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

被引:67
作者
Lee, Erica H. [1 ]
Klassen, Anne F. [3 ]
Lawson, Jessica L. [2 ]
Cano, Stefan J. [4 ,5 ]
Scott, Amie M. [1 ]
Pusic, Andrea L. [1 ]
机构
[1] Mem Sloan Kettering Canc Ctr, 16 East 60th St, New York, NY 10022 USA
[2] Yeshiva Univ, New York, NY 10033 USA
[3] McMaster Univ, Hamilton, ON, Canada
[4] Univ Plymouth, Peninsula Sch Med, Plymouth PL4 8AA, Devon, England
[5] Univ Plymouth, Peninsula Sch Dent, Plymouth PL4 8AA, Devon, England
关键词
basal cell carcinoma; dermatological surgery; facial skin cancer; melanoma; Mohs surgery; patient-reported outcome; patients' satisfaction; skin cancer; squamous cell carcinoma; OF-LIFE; QUESTIONNAIRE;
D O I
10.1111/ajd.12323
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
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.
引用
收藏
页码:E100 / E104
页数:5
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