Patient experiences and outcomes following facial skin cancer surgery: A qualitative study Journal Article


Authors: Lee, E. H.; Klassen, A. F.; Lawson, J. L.; Cano, S. J.; Scott, A. M.; Pusic, A. L.
Article Title: Patient experiences and outcomes following facial skin cancer surgery: A qualitative study
Abstract: Early melanoma and non-melanoma skin cancer of the facial area are primarily treated with surgery. Little is known about the outcomes of treatment for facial skin cancer patients. The objective of the study was to identify concerns about aesthetics, procedures and health from the patients' perspective after facial skin surgery. Semi-structured in-depth interviews were conducted with 15 participants. Line-by-line coding was used to establish categories and develop themes. We identified five major themes on the impact of skin cancer surgery: appearance-related concerns; psychological (e.g., fear of new cancers or recurrence); social (e.g. impact on social activities and interaction); physical (e.g. pain and swelling) concerns and satisfaction with the experience of care (e.g., satisfaction with surgeon). The priority of participants was the removal of the facial skin cancer, as this reduced their overall worry. The aesthetic outcome was secondary but important, as it had important implications on the participants' social and psychological functioning. The participants' experience with the care provided by the surgeon and staff also contributed to their satisfaction with their treatment. This conceptual framework provides the basis for the development of a new patient-reported outcome instrument.
Keywords: squamous cell carcinoma; melanoma; basal cell carcinoma; skin cancer; questionnaire; satisfaction; mohs surgery; patient-reported outcome; of-life; dermatological surgery; facial skin cancer; patients'
Journal Title: Australasian Journal of Dermatology
Volume: 57
Issue: 3
ISSN: 0004-8380
Publisher: Wiley Blackwell  
Date Published: 2016-08-01
Start Page: e100
End Page: e104
Language: English
ACCESSION: WOS:000381069000007
DOI: 10.1111/ajd.12323
PROVIDER: wos
PUBMED: 25833383
PMCID: PMC5461874
Notes: Article -- Source: Wos
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MSK Authors
  1. Andrea Pusic
    294 Pusic
  2. Erica H Lee
    84 Lee
  3. Amie Marie Scott
    45 Scott