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Longitudinal, mixed method study to look at the experiences and knowledge of non melanoma skin cancer from diagnosis to one year

Bath-Hextall, Fiona; Jenkinson, Claire; Kumar, Arun; Leonardi-Bee, Jo; Perkins, William; Cox, Karen; Glazebrook, Cris

Authors

Fiona Bath-Hextall

Claire Jenkinson

Arun Kumar

Jo Leonardi-Bee

William Perkins

Karen Cox

Cris Glazebrook

Abstract

Background
Skin cancer is the most common type of cancer in humans and the incidence is increasing worldwide. Our objective was to understanding the needs, experiences and knowledge of individuals with Non Melanoma Skin Cancer (NMSC) from diagnosis up until one year.

Methods
Patients with NMSC completed questionnaires at diagnosis, treatment, 8 weeks post treatment and 12 months post diagnosis. Body image, psychological morbidity and Quality of Life (QOL) were assessed at each time point, with the exception of QOL that was not assessed at diagnosis. Knowledge of NMSC was assessed at baseline and 8 weeks. A sub-sample of participants was also interviewed to allow a more in-depth exploration of patients’ experiences.

Results
76 participants completed the initial questionnaire, of which 15 were interviewed. Patients were anxious about a diagnosis of skin cancer, however they were no more depressed or anxious than the general population. QOL significantly improved from diagnosis to 8 weeks and from diagnosis to one year. Knowledge of NMSC was poor and did not improve after treatment. Hairdressers were highlighted as playing an important role in raising awareness and encouraging individuals to seek medical help. Most participants were aware of the need to check their skin for suspicious lesions but were not sure what to look for. At one year participants had forgotten their experience and were not overly concerned about skin cancer.

Conclusion
There is a need to raise awareness of the signs and symptoms of NMSC. Information on skin cancer needs to be tailored to the individual both at the start of treatment and during the follow up months, ensuring that participants’ needs and expectations are met. Targeting education at individuals in the community who regularly come into contact with skin should help in early identification of NMSC. This is important since skin cancer caught early is easily treatable and delay in presentation leads to larger and more complex lesions which impacts in terms of increased morbidity and increased health care costs.

Journal Article Type Article
Publication Date Oct 25, 2013
Journal BMC Dermatology
Electronic ISSN 1471-5945
Publisher Humana Press
Peer Reviewed Peer Reviewed
Volume 13
Issue 13
Article Number 13
DOI https://doi.org/10.1186/1471-5945-13-13
Keywords Skin cancer; Non melanoma skin cancer; NMSC; Needs; Experiences; Knowledge
Publisher URL http://www.biomedcentral.com/1471-5945/13/13
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by/4.0

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