Patient-reported quality of life and aesthetic satisfaction continues to improve for 1-year after Mohs surgery: A Multicenter Prospective Cohort Study.

Authors

Inge J Veldhuizen, Stephen W Dusza, Alyce Kuo, Abdullah Aleisa, Elliot Blue, Sushmita Adhikari, Umer Nadir, Kim Le, Soroush Kazemi, Adam V Sutton, Rajiv I Nijhawan, Daniel B Eisen, Anthony M Rossi, Divya Srivastava, Ashley Wysong, Kishwer S Nehal, Erica H Lee

Published in

Journal of the American Academy of Dermatology. Mar 17, 2025. Epub Mar 17, 2025.

Abstract

Despite the growth in patient-centered care, multicenter prospective studies investigating satisfaction after skin cancer surgery are limited.
To assess trends in aesthetic satisfaction, symptoms, and quality of life over 1 year in facial skin cancer patients.
Patients with facial skin cancer who underwent surgery were enrolled at four hospitals across the United States. A total of 990 patients were included. The FACE-Q Skin Cancer questionnaire was administered before surgery, at two-week, six-month, and one-year intervals post-surgery.
Patients reported increased satisfaction with FACE-Q scales over one year. Significant factors influencing outcomes included sex, age, history of facial skin cancer, cosmetic surgery, defect size, and cancer location. Males reported higher satisfaction with appearance (p=0.003) and scar (p<0.001), and reduced psychosocial distress (p<0.001). Larger defects were associated with greater psychosocial distress (p=0.037) and lower scar appraisal (p=0.008). Patients with nose skin cancer reported lower satisfaction with appearance and scars (p=0.026, p<0.001), higher psychosocial distress (p=0.004), and increased cancer worry (p=0.045). Patients with cancer near the eyes reported increased cancer worry (p=0.004). Reconstruction types did not influence satisfaction.
Clinical and patient characteristics significantly influence patient-reported outcomes, highlighting the need for personalized treatment approaches to optimize outcomes in dermatologic surgery.

PMID:
40107508
Bibliographic data and abstract were imported from PubMed on 20 Mar 2025.

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