Skin grafting is the current gold standard for treatment of deeper burns.

 How patients appraise the donor-site scar is poorly investigated.

 The aim of this study was to evaluate long-term patient-reported quality of donor-site scars after split skin grafting and identify possible predictors.

A prospective cohort study was conducted. Patients were included in a Dutch burn centre during one year.

 Patient-reported quality of donor-site scars and their worst burn scar was assessed at 12 months using the Patient and Observer Scar Assessment Scale (POSAS).

 Mixed model analyses were used to identify predictors of scar quality.