives of this study were to (a) examine changes in characteristics of donor\u2010site scar quality over time and (b) assess the agreement between patient\u2010reported and observer\u2010reported donor\u2010site scar quality in a burn population. A prospective cohort study was conducted including patients who underwent split skin grafting for their burn injury. Patients and observers completed the Patient and Observer Scar Assessment Scale (POSAS) for the first harvested donor site at 3 and 12\u2009months post\u2010surgery. This study included 80 patients with a median age of 34\u2009years. At 3 months post\u2010surgery, the patients scored the POSAS items itch and color as most deviant from normal skin, both improved between 3 and 12\u2009months (3.1 vs 1.5 and 5.0 vs 3.5, respectively [<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001]). Other scar characteristics did not show significant change over time. The patients' overall opinion score improved from 3.9 to 3.2 (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001). Observers rated the items vascularization and pigmentation most severe, only vascularization improved significantly between both time points. Their overall opinion score decreased from 2.7 to 2.3 (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001). The inter\u2010observer agreement between patients and observers was considered poor (ICC\u2009&lt;\u20090.4) at both time points. Results of current study indicate that observers underestimate the impact of donor\u2010site scars. This has to be kept in mind while guiding therapy and expectations.<\/jats:p><jats:p>LEVEL OF EVIDENCE: II, prospective cohort study.<\/jats:p>","DOI":"10.1111\/wrr.12840","type":"journal-article","created":{"date-parts":[[2020,6,10]],"date-time":"2020-06-10T05:31:36Z","timestamp":1591767096000},"page":"696-703","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Course of scar quality of donor sites following split skin graft harvesting: Comparison between patients and observers"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7943-7747","authenticated-orcid":false,"given":"Catherine M.","family":"Legemate","sequence":"first","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery, Amsterdam Movement Sciences Amsterdam UMC, Vrije Univeristeit Amsterdam  Amsterdam the Netherlands"},{"name":"Maasstad Hospital, Burn Center  Rotterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pauline J.","family":"Ooms","sequence":"additional","affiliation":[{"name":"Maasstad Hospital, Burn Center  Rotterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Trommel","sequence":"additional","affiliation":[{"name":"Maasstad Hospital, Burn Center  Rotterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harold","family":"Goei","sequence":"additional","affiliation":[{"name":"Department of Surgery, Amsterdam Movement Sciences Amsterdam UMC, Vrije Univeristeit Amsterdam  Amsterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ymke","family":"Lucas","sequence":"additional","affiliation":[{"name":"Maasstad Hospital, Burn Center  Rotterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esther","family":"Middelkoop","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery, Amsterdam Movement Sciences Amsterdam UMC, Vrije Univeristeit Amsterdam  Amsterdam the Netherlands"},{"name":"Association of Dutch Burn Centres, Red Cross Hospital, Beverwijk  the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margriet E.","family":"van Baar","sequence":"additional","affiliation":[{"name":"Maasstad Hospital, Burn Center  Rotterdam the Netherlands"},{"name":"Department of Public Health, Erasmus MC University Medical Center Rotterdam  Rotterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cornelis H.","family":"van der Vlies","sequence":"additional","affiliation":[{"name":"Maasstad Hospital, Burn Center  Rotterdam the Netherlands"},{"name":"Department of Public Health, Erasmus MC University Medical Center Rotterdam  Rotterdam the Netherlands"},{"name":"Trauma Research Unit, Department of Surgery, Erasmus MC University Medical Center Rotterdam  Rotterdam the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,8,4]]},"reference":[{"issue":"3","key":"e_1_2_10_2_1","doi-asserted-by":"crossref","first-page":"378e","DOI":"10.1097\/PRS.0000000000000062","article-title":"Donor\u2010site preferences in women during autologous skin grafting","volume":"133","author":"Garcia E","year":"2014","journal-title":"Plast Reconstr 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