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Patient QOL Fluctuates Before & After Mohs Surgery

J Am Acad Dermatol; ePub 2018 Mar 5; Zhang, et al

Skin cancer patients had persistent concerns about social interactions and physical appearance 1-2 weeks after Mohs micrographic surgery (MMS), but all aspects of quality of life (QOL) improved by 3 months after surgery, a recent study found. However, MMS patients who were aged <65 years, female, or smoked were at increased risk for longitudinally impaired QOL. Researchers conducted a prospective observational study of 727 skin cancer patients who self-reported QOL via the Skin Cancer Index immediately before and at 1-2 weeks and 3 months after MMS. They found:

  • QOL fluctuated after MMS.
  • At 1-2 weeks after surgery, overall QOL remained unchanged compared to before MMS.
  • Patients reported reduced anxiety about skin cancer, but had increased distress about social interactions and physical appearance.
  • At 3 months after surgery, patients reported an overall improvement in QOL compared to before MMS.

Zhang J, Miller CJ, O’Malley V, Etzkorn JR, Shin TM, Sobanko JF. Patient quality of life fluctuates before and after Mohs micrographic surgery: A longitudinal assessment of the patient experience. [Published online ahead of print March 5, 2018]. J Am Acad Dermatol. doi:10.1016/j.jaad.2018.02.065.

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