Factors related to the evolution of quality of life in patients with cervicofacial non-melanoma skin cancer

• Published in: Supportive care in cancer 2021-09, Vol.29 (9), p.5187-5195
• Main Authors: García-Montero, Pablo, de Gálvez-Aranda, María Victoria, Blázquez-Sánchez, Nuria, Rivas-Ruíz, Francisco, Millán-Cayetano, José Francisco, Harana, Cristina García, de Troya Martín, Magdalena
• Format: Article
• Language: English
• Subjects: Biopsy; Care and treatment; Health aspects; Medical research; Medicine; Medicine & Public Health; Medicine, Experimental; Melanoma; Mortality; Nursing; Nursing Research; Oncology; Original Article; Pain Medicine; Patients; Quality of life; Questionnaires; Rehabilitation Medicine; Skin cancer; Squamous cell carcinoma
• ISSN: 0941-4355; 1433-7339
• DOI: 10.1007/s00520-021-06087-y

Purpose Non-melanoma skin cancer (NMSC) is the most frequent neoplasm today, worldwide. This type of tumour presents low mortality but causes a major psychosocial impact on the patient. Studies have shown that the patient’s quality of life (as detected by questionnaire scores in this respect) improves as the care process advances. The main aim of the present study is to identify the factors that are related to this favourable evolution. Methods This descriptive cross-sectional study included patients with cervicofacial NMSC, confirmed by skin biopsy. The patients were asked to complete the Skin Cancer Index questionnaire at the time of diagnosis and subsequently at 1 week, 1 month and 6 months after treatment. Relevant demographic variables were recorded, together with information on health status and the treatment received. Results A total of 229 patients with biopsy-confirmed cervicofacial NMSC were included in the study population, and 220 completed the quality of life questionnaires at the necessary time points during the care process. Some variables—sex, education, marital status, history of anxiety or depression, tumour type, the treatment received and the VAS score in this respect—were found to have a statistically significant influence on the degree of improvement recorded in the quality of life questionnaire scores during follow-up. Conclusions The quality of life questionnaire scores of patients with cervicofacial NMSC improve following treatment, but this progression is not homogeneous among patients. We identify the variables that are related to a greater degree of improvement on the questionnaire scales (overall, emotional and social-aesthetic).