Patient Perception of the Diagnosis Announcement and its Impact on Quality of Life of Patients with Primary Melanoma or Basal Cell Carcinoma
Keywords:basal cell carcinoma, primary melanoma, quality of life, professional life, private life, fears, perception
An improved understanding of the impact of skin cancer on patients’ daily life may optimize disease management. This questionnaire survey of adult patients in real-world settings aimed to assess patient perception of the diagnosis announcement, and the impact of the diagnosis on the patients’ professional and personal life. Data from 355 patients with melanoma and 320 patients with basal cell carcinoma (BCC) were analysed. Melanoma significantly impacted the couple, and sexual relationships, as well as family and social life, and reduced the patient’s libido more significantly than did BCC (all p < 0.05). Melanoma and BCC significantly impacted the patients’ professional and personal lives. The word “cancer” used for a BCC announcement has a high anxiety-producing meaning for the patient. The announcement of each skin cancer should be made during a dedicated consultation, with more time devoted to the patient and with specific empathy, in order to improve reassurance of the patient.
Peris K, Fargnoli MC, Garbe C, Kaufmann R, Bastholt L, Seguin NB, et al. Diagnosis and treatment of basal cell carcinoma: European consensus-based interdisciplinary guidelines. Eur J Cancer 2019; 118: 10-34.
Lomas A, Leonardi-Bee J, Bath-Hextall F. A systematic review of worldwide incidence of nonmelanoma skin cancer. Br J Dermatol 2012; 166: 1069-1080.
Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail (ANSES). Mieux prévenir et détecter tôt les cancers de la peau 2012. [Accessed 20 May 2020] Available from: https://www.anses.fr/fr/system/files/PRES2012CPA09.pdf.
Haute Autorité de Santé (HAS-Santé). Tumeur maligne, affection maligne du tissu lymphatique ou hématopoïétique; Mélanome cutané 2012. [Accessed 20 May 2020] Available from: https: //www.has-sante.fr/upload/docs/application/pdf/2012-03/ald_30_guide_melanome_web.pdf.
Abedini R, Nasimi M, Noormohammad Pour P, Moghtadaie A, Tohidinik HR. Quality of life in patients with non-melanoma skin cancer: implications for healthcare education services and supports. J Cancer Educ 2019; 34: 755-759.
Azam F, Latif MF, Farooq A, Tirmazy SH, AlShahrani S, Bashir S, et al. Performance status assessment by using ECOG (Eastern Cooperative Oncology Group) score for cancer patients by oncology healthcare professionals. Case Rep Oncol 2019; 12: 728-736.
Gershenwald JE, Scolyer RA, Hess KR, Sondak VK, Long GV, Ross MI, et al. Melanoma staging: evidence-based changes in the American Joint Committee on Cancer eighth edition cancer staging manual. CA Cancer J Clin 2017; 67: 472-492.
Burdon-Jones D, Thomas P, Baker R. Quality of life issues in nonmetastatic skin cancer. Br J Dermatol 2010; 162: 147-151.
Khoshab N, Vaidya TS, Dusza S, Nehal KS, Lee EH. Factors contributing to cancer worry in the skin cancer population. J Am Acad Dermatol 2020; 83: 626-628.
van Egmond S, Wakkee M, Droger M, Bastiaens MT, van Rengen A, de Roos KP, et al. Needs and preferences of patients regarding basal cell carcinoma and cutaneous squamous cell carcinoma care: a qualitative focus group study. Br J Dermatol 2019; 180: 122-129.
Winterbottom A, Harcourt D. Patients' experience of the diagnosis and treatment of skin cancer. J Adv Nurs 2004; 48: 226-233.
Bohn SH, Thorsen L, Kiserud CE, Fossa SD, Lie HC, Loge JH, et al. Chronic fatigue and associated factors among long-term survivors of cancers in young adulthood. Acta Oncol 2019; 58: 753-762.
Trask PC, Paterson AG, Hayasaka S, Dunn RL, Riba M, Johnson T. Psychosocial characteristics of individuals with non-stage IV melanoma. J Clin Oncol 2001; 19: 2844-2850.
Hawkins DM, Jacobsen G, Johnson CC, Lim HW, Eide MJ. Self-reported quality of life after skin cancer in young adults. J Dermatolog Treat 2015; 26: 357-360.
Holterhues C, Cornish D, van de Poll-Franse LV, Krekels G, Koedijk F, Kuijpers D, et al. Impact of melanoma on patients' lives among 562 survivors: a Dutch population-based study. Arch Dermatol 2011; 147: 177-185.
Vaidya TS, Nehal KS, Rossi AM, Lee EH. Patient-reported adverse effects after facial skin cancer surgery: Long-term data to inform counseling and expectations. J Am Acad Dermatol 2019; 81: 1423-145.
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Copyright (c) 2022 Marie Aymonier, Charles Taieb, Florence Corgibet, Pascal Joly, Jean-Francois Sei, Veronique Chaussade, Caroline Philippe, Khaled Ezzedine, Marie-Aleth Richard
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