Patients' Body Image Improves After Mohs Micrographic Surgery for Nonmelanoma Head and Neck Skin Cancer

Beal, Brandon T.; White, Emily K.; Behera, Anit; Zavell, Amy E.; McGuinness, Ashley E.; Blangger, Holly; Armbrecht, Eric S.; Maher, Ian A.

doi:10.1097/dss.0000000000001537

Cited by 13 publications

(12 citation statements)

References 17 publications

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“…Patients in our study who received reconstruction reported dissatisfaction with body appearance. This finding is dissimilar to that of a previous body image study . Patients with skin cancer of the head and neck who received microsurgery had better body image at 6 months after treatment.…”

Section: Discussioncontrasting

confidence: 99%

Factors influencing body image in posttreatment oral cavity cancer patients

et al. 2019

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Objective: The purpose of this study of posttreatment oral cavity cancer (OCC) patients was to identify factors associated with self-reported overall body image, perceived attractiveness, and dissatisfaction with body appearance. Methods: This cross-sectional study recruited patients with OCC from the outpatient radiation department of a single cancer center in Northern Taiwan. Demographic and clinical characteristics were recorded, and patients were assessed using the Hospital Anxiety and Depression Scale (HADS), the Liebowitz Social Anxiety Scale (LSAS), the University of Washington Quality of Life Scale (UW-QOL), and the Body Image Scale (BIS). Results: A total of 168 patients were included in this current study, 76 females and 92 males. Negative overall body image was associated with greater degree of depression, greater fear of social interactions, poorer social-emotional function, receipt of surgery, female gender, and greater avoidance of social interaction; these factors explained 49.0% of the variance in this outcome measure. Poor perceived attractiveness was associated with greater depression, greater fear of social interaction, and receipt of surgery; these factors explained 25.4% of the variance in this outcome measure. Dissatisfaction with body appearance was associated with poor socialemotional function, greater fear of social interaction, receipt of reconstruction, advanced cancer stage, and female gender; these factors explained 52.2% of the variance in this outcome measure. Conclusions: This study of posttreatment OCC patients indicated that depression and fear of social interaction strongly influenced overall body image, perceived attractiveness, and dissatisfaction with body appearance. KEYWORDS cancer, body image, depression, oncology, quality of life 1 | BACKGROUNDCancer is a leading cause of mortality and morbidity worldwide. Oral cavity cancer (OOC), which refers to cancer anywhere in the mouth (including the lips, tongue, cheeks, mouth floor, and gums) 1 has an annual worldwide incidence 2 of 300 000. In Taiwan, OCC has become the fourth most common cancer among males, and the most common sites for OCC are the buccal mucosa and tongue. The high incidence of OCC in Taiwan reflects the widespread practice of betel quid chewing by males. 3 The cancer itself and its treatment commonly

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Section: Discussioncontrasting

confidence: 99%

Factors influencing body image in posttreatment oral cavity cancer patients

et al. 2019

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“…[16][17][18][19] Because BID is a critical psychosocial issue for patients with HNC, there has been a proliferation of studies addressing the topic in recent years. [20][21][22][23][24][25][26] These studies have contributed to an improved conceptual framework for understanding BID in patients with HNC, reported on the changes in the severity of BID over time, described risk factors for BID, and characterized different treatment strategies. However, the volume of recent studies, differences in study design, varied patient populations, and heterogeneity of BID assessment tools have made understanding BID in patients with HNC challenging.…”

mentioning

confidence: 99%

“…Because BID is a critical psychosocial issue for patients with HNC, there has been a proliferation of studies addressing the topic in recent years 20‐26 . These studies have contributed to an improved conceptual framework for understanding BID in patients with HNC, reported on the changes in the severity of BID over time, described risk factors for BID, and characterized different treatment strategies.…”

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confidence: 99%

A Systematic Review of Patient‐Reported Outcome Measures Assessing Body Image Disturbance in Patients with Head and Neck Cancer

Ellis

Sterba

Brennan

et al. 2019

Otolaryngol.--head neck surg.

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Objective.-To synthesize published literature describing the severity of body image disturbance (BID) in patients with head and neck cancer (HNC) over time, its psychosocial and functional associations, and treatment strategies as assessed by patient-reported outcome measures (PROMs). Data Source.-PubMed/MEDLINE, Scopus, PsycINFO, Web of Science, and Google Scholar. Review Methods.-A systematic review of the English-language literature was performed to identify studies of BID in patients with HNC using psychometrically validated PROMs to assess (1) severity of BID over time, (2) psychosocial and functional associations, and (3) management strategies.

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“…Our conceptual model of BID for patients with HNC is shown in Figure 1 . This model is informed by a model from Rhoten et al 10 and synthesizes our new qualitative findings about key themes and experiential modifiers of HNC-related BID with previously published risk factors for BID 35-39 and its negative outcomes. 2,28,40,41…”

Section: Resultsmentioning

confidence: 99%

“…(Participant 4) Social support ''I have a big support system, especially our church family so that helps a lot too.'' (Participant from Rhoten et al 10 and synthesizes our new qualitative findings about key themes and experiential modifiers of HNC-related BID with previously published risk factors for BID [35][36][37][38][39] and its negative outcomes. 2,28,40,41 Discussion Experiential Themes of BID…”

Section: Theme Examplesmentioning

confidence: 99%

Body Image Disturbance in Surgically Treated Head and Neck Cancer Patients: A Patient‐Centered Approach

Ellis

Sterba

Day

et al. 2019

Otolaryngol.--head neck surg.

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ObjectiveTo promote patient-centered oncology care through an in-depth analysis of the patient experience of body image disturbance (BID) following surgery for head and neck cancer (HNC).Study DesignQualitative methods approach using semistructured key informant interviews.SettingAcademic medical center.Subjects and MethodsParticipants with surgically treated HNC underwent semistructured key informant interviews and completed a sociodemographic survey. Recorded interviews were transcribed, coded, and analyzed using template analysis to inform creation of a conceptual model.ResultsTwenty-two participants with surgically treated HNC were included, of whom 16 had advanced stage disease and 15 underwent free tissue transfer. Five key themes emerged characterizing the participants’ lived experiences with BID following HNC treatment: personal dissatisfaction with appearance, other-oriented appearance concerns, appearance concealment, distress with functional impairments, and social avoidance. The participant’s perceived BID severity was modified by preoperative patient expectations, social support, and positive rational acceptance. These 5 key themes and 3 experiential modifiers form the basis of a novel, patient-centered conceptual model for understanding BID in HNC survivors.ConclusionA patient-centered approach to HNC care reveals that dissatisfaction with appearance, other-oriented appearance concerns, appearance concealment, distress with functional impairments, and social avoidance are key conceptual domains characterizing HNC-related BID. Recognition of these psychosocial dimensions of BID in HNC patients can inform development of HNC-specific BID patient-reported outcome measures to facilitate quantitative assessment of BID as well as the development of novel preventative and therapeutic strategies for those at risk for, or suffering from, BID.

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Patients' Body Image Improves After Mohs Micrographic Surgery for Nonmelanoma Head and Neck Skin Cancer

Abstract: Patients' BI improves after treatment with MMS for NMHNSC.

Cited by 13 publications

References 17 publications

Factors influencing body image in posttreatment oral cavity cancer patients

Factors influencing body image in posttreatment oral cavity cancer patients

A Systematic Review of Patient‐Reported Outcome Measures Assessing Body Image Disturbance in Patients with Head and Neck Cancer

Body Image Disturbance in Surgically Treated Head and Neck Cancer Patients: A Patient‐Centered Approach

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