Butzelaar · Journal of plastic, reconstructive & aesthetic surgery : JPRAS 2016 · literature review · n=11 studies

Currently known risk factors for hypertrophic skin scarring: A review.

Cited 153 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Literature review without systematic review of clinical trials

PubMed 26776348 · doi:10.1016/j.bjps.2015.11.015 · record verified 2026-08-29

What was done

The authors conducted a PubMed search to identify published studies reporting on risk factors for hypertrophic scar formation.

What was found

The search identified 11 studies evaluating nine factors. Moderate to high strength of evidence was reported for chemotherapy, age, stretch, infection, and smoking, whereas other factors lacked convincing evidence or remained disputed. Young age, bacterial colonization, and skin subjected to stretch were identified as risk factors for hypertrophic scar formation, while chemotherapy, statins, and smoking appeared to be protective. The abstract reports no numerical risk estimates, effect sizes, or statistical values.

Why it matters

This review identifies patient and wound characteristics that may guide scar prevention and risk stratification in clinical practice.

Limits

The review included only 11 studies from a single database, without meta-analytic pooling, numerical risk estimates, or quantitative outcome measures reported in the abstract. Several factors were noted to have weak or disputed evidence.

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