To see or not to see: Impact of viewing facial skin cancer defects prior to reconstruction

Veldhuizen, Inge J.; Lee, Erica H.; Kurtansky, Nicholas; Hensbergen, Lucy J. van; Dusza, Stephen W.; Hölscher, Marleen C.; Hulst, René R. W. J. van der; Ottenhof, Maarten J.; Pusic, Andrea L.; Hoogbergen, Maarten M.

doi:10.1007/s00403-021-02187-1

Cited by 10 publications

(11 citation statements)

References 29 publications

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“…25 Counseling and guidance could help these patients to go through the process of adapting to visible alterations 25 ; such as showing the lesion before reconstruction, which may result in lower appearancerelated distress. 33…”

Section: Discussionmentioning

confidence: 99%

Cancer worry after facial nonmelanoma skin cancer resection and reconstruction: A 1‐year prospective study

et al. 2021

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Objective: Nonmelanoma skin cancer (NMSC) is one of the most diagnosed cancers in the world, with the number of new occurrences rising every year. Most patients with facial skin cancer experience cancer-related worry. Yet, little is known about their worry during the period after cancer treatment. This study aimed to assess the long-term change of cancer worry after surgical treatment in patients with NMSC.Methods: Patients undergoing surgery for facial NMSC between December 2017 and March 2020 were asked to complete the FACE-Q Skin Cancer-Cancer Worry scale before (baseline), 3-month, and 1-year post-surgery.Results: A total of 151 patients completed the baseline and 3-month, and 99 (65.6%) the 1-year post-operative survey. A significant decrease in cancer worry score was seen between baseline and 3-month post-surgery (p < 0.001). No difference was found between the 3-month and 1-year post-surgery scores (p = 0.78).Less improvement in cancer worry was seen for patients who had one facial skin cancer in their medical history (p = 0.001) and patients who had a history of facial surgery (p < 0.001). Conclusion:Post-surgery patients still experience cancer worry. Therefore, targeted counseling might be of value when coping with cancer-related concerns.

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Section: Discussionmentioning

confidence: 99%

Cancer worry after facial nonmelanoma skin cancer resection and reconstruction: A 1‐year prospective study

et al. 2021

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“…25,26 Physicians and patients may prioritize different factors relevant to the treatment of skin cancer 27,28 and patient expectations play a significant role in their experience. 29,30…”

Section: Skin Cancer Reconstruction In the Literaturementioning

confidence: 99%

“…The measure narratives are listed in Tables 1 through 7. 1–70 To implement the measures and view all the specifications, please see Appendix, Supplemental Digital Content 1 , which shows the reconstruction after skin cancer resection measurement specifications, http://links.lww.com/PRS/G455.…”

Section: Quality Measuresmentioning

confidence: 99%

“…25,26 Physicians and patients may prioritize different factors relevant to the treatment of skin cancer 27,28 and patient expectations play a significant role in their experience. 29,30 Despite a substantial body of literature, variations in study methodology, patient populations, endpoints, and techniques make it difficult to perform meta-analyses or undertake direct Plastic and Reconstructive Surgery • February 2024 428e Rationale/opportunity for improvement There is a common long-held belief that discontinuation of anticoagulation therapy before surgery (including cutaneous surgery) is necessary to prevent bleeding complications. However, research has indicated that it is not only safe to continue anticoagulation therapy but there are significant risks associated with discontinuation of these medications.…”

Section: Skin Cancer Reconstruction In the Literaturementioning

confidence: 99%

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Evidence-Based Performance Measures for Reconstruction after Skin Cancer Resection: A Multidisciplinary Performance Measure Set

Chen,

Ray,

Rogers

et al. 2024

Plastic &Amp; Reconstructive Surgery

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Background: The American Society of Plastic Surgeons commissioned the multidisciplinary Performance Measure Development Work Group on Reconstruction after Skin Cancer Resection to identify and draft quality measures for the care of patients undergoing skin cancer reconstruction. Included stakeholders were the American Academy of Otolaryngology–Head and Neck Surgery, the American Academy of Facial Plastic and Reconstructive Surgery, the American Academy of Dermatology, the American Society of Dermatologic Surgery, the American College of Mohs Surgery, the American Society for Mohs Surgery, and a patient representative. Methods: Two outcome measures and five process measures were identified. The outcome measures included the following: (1) patient satisfaction with information provided by their surgeon before their facial procedure, and (2) postprocedural urgent care or emergency room use. The process measures focus on antibiotic stewardship, anticoagulation continuation and/or coordination of care, opioid avoidance, and verification of clear margins. Results: All measures in this report were approved by the American Society of Plastic Surgeons Quality and Performance Measures Work Group and Executive Committee, and the stakeholder societies. Conclusion: The work group recommends the use of these measures for quality initiatives, Continuing Medical Education, Continuous Certification, Qualified Clinical Data Registry reporting, and national quality reporting programs.

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“…First, it allows for increased patient understanding of the wound and for a more robust dialog between the patient and provider regarding reconstructive options and risks. 42 Even a short delay allows the patient a chance to consider the reconstruction options. For example, patients can make a more informed decision between a single-staged and two-staged operation if they are given time to consider medial risks, wound-care tasks, and social implications such as transportation and time away from daily obligations.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Time to Mohs Reconstruction: A Systematic Review Comparing Complication Rates between Immediate and Delayed Repair

et al. 2023

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Background: Several known factors affect outcomes of Mohs facial defect reconstruction; however, the effect of repair timing on outcomes is ill-defined. Objective: To determine postoperative complication rates between immediate and delayed repair of Mohs facial defects. Design/Methods: Preferred Reporting Items of Systematic Reviews and Meta-Analyses guidelines were used. Articles were selected using PICO format – population: Mohs facial defect patients, intervention: defect repair, comparator: immediate (<24 hours) or delayed (>24 hours) repair, outcome: complication rate. PubMed/Medline (1946-2020), EMBASE (1947-2020), Scopus (1823-2020), Web of Science (1900-2020), Cochrane Library, and Clinicaltrials.gov were searched. Two independent reviewers screened abstracts; those in English with human subjects reporting repair timing and complication rates were included. Results: Search criteria yielded 6649 abstracts; 233 qualified for review. Data were gathered from six studies; they alone contained comparative data meeting inclusion criteria. While many well-written studies were encountered, reported results varied widely. A statistically sound meta-analysis could not be completed due large heterogeneity between studies, biasing the analysis towards the largest weighted study. Conclusions: Clinically important differences may exist between immediate and delayed Mohs reconstruction, but small study numbers, large heterogeneity, and lack of standardized outcome measures limit definitive conclusions. More studies are needed to perform appropriate meta-analyses, including studies using standardized methods of reporting Mohs outcome data.

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To see or not to see: Impact of viewing facial skin cancer defects prior to reconstruction

Cited by 10 publications

References 29 publications

Cancer worry after facial nonmelanoma skin cancer resection and reconstruction: A 1‐year prospective study

Cancer worry after facial nonmelanoma skin cancer resection and reconstruction: A 1‐year prospective study

Evidence-Based Performance Measures for Reconstruction after Skin Cancer Resection: A Multidisciplinary Performance Measure Set

Time to Mohs Reconstruction: A Systematic Review Comparing Complication Rates between Immediate and Delayed Repair

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