The Influence of Supportive Oncodermatology Interventions on Patient Quality of Life: A Cross-Sectional Survey

Background: Dermatologic adverse events (dAEs) secondary to anticancer treatments reduce patients' quality of life (QOL) and result in interruptions in anticancer therapy. Objective: Determine if a comprehensive supportive oncodermatology program improves patients' QOL scoring. Methods: This was a cross-sectional survey of adult cancer patients enrolled in the George Washington University Supportive Oncodermatology Clinic. All patients were above age 18 years and received dermatologic care between May 1, 2017 and November 1, 2019. Fifty-five patents meeting inclusion criteria were invited to complete an online survey with questions adapted from the Dermatology Life Quality Index (DLQI) and Patient Satisfaction Questionnaire (PSQ-18). Results: Survey initiation rate was 61.8% (34/55) and completion rate 88.2% (30/34). Average QOL score prior to treatment was 6.5 (moderate effect on QOL) and 3.8 (small effect) afterwards (P=0.0005; 95% CI -3.9 to -1.). Average satisfaction score was 4.15 +/- 0.7 (satisfied). Impact on treatment adherence earned the lowest score (3.67, neutral to satisfied). Limitations: Recall bias Conclusion: Enrollment was significantly associated with improved QOL. Dermatologic care also resulted in overall satisfied patient outcomes, although many patients were unsure if these dermatologic interventions aided in anticancer treatment adherence, highlighting the need for evidence-based management strategies for dAEs.