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Comment & Response
October 2015

Patient Contribution to Reconstructive Decision—Reply

Author Affiliations
  • 1Department of Dermatology, University of California, Davis, Sacramento, California
JAMA Dermatol. 2015;151(10):1143. doi:10.1001/jamadermatol.2015.1572

In Reply We thank Dr Dzubow for his interest in our study1 and his thoughtful comments regarding one of our secondary outcome measures, time to heal. Though our primary outcome measure concerned cosmetic results, he notes that this may not be the one that matters most to the patient. We agree that wound care is a worthy concern and the reason we expended considerable efforts evaluating time to heal in our study. Though not the same, we believe it a good surrogate for his suggested measure, “care time.” For our study, patients were phoned weekly and asked if their wound was completely healed. They were told that a shiny pink scar at the site of the surgical wound indicated complete healing. If the patient was unsure, they were asked additional questions. These included “Are there any open areas? Is the wound still draining?”