PDF(Pubmed)
Abstract：
UNASSIGNED: Long-term patient-reported outcomes (PROs) of oncological facial reconstructive surgery are unknown.
UNASSIGNED: The present study aimed to assess long-term PROs and to identify possible correlations between patient and treatment characteristics and long-term PROs.
UNASSIGNED: Between 2006 and 2011, 202 patients underwent facial reconstruction after Mohs micrographic surgery for non-melanoma skin cancer at our institution. After 10 years of follow-up, 96 out of the remaining 122 patients completed the FACE-Q Skin Cancer Module.
UNASSIGNED: Patients who were surgically treated for squamous cell carcinoma reported poorer scores on the satisfaction with facial appearance (p=0.038), appraisal of scars (p=0.039) and appearance-related psychosocial distress scales (p=0.036) compared to patients with basal cell carcinoma and lentigo maligna. Finally, female patients reported significantly higher scores on the Cancer Worry Scale than male patients (p=0.047).
UNASSIGNED: Long-term patient satisfaction with respect to their facial appearance and scars after reconstructive surgery for skin cancer was comparable to short-term patient satisfaction, whereas Cancer Worry Scale and psychosocial distress appeared to be slightly higher. Our results can be used to better inform patients on the long-term effects of facial reconstructive surgery on patient satisfaction and quality of life, which are important to improve patient counselling, patient expectation management and shared decision-making.
UNASSIGNED: The present study aimed to assess long-term PROs and to identify possible correlations between patient and treatment characteristics and long-term PROs.
UNASSIGNED: Between 2006 and 2011, 202 patients underwent facial reconstruction after Mohs micrographic surgery for non-melanoma skin cancer at our institution. After 10 years of follow-up, 96 out of the remaining 122 patients completed the FACE-Q Skin Cancer Module.
UNASSIGNED: Patients who were surgically treated for squamous cell carcinoma reported poorer scores on the satisfaction with facial appearance (p=0.038), appraisal of scars (p=0.039) and appearance-related psychosocial distress scales (p=0.036) compared to patients with basal cell carcinoma and lentigo maligna. Finally, female patients reported significantly higher scores on the Cancer Worry Scale than male patients (p=0.047).
UNASSIGNED: Long-term patient satisfaction with respect to their facial appearance and scars after reconstructive surgery for skin cancer was comparable to short-term patient satisfaction, whereas Cancer Worry Scale and psychosocial distress appeared to be slightly higher. Our results can be used to better inform patients on the long-term effects of facial reconstructive surgery on patient satisfaction and quality of life, which are important to improve patient counselling, patient expectation management and shared decision-making.
摘要：
■肿瘤面部重建手术的长期患者报告结果(PRO)未知。
■本研究旨在评估长期PRO，并确定患者和治疗特征与长期PRO之间可能的相关性。
■在2006年至2011年之间，我们机构的202例患者在Mohs显微手术治疗非黑色素瘤皮肤癌后接受了面部重建。经过10年的随访,其余122名患者中有96名完成了FACE-Q皮肤癌模块。
■接受鳞状细胞癌手术治疗的患者对面部外观的满意度评分较差（p=0.038），与基底细胞癌和扁桃体恶性肿瘤患者相比，对疤痕（p=0.039）和外观相关的心理社会困扰量表（p=0.036）的评估。最后,女性患者的癌症担忧量表评分明显高于男性患者(p=0.047).
皮肤癌重建手术后患者对面部外观和疤痕的长期满意度与短期患者满意度相当，而癌症忧虑量表和心理社会困扰似乎略高。我们的结果可用于更好地告知患者面部重建手术对患者满意度和生活质量的长期影响，这对改善患者咨询很重要，患者期望管理和共享决策。
■本研究旨在评估长期PRO，并确定患者和治疗特征与长期PRO之间可能的相关性。
■在2006年至2011年之间，我们机构的202例患者在Mohs显微手术治疗非黑色素瘤皮肤癌后接受了面部重建。经过10年的随访,其余122名患者中有96名完成了FACE-Q皮肤癌模块。
■接受鳞状细胞癌手术治疗的患者对面部外观的满意度评分较差（p=0.038），与基底细胞癌和扁桃体恶性肿瘤患者相比，对疤痕（p=0.039）和外观相关的心理社会困扰量表（p=0.036）的评估。最后,女性患者的癌症担忧量表评分明显高于男性患者(p=0.047).
皮肤癌重建手术后患者对面部外观和疤痕的长期满意度与短期患者满意度相当，而癌症忧虑量表和心理社会困扰似乎略高。我们的结果可用于更好地告知患者面部重建手术对患者满意度和生活质量的长期影响，这对改善患者咨询很重要，患者期望管理和共享决策。
