{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T12:38:55Z","timestamp":1784896735582,"version":"3.55.0"},"reference-count":40,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,5,20]],"date-time":"2023-05-20T00:00:00Z","timestamp":1684540800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Patients undergoing Mohs Micrographic Surgery (MMS) for facial non\u2010melanoma skin cancer (NMSC) experience appearance\u2010related psychosocial distress due to its post\u2010surgical esthetic changes. However, little is known about its development over a longer follow\u2010up period. This study prospectively assessed appearance\u2010related psychosocial distress in patients undergoing MMS for facial NMSC over a 1\u2010year follow up period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients who had MMS for facial NMSC between September 2020 and October 2021 were invited to answer the FACE\u2010Q Skin Cancer \u2010 appearance\u2010related psychosocial distress scale preoperatively, 2\u00a0weeks, 6\u00a0months, and 1\u00a0year after surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 217 patients completed the questionnaire at baseline. In addition, 158 (72.8%), 139 (64.1%), and 120 (55.3%) questionnaires were successfully answered 2\u00a0weeks, 6\u00a0months, and 1\u00a0year after surgery, respectively. Patients with a peripheral lesion presented higher appearance\u2010related psychosocial distress scores at baseline than patients with a central lesion (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.02). There was a decreasing trend in appearance\u2010related psychosocial distress over time, but without a significant result (baseline\u20142\u2010week; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.73, 2\u2010week\u20146\u2010month; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.80, 6\u2010month\u20141\u2010year; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.17, baseline\u20141\u2010year; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.23). Patients with secondary intention healing and graft reconstruction methods experienced more appearance\u2010related psychosocial distress over time than patients with primary wound closures (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.03).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients still experience appearance\u2010related psychosocial distress 1\u00a0year after MMS. These patients may benefit from targeted counseling. Additionally, predictors of more appearance\u2010related psychosocial distress, such as secondary intention healing and graft reconstruction methods, may benefit from additional psychological care.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.6165","type":"journal-article","created":{"date-parts":[[2023,5,20]],"date-time":"2023-05-20T09:43:59Z","timestamp":1684575839000},"page":"1114-1121","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Appearance\u2010related psychosocial distress after facial non\u2010melanoma skin cancer surgery: A 1\u2010year prospective study"],"prefix":"10.1002","volume":"32","author":[{"given":"Val\u00e9rie","family":"D\u2019Hondt","sequence":"first","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Catharina Hospital  Eindhoven The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inge J.","family":"Veldhuizen","sequence":"additional","affiliation":[{"name":"Department of Plastic and Reconstructive Surgery Catharina Hospital  Eindhoven The Netherlands"},{"name":"Dermatology Division Memorial Sloan Kettering Cancer Center  New York City New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F. 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