Patient-reported quality of life and esthetic satisfaction continues to improve for 1-year after Mohs surgery: A multicenter prospective cohort study Journal Article
| Authors: | Veldhuizen, I. J.; Dusza, S. W.; Kuo, A.; Aleisa, A.; Blue, E.; Adhikari, S.; Nadir, U.; Le, K.; Kazemi, S.; Sutton, A. V.; Nijhawan, R. I.; Eisen, D. B.; Rossi, A. M.; Srivastava, D.; Wysong, A.; Nehal, K. S.; Lee, E. H. |
| Article Title: | Patient-reported quality of life and esthetic satisfaction continues to improve for 1-year after Mohs surgery: A multicenter prospective cohort study |
| 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. © 2025 American Academy of Dermatology, Inc. |
| Keywords: | patient satisfaction; skin cancer; surgery; patient-reported outcomes |
| Journal Title: | Journal of the American Academy of Dermatology |
| ISSN: | 0190-9622 |
| Publisher: | Mosby Elsevier |
| Publication status: | Online ahead of print |
| Date Published: | 2025-03-17 |
| Online Publication Date: | 2025-03-17 |
| Language: | English |
| DOI: | 10.1016/j.jaad.2025.03.022 |
| PUBMED: | 40107508 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PDF. Corresponding MSK author is Erica H. Lee -- Source: Scopus |
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