Quality of life assessment in nonmelanoma cervicofacial skin cancer.
OBJECTIVE
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.


METHODS
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, alpha = 0.45-0.91; FACT-G, alpha = 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.
Rhee
John S
JS
Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, WI 53226, USA. jrhee@mcw.edu
Loberiza
Fausto R
FR
Matthews
B Alex
BA
Neuburg
Marcy
M
Smith
Timothy L
TL
Burzynski
Mary
M
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D003430:Cross-Sectional Studies; D005153:Facial Neoplasms / Q000517:prevention & control / Q000601:surgery; D005260:Female; D006258:Head and Neck Neoplasms / Q000601:surgery; D015438:Health Behavior; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D015580:Mohs Surgery; D011481:Protective Clothing; D011788:Quality of Life; D011835:Radiation Protection; D012878:Skin Neoplasms / Q000517:prevention & control / Q000601:surgery; D012959:Socioeconomic Factors; D013473:Sunscreening Agents / Q000008:administration & dosage; D011795:Surveys and Questionnaires
D013473:Sunscreening Agents