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. 2006 Sep-Oct;8(5):314-8.
doi: 10.1001/archfaci.8.5.314.

Validation of a quality-of-life instrument for patients with nonmelanoma skin cancer

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Validation of a quality-of-life instrument for patients with nonmelanoma skin cancer

John S Rhee et al. Arch Facial Plast Surg. 2006 Sep-Oct.

Abstract

Objective: To validate a disease-specific quality-of-life instrument--the Skin Cancer Index--intended to measure quality-of-life issues relevant to patients with nonmelanoma skin cancer.

Methods: Internal reliability, convergent and divergent validity with existing scales, and factor analyses were performed in a cross-sectional study of 211 patients presenting with cervicofacial nonmelanoma skin cancer to a dermatologic surgery clinic.

Results: Factor analyses of the Skin Cancer Index confirmed a multidimensional scale with 3 distinct subscales-emotional, social, and appearance. Excellent internal validity of the 3 subscales was demonstrated. Substantial evidence was observed for convergent validity with the Dermatology Life Quality Index, Rosenberg Self-Esteem Scale, Lerman's Cancer Worry Scale, and Medical Outcomes Survey Short-Form 12 domains for vitality, emotion, social function, and mental health.

Conclusions: These findings validate a new disease-specific quality-of-life instrument for patients with cervicofacial nonmelanoma skin cancer. Studies on the responsiveness of the Skin Cancer Index to clinical intervention are currently under way.

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Figures

Figure
Figure
The Skin Cancer Index.

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