{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T08:31:44Z","timestamp":1761985904911,"version":"build-2065373602"},"reference-count":49,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T00:00:00Z","timestamp":1759104000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objectives<\/jats:title>\n                    <jats:p>Impaired health\u2010related quality of life (HRQoL) and psychological symptoms after melanoma surgery are common, but research often focuses on specific stages, older patients, or clinical trial settings. This study aims to identify sub\u2010groups of surgically treated melanoma patients in a real\u2010world setting by examining associations between clinical and sociodemographic factors and psychosocial well\u2010being.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients attending follow\u2010up at the Department of Plastic Surgery, Herlev and Gentofte Hospital, were invited to this cross\u2010sectional, questionnaire\u2010based study. Eight validated patient\u2010reported outcome measures assessed HRQoL, psychological symptoms, work ability, and patient activation. A study\u2010specific questionnaire evaluated satisfaction and follow\u2010up experiences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>251\/489 patients (51%) completed the questionnaires. Over one\u2010third had high fear of cancer recurrence, and one in five reported high distress. Stage IV patients had the highest psychological symptom burden and lowest HRQoL, work ability, and patient activation. Younger age was linked to more psychological symptoms, and female gender to lower work ability. Stage IV disease and low income were associated with lower patient activation. About 20% felt more anxious before follow\u2010ups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Findings highlight the need for follow\u2010up that supports psychosocial well\u2010being after melanoma surgery, particularly in younger patients and those with advanced melanoma.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jso.70104","type":"journal-article","created":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T11:30:46Z","timestamp":1759145446000},"page":"1266-1277","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Identification of Sub\u2010Groups of Patients Surgically Treated for Melanoma With Affected Health\u2010Related Quality of Life and Psychosocial Well\u2010Being"],"prefix":"10.1002","volume":"132","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-0230-3978","authenticated-orcid":false,"given":"Sara M\u00f8lgaard","family":"Hansen","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery Copenhagen University Hospital: Herlev and Gentofte Herlev Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9455-0104","authenticated-orcid":false,"given":"Morten Berg","family":"Jensen","sequence":"additional","affiliation":[{"name":"Department of Economics and Business Economics Aarhus University Aarhus Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9704-6800","authenticated-orcid":false,"given":"Pernille Envold","family":"Bidstrup","sequence":"additional","affiliation":[{"name":"Aspects of Cancer Danish Cancer Institute Copenhagen Denmark"},{"name":"Institute of Psychology University of Copenhagen Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4384-206X","authenticated-orcid":false,"given":"Christoffer","family":"Johansen","sequence":"additional","affiliation":[{"name":"Department of Oncology, Cancer Survivorship and Late Effects Research Center (CASTLE) Copenhagen University Hospital, Rigshospitalet Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1983-5222","authenticated-orcid":false,"given":"Lisbet Rosenkrantz","family":"H\u00f6lmich","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Copenhagen University Hospital: Herlev and Gentofte Herlev Denmark"},{"name":"Department of Clinical Medicine University of Copenhagen Copenhagen Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,29]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21660"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archdermatol.2009.308"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2021.09.013"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjd\/ljae011"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-025-01841-1"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(16)00141-8"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1613210"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2018.12.002"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1910836"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdx176"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(18)30497-2"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clindermatol.2011.11.005"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-020-02464-y"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.4366"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/ecc.12901"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/0284186X.2023.2165449"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/0284186X.2020.1818823"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/CJI.0b013e3181b8bdb9"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12253-014-9777-7"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-019-05168-3"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/2192480"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39335.541782.AD"},{"key":"e_1_2_11_24_1","first-page":"139","article-title":"Measuring Quality of Life in Patients With Melanoma: Development of the FACT\u2010Melanoma Subscale","volume":"3","author":"Cornier J. 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