Quality of life assessment in nonmelanoma cervicofacial skin cancer

John S. Rhee, Fausto R. Loberiza, B. Alex Matthews, Marcy Neuburg, Timothy Smith, Mary Burzynski

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

Objectives/Hypothesis: Health-related quality of life (QOL) assessment of patients with nonmelanoma skin cancer is poorly understood. The objectives of the study were to determine the general QOL of patients with cervicofacial skin cancer and to identify patient, clinical, and preventive behavior variables associated with patients' QOL. Study Design: Cross-sectional study of 121 consecutive patients (65 female and 56 male patients) presenting to a dermatological Mohs surgery clinic with nonmelanoma skin cancer of the head and neck. Methods: Quality of life assessment was performed before counseling or treatment. Measures included the Medical Outcomes Study Short Form 36-item Health Survey (SF-36) and the Functional Assessment of Cancer Therapy-General (FACT-G). Results: Both instruments demonstrated good internal consistency as measured by Cronbach's alpha (SF-36, α = 0.45-0.91; FACT-G, α = 0.61-0.90). The SF-36 scores were similar to historical norms. Bivariate analysis indicated significant correlation coefficients between QOL and patients' coexisting illnesses and medical risk factors. Sun-protective behaviors were associated with better QOL. The relationship appeared to be minimally influenced by patients' sociodemographic characteristics and disease-related variables (size, location, extent). Conclusions: Sun-protective behaviors were positively associated with certain QOL subscale scores in the population in the study. General QOL instruments demonstrated minimal impact of nonmelanoma skin cancer on patients at initial diagnosis. However, general measures may not be sensitive to the impact of nonmelanoma skin cancer. The development of a more disease-specific instrument may be necessary to evaluate this disease process.

Original languageEnglish (US)
Pages (from-to)215-220
Number of pages6
JournalLaryngoscope
Volume113
Issue number2
DOIs
StatePublished - Feb 1 2003
Externally publishedYes

Fingerprint

Skin Neoplasms
Quality of Life
Solar System
Mohs Surgery
Head and Neck Neoplasms
Health Surveys
Counseling
Neoplasms
Therapeutics
Cross-Sectional Studies
Outcome Assessment (Health Care)

Keywords

  • Skin cancer, quality of life, preventive behavior

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Rhee, J. S., Loberiza, F. R., Matthews, B. A., Neuburg, M., Smith, T., & Burzynski, M. (2003). Quality of life assessment in nonmelanoma cervicofacial skin cancer. Laryngoscope, 113(2), 215-220. https://doi.org/10.1097/00005537-200302000-00004

Quality of life assessment in nonmelanoma cervicofacial skin cancer. / Rhee, John S.; Loberiza, Fausto R.; Matthews, B. Alex; Neuburg, Marcy; Smith, Timothy; Burzynski, Mary.

In: Laryngoscope, Vol. 113, No. 2, 01.02.2003, p. 215-220.

Research output: Contribution to journalArticle

Rhee, JS, Loberiza, FR, Matthews, BA, Neuburg, M, Smith, T & Burzynski, M 2003, 'Quality of life assessment in nonmelanoma cervicofacial skin cancer', Laryngoscope, vol. 113, no. 2, pp. 215-220. https://doi.org/10.1097/00005537-200302000-00004
Rhee, John S. ; Loberiza, Fausto R. ; Matthews, B. Alex ; Neuburg, Marcy ; Smith, Timothy ; Burzynski, Mary. / Quality of life assessment in nonmelanoma cervicofacial skin cancer. In: Laryngoscope. 2003 ; Vol. 113, No. 2. pp. 215-220.
@article{e9530f6614ac466a8b814827976caf57,
title = "Quality of life assessment in nonmelanoma cervicofacial skin cancer",
abstract = "Objectives/Hypothesis: Health-related quality of life (QOL) assessment of patients with nonmelanoma skin cancer is poorly understood. The objectives of the study were to determine the general QOL of patients with cervicofacial skin cancer and to identify patient, clinical, and preventive behavior variables associated with patients' QOL. Study Design: Cross-sectional study of 121 consecutive patients (65 female and 56 male patients) presenting to a dermatological Mohs surgery clinic with nonmelanoma skin cancer of the head and neck. Methods: Quality of life assessment was performed before counseling or treatment. Measures included the Medical Outcomes Study Short Form 36-item Health Survey (SF-36) and the Functional Assessment of Cancer Therapy-General (FACT-G). Results: Both instruments demonstrated good internal consistency as measured by Cronbach's alpha (SF-36, α = 0.45-0.91; FACT-G, α = 0.61-0.90). The SF-36 scores were similar to historical norms. Bivariate analysis indicated significant correlation coefficients between QOL and patients' coexisting illnesses and medical risk factors. Sun-protective behaviors were associated with better QOL. The relationship appeared to be minimally influenced by patients' sociodemographic characteristics and disease-related variables (size, location, extent). Conclusions: Sun-protective behaviors were positively associated with certain QOL subscale scores in the population in the study. General QOL instruments demonstrated minimal impact of nonmelanoma skin cancer on patients at initial diagnosis. However, general measures may not be sensitive to the impact of nonmelanoma skin cancer. The development of a more disease-specific instrument may be necessary to evaluate this disease process.",
keywords = "Skin cancer, quality of life, preventive behavior",
author = "Rhee, {John S.} and Loberiza, {Fausto R.} and Matthews, {B. Alex} and Marcy Neuburg and Timothy Smith and Mary Burzynski",
year = "2003",
month = "2",
day = "1",
doi = "10.1097/00005537-200302000-00004",
language = "English (US)",
volume = "113",
pages = "215--220",
journal = "Laryngoscope",
issn = "0023-852X",
publisher = "John Wiley and Sons Inc.",
number = "2",

