Abstract
To describe an objective assessment method, based on quantifiable criteria, and compare it with subjective patient and surgeon assessments. 136 patients undergoing abdominal surgery were prospectively analyzed. Surgical scars were evaluated six months after surgery, with measurements of widening, hypertrophy and retraction. An objective 4-type scar classification (A, B, C and D) and a subjective 10-point surgeon and patient-assessed score were used. The results were compared. The surgeon's subjective assessment was different between groups 1 and 2 (p = 0.021) and between groups 2 and 3B (p = 0.011). Patients' assessments did not significantly differ between the groups (p = 0.283). The objective assessment gave better results for groups 1 and 3B, although without significance. The method used for objective assessment was effective and the surgeon's mean scores differed between the groups (p < 0.001). Assessment using the quantitative method was adequate to classify surgical scars, and agreed more with reality than a satisfaction-based subjective impression.
Highlights
O método utilizado na avaliação objetiva foi eficaz e os valores médios atribuídos pelo cirurgião às cicatrizes dos tipos A, B, C e D foram diferentes entre si (p < 0,001)
Os valores atribuídos por eles foram elevados, indistintamente em todos os grupos, independentemente do seu aspecto, o que sugere incapacidade de discernimento entre as cicatrizes ou cordialidade com o cirurgião
A avaliação do cirurgião examinador encontrou resultados menos favoráveis que a do paciente em todos os aspectos, com valores médios mais baixos em todos os grupos
Summary
O método utilizado na avaliação objetiva foi eficaz e os valores médios atribuídos pelo cirurgião às cicatrizes dos tipos A, B, C e D foram diferentes entre si (p < 0,001). Avaliação subjetiva O cirurgião examinador atribuiu valor em uma escala de 1 a 10, orientado pelo aspecto estético da cicatriz cirúrgica, tomando-se como único critério sua aparência. O paciente também atribuiu valor em escala igual para a cicatriz, tendo por base o mesmo critério do cirurgião.
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