To see or not to see: Impact of viewing facial skin cancer defects prior to reconstruction

AbstractPatient expectations of the scar after Mohs micrographic surgery (MMS) are often not realistic, leading to subsequent psychosocial sequelae such as anxiety, depression, and avoidance of social situations. When patient expectations are not met, this may also contribute to a decrease in patient satisfaction after surgery. Therefore, altering expectation levels may change patient satisfaction and psychosocial distress levels after surgery. To assess whether patient satisfaction improves in patients after MMS when patients view the surgical defect prior to reconstruction. Patients undergoing facial MMS between December 2017 and September 2019 were included. Patients received or did not receive a mirror after MMS to view the surgical defect before closing the defect. Patients were asked to complete the Dutch FACE-Q Skin Cancer before, one-week, three-months, and one-year after MMS. A total of 113 patients where included. One-hundred-eight (95.6%), 113 (100%), and 93 (82.3%) questionnaires were completed, one-week, three-months, and one-year follow-up, respectively. Satisfaction with facial appearance and appraisal of scars significantly improved over time for all patients, no such improvement was seen for appearance-related distress. Female patients who looked in the mirror had higher satisfaction with facial appearance than female patients who did not look in the mirror. Also, lower appearance-related distress scores were seen in patients who looked in the mirror prior to...
Source: Archives of Dermatological Research - Category: Dermatology Source Type: research

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IJERPH, Vol. 18, Pages 11375: Diet Quality and Incident Non-Communicable Disease in the 1946–1951 Cohort of the Australian Longitudinal Study on Women’s Health International Journal of Environmental Research and Public Health doi: 10.3390/ijerph182111375 Authors: Hlaing Hlaing-Hlaing Xenia Dolja-Gore Meredith Tavener Erica L. James Allison M. Hodge Alexis J. Hure Diet quality indices (DQIs) can be useful predictors of diet–disease relationships, including non-communicable disease (NCD) multimorbidity. We aimed to investigate whether overall diet quality (DQ) predicted NCD, multimorbidity...
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Article Source Type: research
AbstractA number of patient-reported outcomes (PROs) predict increased mortality after primary cancer treatment. Studies, though,  are sometimes affected by methodological limitations. They often use control variables that poorly predict life expectancy, examine only one or two PROs thus not controlling potential confounding by unmeasured PROs, and observe PROs at only a single point in time. To predict all-cause mortality, t his study used control variables affording good estimates of life expectancy, conducted multivariate analyses of multiple PROs to identify independent predictors, and monitored PROs two year...
Source: Journal of Behavioral Medicine - Category: Psychiatry Source Type: research
CONCLUSION: Our results provide real-world insight into the multi-faceted burden associated with R/M SCCHN. The combination of poor HRQoL and the impairment in daily activities, social life and employment illustrates the wider impact of R/M SCCHN on patients and their caregivers, and highlights a need for novel 1 L treatment regimens to improve the humanistic and productivity burdens of this cancer.PMID:34303346 | DOI:10.1186/s12885-021-08557-2
Source: Pain Physician - Category: Anesthesiology Authors: Source Type: research
ConclusionsThe 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).
Source: Supportive Care in Cancer - Category: Cancer & Oncology Source Type: research
Drinking coffee has been linked to a reduced risk of all kinds of ailments, including Parkinson ’s disease, melanoma, prostate cancer, even suicide.
Source: NYT Health - Category: Consumer Health News Authors: Tags: Coffee Caffeine Sleep Content Type: Service Diabetes Anxiety and Stress Depression (Mental) Parkinson ' s Disease Pregnancy and Childbirth Antioxidants Heart Deaths (Fatalities) Pollan, Michael Willett, Walter C Source Type: news
ConclusionsUsing a large sample, we found that harm accruing from a poor prognosis was statistically significant over 5 years, but did not exceed general non-cancer population norms.Implications for Cancer SurvivorsSurvivors desire prognostic information. At a population level, we do not believe that our findings show sufficiently strong links between prognostication outcome and psychological harm to deny patients the option of knowing their prognosis. Nonetheless, it is important that patients are informed of potential adverse psychological consequences of a poor prognosis.
Source: Journal of Cancer Survivorship - Category: Cancer & Oncology Source Type: research
Discussion There are three types of inflammatory bowel disease (IBD): Crohn’s disease (CD) – can affect entire gastrointestinal tract but often is discontinuous (i.e., has skipped areas), has transmural inflammation and disease, has granulomas Ulcerative colitis (UC) – affects the colon, is continuous (i.e., has no skipped areas) and has superficial mucosal ulcerations Unclassified IBD – has chronic colitis but not specific features of CD or UC The specific pathogenesis appears to be multifactorial with having a genetic predisposition (1.6 – 30% risk of developing UC if patient has first deg...
Source: - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news
CONCLUSION: The observations of higher prevalence of oral PSDs in FCs with psychological alterations can enhance healthcare professionals' awareness to better understand FCs' oral healthcare needs..PMID:33639663 | DOI:10.31557/APJCP.2021.22.2.477
Source: Asian Pacific Journal of Cancer Prevention - Category: Cancer & Oncology Authors: Source Type: research
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