Evidence map›Paper›PMID 38644735›Full record

Observational studyJournal of the European Academy of Dermatology and Venereology : JEADV2025

Patient-reported outcome measurements in facial skin surgery and a comparison between Mohs micrographic surgery and conventional excisions.

N Marsidi, R Ottevanger, Y E Demir, S van Beugen, J J Goeman, R E Genders

Open access · hybridAbstract readObservational StudyComparative Study
In one paragraph

Observational study in Journal of the European Academy of Dermatology and Venereology : JEADV, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.2field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

N MarsidiDepartment of Dermatology, Leiden University Medical Center, Leiden, The Netherlands.ORCID https://orcid.org/0000-0002-1637-9962
R OttevangerDepartment of Dermatology, Leiden University Medical Center, Leiden, The Netherlands.ORCID https://orcid.org/0000-0002-1900-4322
Y E DemirDepartment of Dermatology, Leiden University Medical Center, Leiden, The Netherlands.
S van BeugenDepartment of Health, Medical, and Neuropsychology, Institute of Psychology, Leiden University, Leiden, The Netherlands.
J J GoemanDepartment of Biomedical Data Sciences, Leiden University Medical Center, Leiden, The Netherlands.
R E GendersDepartment of Dermatology, Leiden University Medical Center, Leiden, The Netherlands.ORCID https://orcid.org/0000-0001-8623-9298
Leiden University Medical Center · NLLeiden University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKnowledge of the psychosocial impact of facial skin surgery on patients can help improve counselling strategies.

objectivesThe objective was to measure the psychological impact of facial skin cancer surgery on patients over a 1-year period. Secondary objective was to measure the difference between Mohs micrographic surgery (MMS) and conventional excision (CE) on these parameters.

methodsThis observational survey study was conducted between March 2019 and July 2020. Patients who had facial skin surgery using MMS or CE were selected. Five surveys were conducted on four timepoints (preoperative, 1 week, 3 months and 1 year post-operative) measuring the quality of life, perceived stigmatization, body image, satisfaction with facial appearance and psychosocial distress.

resultsA total of 228 patients (MMS 154 patients, CE 74 patients) were included for the analysis. Scores for quality of life did not significantly change, in the year after surgery (PCS-12 mean 50.5, SD 9.3 and MCS-12 50.6, SD 9.4); however, stigmatization (F (3, 235,39) 7,26, p < 0.01, d = -0.07), body image concerns (F (3, 198,28) = 3.75, p < 0.01, d = -0.14), satisfaction with facial appearance (F (3, 205,18) = 10.74, p < 0.01, d = 0.43) and psychosocial distress (F (3, 208,69) = 9.26, p < 0.01, d = -0.15) did change over time. The use of MMS or CE did not significantly affect outcome scores after 1 year.

conclusionsPatients receiving facial skin cancer surgery exhibited low scores for perceived stigmatization and body image concerns. Their quality of life was not statistically influenced by facial surgery, and their satisfaction with their facial appearance and psychosocial distress even improved after 1 year. The results suggest that the surgical treatment type (MMS or CE) does not influence the outcome. The overall results can help in counselling strategies to improve expectations for patients receiving facial surgery.

Indexed as

Dermatologic Surgical ProceduresFaceMohs SurgeryPatient Reported Outcome MeasuresSkin NeoplasmsAdultAgedAged, 80 and overBody ImageFemaleHumansMaleMiddle AgedPatient SatisfactionQuality of Life

Identifiers

PMID38644735
PMCPMC11851262
OpenAlexW4395009597

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.