}

TY - JOUR

T1 - Quality of life assessment in nonmelanoma cervicofacial skin cancer

AU - Rhee, John S.

AU - Loberiza, Fausto R.

AU - Matthews, B. Alex

AU - Neuburg, Marcy

AU - Smith, Timothy

AU - Burzynski, Mary

PY - 2003/2/1

Y1 - 2003/2/1

N2 - Objectives/Hypothesis: Health-related quality of life (QOL) assessment of patients with nonmelanoma skin cancer is poorly understood. The objectives of the study were to determine the general QOL of patients with cervicofacial skin cancer and to identify patient, clinical, and preventive behavior variables associated with patients' QOL. Study Design: Cross-sectional study of 121 consecutive patients (65 female and 56 male patients) presenting to a dermatological Mohs surgery clinic with nonmelanoma skin cancer of the head and neck. Methods: Quality of life assessment was performed before counseling or treatment. Measures included the Medical Outcomes Study Short Form 36-item Health Survey (SF-36) and the Functional Assessment of Cancer Therapy-General (FACT-G). Results: Both instruments demonstrated good internal consistency as measured by Cronbach's alpha (SF-36, α = 0.45-0.91; FACT-G, α = 0.61-0.90). The SF-36 scores were similar to historical norms. Bivariate analysis indicated significant correlation coefficients between QOL and patients' coexisting illnesses and medical risk factors. Sun-protective behaviors were associated with better QOL. The relationship appeared to be minimally influenced by patients' sociodemographic characteristics and disease-related variables (size, location, extent). Conclusions: Sun-protective behaviors were positively associated with certain QOL subscale scores in the population in the study. General QOL instruments demonstrated minimal impact of nonmelanoma skin cancer on patients at initial diagnosis. However, general measures may not be sensitive to the impact of nonmelanoma skin cancer. The development of a more disease-specific instrument may be necessary to evaluate this disease process.

AB - Objectives/Hypothesis: Health-related quality of life (QOL) assessment of patients with nonmelanoma skin cancer is poorly understood. The objectives of the study were to determine the general QOL of patients with cervicofacial skin cancer and to identify patient, clinical, and preventive behavior variables associated with patients' QOL. Study Design: Cross-sectional study of 121 consecutive patients (65 female and 56 male patients) presenting to a dermatological Mohs surgery clinic with nonmelanoma skin cancer of the head and neck. Methods: Quality of life assessment was performed before counseling or treatment. Measures included the Medical Outcomes Study Short Form 36-item Health Survey (SF-36) and the Functional Assessment of Cancer Therapy-General (FACT-G). Results: Both instruments demonstrated good internal consistency as measured by Cronbach's alpha (SF-36, α = 0.45-0.91; FACT-G, α = 0.61-0.90). The SF-36 scores were similar to historical norms. Bivariate analysis indicated significant correlation coefficients between QOL and patients' coexisting illnesses and medical risk factors. Sun-protective behaviors were associated with better QOL. The relationship appeared to be minimally influenced by patients' sociodemographic characteristics and disease-related variables (size, location, extent). Conclusions: Sun-protective behaviors were positively associated with certain QOL subscale scores in the population in the study. General QOL instruments demonstrated minimal impact of nonmelanoma skin cancer on patients at initial diagnosis. However, general measures may not be sensitive to the impact of nonmelanoma skin cancer. The development of a more disease-specific instrument may be necessary to evaluate this disease process.

KW - Skin cancer, quality of life, preventive behavior

UR - http://www.scopus.com/inward/record.url?scp=0037312958&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0037312958&partnerID=8YFLogxK

U2 - 10.1097/00005537-200302000-00004

DO - 10.1097/00005537-200302000-00004

M3 - Article

VL - 113

SP - 215

EP - 220

JO - Laryngoscope

JF - Laryngoscope

SN - 0023-852X

IS - 2

ER -