Inge J. Veldhuizen MD, PhD , Stephen W. Dusza DrPH , Alyce Kuo MD , Abdullah Aleisa MD , Elliot Blue MD , Sushmita Adhikari BS , Umer Nadir BS , Kim Le BS , Soroush Kazemi MD , Adam V. Sutton MD , Rajiv I. Nijhawan MD , Daniel B. Eisen MD , Anthony M. Rossi MD , Divya Srivastava MD , Ashley Wysong MD , Kishwer S. Nehal MD , Erica H. Lee MD
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Abstract
Background
Despite the growth in patient-centered care, multicenter prospective studies investigating satisfaction after skin cancer surgery are limited.
Objective
To assess trends in esthetic satisfaction, symptoms, and quality of life over 1 year in facial skin cancer patients.
Methods
Patients with facial skin cancer who underwent surgery were enrolled at 4 hospitals across the United States. A total of 990 patients were included. The FACE-Q Skin Cancer questionnaire was administered before surgery, at 2-week, 6-month, and 1-year intervals postsurgery.
Results
Patients reported increased satisfaction with FACE-Q scales over 1 year. Significant factors influencing outcomes included sex, age, history of facial skin cancer, cosmetic surgery, defect size, and cancer location. Males reported higher satisfaction with appearance (P = .003) and scar (P < .001), and reduced psychosocial distress (P < .001). Larger defects were associated with greater psychosocial distress (P = .037) and lower scar appraisal (P = .008). Patients with nose skin cancer reported lower satisfaction with appearance and scars (P = .026, P < .001), higher psychosocial distress (P = .004), and increased cancer worry (P = .045). Patients with cancer near the eyes reported increased cancer worry (P = .004). Reconstruction types did not influence satisfaction.
Conclusions
Clinical and patient characteristics significantly influence patient-reported outcomes, highlighting the need for personalized treatment approaches to optimize outcomes in dermatologic surgery.
期刊介绍：
The Journal of the American Academy of Dermatology (JAAD) is the official scientific publication of the American Academy of Dermatology (AAD). Its primary goal is to cater to the educational requirements of the dermatology community. Being the top journal in the field, JAAD publishes original articles that have undergone peer review. These articles primarily focus on clinical, investigative, and population-based studies related to dermatology. Another key area of emphasis is research on healthcare delivery and quality of care. JAAD also highlights high-quality, cost-effective, and innovative treatments within the field. In addition to this, the journal covers new diagnostic techniques and various other topics relevant to the prevention, diagnosis, and treatment of skin, hair, and nail disorders.
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