Perceptions of facial aesthetics in surgical patients with basal cell carcinoma

Essers, Brigitte; Nieman, Fred; Prins, Martin H.; Smeets, N.W.J. Kelleners; Neumann, H. A. Martino

doi:10.1111/j.1468-3083.2007.02227.x

Cited by 28 publications

(33 citation statements)

References 8 publications

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“…27 Through a process of item generation and refinement, a 15-item questionnaire was constructed with three subscales; emotional (seven items), social (five items) and appearance (three items). 9 The concern for facial scarring or disfigurement was also regularly reported in an openended survey administered to NMSC patients regarding their QOL. 5 The SCI scores demonstrated that patients who were women, <50 years old and in employment experienced a greater impact on their QOL.…”

Section: Sf-36 Fact-g Vasmentioning

confidence: 99%

“…It is important to consider that many NMSC appear on the face or visible areas of the skin. 2,9,10 QOL questionnaires have been used as an evaluation tool to quantify a particular health problem as well as utility weightings that quantify a preference for a particular health outcome. Most NMSC are treated with surgery, disrupting the normal activities of daily living, and have a financial impact, and repeated treatments may be needed in the setting of incomplete surgical margins or recurrence.…”

Section: Introductionmentioning

confidence: 99%

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Quality of life in non‐melanoma skin cancer

2014

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Basal cell carcinoma and squamous cell carcinoma are the most common malignancies and are classified under the umbrella of non-melanoma skin cancer (NMSC). NMSC exerts a small but appreciable decrement in quality of life (QOL). The impact posed may arise from the tumour itself or as a result of treatment, and through symptoms, functional limitations, cosmetic burden and auxiliary considerations such as cost and disturbance to the activities of daily living. Researchers have evaluated this burden using a variety of outcome measures including generic, dermatology-specific and disease-specific instruments. The skin cancer index represents a promising disease-specific patient-reported outcome measure in this setting. To overcome some of the constraints inherent to disease-specific instruments, and to allow comparisons with other diseases, utility weightings have been developed. Utility weightings represent a cardinal measure for a specific health status and are established through methods such as the standard gamble, willingness-to-pay and time trade-off, and have also been employed to generate utility weightings for NMSC. Utilities are becoming increasingly important as a means of comparing health states across medicine and are of particular importance from a health-care policy perspective as they are used for resource allocation. The small but definite impact on the individual's QOL posed by NMSC should be a clinical consideration for physicians and it should be recognised by researchers as a potential outcome measure.

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Section: Sf-36 Fact-g Vasmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Quality of life in non‐melanoma skin cancer

2014

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“…S. Cancer Statistics Working Group, 2016), are increasing at 3% per year. Nearly 5 million cases of non-melanoma skin cancer (NMSC) occur annually,(American Cancer Society, 2016) creating substantial disfigurement (Bariani et al, 2006; Essers et al, 2007; Girschik et al, 2008; Hannuksela-Svahn et al, 1999) and healthcare costs. (Bickers et al, 2006) Exposure to solar and ultraviolet radiation (UV) is a primary cause.…”

Section: Introductionmentioning

confidence: 99%

Effect of an intervention on observed sun protection by vacationers in a randomized controlled trial at North American resorts

Buller

Andersen

Walkosz

et al. 2017

Preventive Medicine

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During vacations, many individuals receive high-risk sun exposure that is associated with skin cancer. Vacationers in outdoor recreation venues (pretest n=4,347; posttest n=3,986) at warm-weather destination resorts in North America (n=41) were enrolled in a pair-matched, group-randomized pretest-posttest controlled quasi-experimental design in 2012-14. Print, audiovisual, and online messages based on Transportation Theory and Diffusion of Innovation Theory and promoting advanced sun protection (e.g., use of clothing, hats, shade and pre-application/reapplication of sunscreen and reliable cues to high UV) were delivered through resort channels. Vacationers' sun protection practices observed by trained research staff (i.e., body coverage and shade use analyzed individually and in combined scores) did not differ by experimental condition (p>0.05) or intervention implementation (p>0.05). However, recreation venue moderated intervention impact. The intervention improved sun protection at waterside recreation venues (z-score composite: intervention pre=-22.74, post=-15.77; control pre=-27.24, post=-23.24) but not non-waterside venues (z-score composite: intervention pre=20.43, post=20.53; control pre=22.94, post=18.03, p<0.01). An additional analysis showed that resorts with greater program implementation showed more improvements in sun protection by vacationers at waterside (z=score composite: high implementation pre=-25.45, post=-14.05; low implementation pre=-24.70, post=-21.40) compared to non-waterside (z-score composite: high implementation pre=14.51, post=19.98; low implementation pre=24.03, post=18.98, p<0.01) recreation venues. The intervention appeared effective with the vacationers in recreation venues with the highest-risk for sun exposure, waterside venues. However, it was not effective throughout all the resort venues, possibly because of the sun-seeking desires of vacationers, information overload at the resorts, and constraints on clothing styles and sun protection by recreation activity.

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“…This can lead to significant cosmetic disfigurement, especially when the face is involved. 5,8 Incomplete excision remains a frustrating problem because it leads to a significant reoperation rate or prolonged follow-up, with concomitant patient discomfort and economic impact. 1,3Y5 A wide range of different treatments has been described for the management of BCCs, but conventional surgical excision is the treatment of choice for primary BCCs and is appropriate for most of the these tumors.…”

mentioning

confidence: 99%