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Updated: Dec 23, 2025

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Development of a Patient-Reported Outcome Measure for Mohs Reconstruction.

Kaitlin J Kavanagh1, J Jared Christophel2

  • 1School of Medicine, University of Virginia, Charlottesville, Virginia, USA.

Facial Plastic Surgery & Aesthetic Medicine
|April 23, 2020
PubMed
Summary
This summary is machine-generated.

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Researchers developed a new 12-item patient-reported outcome measure (PROM) to assess quality of life (QOL) after Mohs micrographic surgery (MMS) reconstruction. This tool aims to improve QOL assessment for skin cancer patients undergoing MMS.

Area of Science:

  • Dermatology
  • Surgical Oncology
  • Health Outcomes Research

Background:

  • No validated patient-reported outcome measures (PROMs) exist for quality of life (QOL) after Mohs micrographic surgery (MMS) reconstruction.
  • Existing QOL instruments may lack sensitivity for patients undergoing MMS.

Purpose of the Study:

  • To develop a short, disease- and treatment-specific PROM for patients undergoing MMS reconstruction.
  • To evaluate QOL outcomes from the patient's perspective.

Main Methods:

  • Followed established PROM development guidelines.
  • Conducted literature review, concept elicitation interviews (n=25), and cognitive debriefing interviews (n=5).
  • Developed a preliminary survey based on interview data.

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Main Results:

  • Patients found items in existing QOL instruments often irrelevant.
  • Identified factors affecting QOL overlapped between patient and physician perspectives.
  • Cognitive debriefing confirmed the survey is quick and easy to administer.

Conclusions:

  • A 12-item QOL PROM for MMS reconstruction has been created.
  • This PROM can aid clinicians in assessing outcomes for skin cancer patients undergoing MMS.
  • Further psychometric testing and validation are in progress.