Patient experiences and outcomes following facial skin cancer surgery: A qualitative study. Academic Article uri icon

Overview

MeSH

  • Adaptation, Psychological
  • Adult
  • Aged
  • Aged, 80 and over
  • Carcinoma, Basal Cell
  • Carcinoma, Squamous Cell
  • Esthetics
  • Female
  • Humans
  • Interviews as Topic
  • Male
  • Melanoma
  • Middle Aged
  • Qualitative Research
  • Skin Transplantation
  • Young Adult

MeSH Major

  • Mohs Surgery
  • Outcome Assessment (Health Care)
  • Quality of Life
  • Skin Neoplasms

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. © 2015 The Australasian College of Dermatologists.

publication date

  • August 2016

has subject area

  • Adaptation, Psychological
  • Adult
  • Aged
  • Aged, 80 and over
  • Carcinoma, Basal Cell
  • Carcinoma, Squamous Cell
  • Esthetics
  • Female
  • Humans
  • Interviews as Topic
  • Male
  • Melanoma
  • Middle Aged
  • Mohs Surgery
  • Outcome Assessment (Health Care)
  • Qualitative Research
  • Quality of Life
  • Skin Neoplasms
  • Skin Transplantation
  • Young Adult

Research

keywords

  • Journal Article

Identity

Language

  • eng

Digital Object Identifier (DOI)

  • 10.1111/ajd.12323

PubMed ID

  • 25833383

Additional Document Info

start page

  • e100

end page

  • e104

volume

  • 57

number

  • 3