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535 Pre-operative Expectations, Post-operative Satisfaction and Patient Directed Priorities for Clinical Burn Research

INTRODUCTION: Patients receiving split thickness skin grafting due to deep burns are left with scarring and chronically dysfunctional skin at the graft site. Given evidence that patients’ pre-operative expectations mediate post-operative outcomes and satisfaction, we sought to describe burn patients...

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Autores principales: Bharadia, Shyla K, Horch, Jenny, Burnett, Lindsay, Yu, Zheng, Shen, Hua, Gabriel, Vincent
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8945679/
http://dx.doi.org/10.1093/jbcr/irac012.164
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author Bharadia, Shyla K
Horch, Jenny
Burnett, Lindsay
Yu, Zheng
Shen, Hua
Gabriel, Vincent
author_facet Bharadia, Shyla K
Horch, Jenny
Burnett, Lindsay
Yu, Zheng
Shen, Hua
Gabriel, Vincent
author_sort Bharadia, Shyla K
collection PubMed
description INTRODUCTION: Patients receiving split thickness skin grafting due to deep burns are left with scarring and chronically dysfunctional skin at the graft site. Given evidence that patients’ pre-operative expectations mediate post-operative outcomes and satisfaction, we sought to describe burn patients’ experience, expectations, and satisfaction with their skin graft, and their views towards a future cell-based clinical trial to improve their graft, over time. We also aimed to identify graft outcome measures for use in future studies. METHODS: This study was approved by our university's research ethics board. All participants provided written and informed consent. Data were collected via patient questionnaires pre-operatively, one, and three months post-operatively. RESULTS: Most patients had small burns. Expectations of graft function were consistent pre- and post-operatively. Expectations of graft appearance showed significant decrease over time (β (1) = -0.290, p = 0.008). Significant improvements in skin function (β (1) = 0.579, p = 0.000) and appearance (β (1) = 0.247, p = 0.025) at the wound site during recovery were observed, although patients noted great difference between grafted and normal skin. Patient satisfaction with their graft did not change significantly over time. Patients were willing to participate in a cell-based clinical trial that may improve graft symptomology. They prioritized diminished scarring, redness, and improved sensation and elasticity as the most salient aspects of grafts to be enhanced by cell-based therapy. CONCLUSIONS: Patient graft concerns changed over time; outcome measures in trials advancing skin grafting should reflect chronic, patient prioritized limitations.
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spelling pubmed-89456792022-03-28 535 Pre-operative Expectations, Post-operative Satisfaction and Patient Directed Priorities for Clinical Burn Research Bharadia, Shyla K Horch, Jenny Burnett, Lindsay Yu, Zheng Shen, Hua Gabriel, Vincent J Burn Care Res Clinical Sciences: Wounds & Scars 1 INTRODUCTION: Patients receiving split thickness skin grafting due to deep burns are left with scarring and chronically dysfunctional skin at the graft site. Given evidence that patients’ pre-operative expectations mediate post-operative outcomes and satisfaction, we sought to describe burn patients’ experience, expectations, and satisfaction with their skin graft, and their views towards a future cell-based clinical trial to improve their graft, over time. We also aimed to identify graft outcome measures for use in future studies. METHODS: This study was approved by our university's research ethics board. All participants provided written and informed consent. Data were collected via patient questionnaires pre-operatively, one, and three months post-operatively. RESULTS: Most patients had small burns. Expectations of graft function were consistent pre- and post-operatively. Expectations of graft appearance showed significant decrease over time (β (1) = -0.290, p = 0.008). Significant improvements in skin function (β (1) = 0.579, p = 0.000) and appearance (β (1) = 0.247, p = 0.025) at the wound site during recovery were observed, although patients noted great difference between grafted and normal skin. Patient satisfaction with their graft did not change significantly over time. Patients were willing to participate in a cell-based clinical trial that may improve graft symptomology. They prioritized diminished scarring, redness, and improved sensation and elasticity as the most salient aspects of grafts to be enhanced by cell-based therapy. CONCLUSIONS: Patient graft concerns changed over time; outcome measures in trials advancing skin grafting should reflect chronic, patient prioritized limitations. Oxford University Press 2022-03-23 /pmc/articles/PMC8945679/ http://dx.doi.org/10.1093/jbcr/irac012.164 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of the American Burn Association. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Sciences: Wounds & Scars 1
Bharadia, Shyla K
Horch, Jenny
Burnett, Lindsay
Yu, Zheng
Shen, Hua
Gabriel, Vincent
535 Pre-operative Expectations, Post-operative Satisfaction and Patient Directed Priorities for Clinical Burn Research
title 535 Pre-operative Expectations, Post-operative Satisfaction and Patient Directed Priorities for Clinical Burn Research
title_full 535 Pre-operative Expectations, Post-operative Satisfaction and Patient Directed Priorities for Clinical Burn Research
title_fullStr 535 Pre-operative Expectations, Post-operative Satisfaction and Patient Directed Priorities for Clinical Burn Research
title_full_unstemmed 535 Pre-operative Expectations, Post-operative Satisfaction and Patient Directed Priorities for Clinical Burn Research
title_short 535 Pre-operative Expectations, Post-operative Satisfaction and Patient Directed Priorities for Clinical Burn Research
title_sort 535 pre-operative expectations, post-operative satisfaction and patient directed priorities for clinical burn research
topic Clinical Sciences: Wounds & Scars 1
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8945679/
http://dx.doi.org/10.1093/jbcr/irac012.164
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