ABSTRACT
BACKGROUND: Cancer is a multifactorial disease and skin carcinomas are the most common type of cancer. Assessing quality of life and self-esteem outcomes in skin cancer patients is important because these are indicators of the results of the treatment, translating how patients face their lives and their personal relationships. OBJECTIVE: To assess the late impact of the surgical treatment of head and/or neck skin carcinomas on quality of life and self-esteem of the patients. METHODS: Fifty patients with head or neck skin carcinomas were enrolled. Their age ranged between 30 and 75 years, 27 were men and 23 were women. Patients were assessed with regard to quality of life and self-esteem, preoperatively and five years postoperatively. Validated instruments were used: the MOS 36-item Short-form Health Survey (SF-36) and the Rosenberg Self-esteem/EPM-UNIFESP Scale. The Wilcoxon signed-rank test was used for the statistical analysis. RESULTS: Twenty-two patients completed the five-year follow-up, 54.5% women and 45.5% men. Compared to the preoperative assessment, patients had an improvement in mental health (p=0.011) and in self-esteem (p=0.002). There was no statistical difference with regard to the other domains of the SF-36. CONCLUSION: Patients submitted to surgical treatment of skin carcinoma improved mental health and self-esteem in the late postsurgical testing. .
Subject(s)
Adult , Aged , Female , Humans , Male , Middle Aged , Carcinoma, Basal Cell/surgery , Carcinoma, Squamous Cell/surgery , Head and Neck Neoplasms/surgery , Quality of Life , Self Concept , Skin Neoplasms/surgery , Brazil , Carcinoma, Basal Cell/psychology , Carcinoma, Squamous Cell/psychology , Follow-Up Studies , Head and Neck Neoplasms/psychology , Mental Health , Postoperative Period , Preoperative Period , Statistics, Nonparametric , Surveys and Questionnaires , Skin Neoplasms/psychology , Treatment OutcomeABSTRACT
OBJETIVO: analisar os custos do tratamento cirúrgico de carcinomas cutâneos, realizado em serviço de Cirurgia Plástica de hospital universitário, em pacientes do Sistema Único de Saúde (SUS). MÉTODOS:setenta e um pacientes foram incluídos e registrados seus dados sociodemográficos e da operação. Para análise de custos diretos foi considerado o período de internação do paciente, incluindo custos materiais e humanos. RESULTADOS: o custo material médio por procedimento foi R$.324,70, e o valor médio da taxa de serviço hospitalar, segundo a tabela do SUS, foi R$.193,66. Com isso, obteve-se um custo total médio de R$.518,36 por procedimento. Entretanto, o valor médio repassado pelo SUS ao hospital por procedimento foi R$.429,19. CONCLUSÃO: o tratamento cirúrgico dos carcinomas cutâneos gerou para o hospital, um déficit médio de R$.89,16 reais por procedimento.
OBJECTIVE: To analyze the costs of the surgical treatment of cutaneous carcinomas held in the Plastic Surgery service at a university hospital in patients of the Unified Health System (SUS). METHODS: we included seventy-one patients recorded their demographic and operation data. For analysis of direct costs we considered the period of patient hospitalization, including human and material costs. RESULTS: The average equipment cost per procedure was R$ 324.70, and the mean cost of hospital service, according to the table of SUS, was R$ 193.66. Thus, we obtained an average total cost of R$ 518.36 per procedure. However, the average amount refunded by the SUS per hospital procedure was R$ 429.19. CONCLUSION: Surgical treatment of cutaneous carcinomas generated for the hospital an average deficit of R$ 89.16 per procedure.
Subject(s)
Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Carcinoma/surgery , Skin Neoplasms/surgery , Brazil , Costs and Cost Analysis , Delivery of Health Care , Dermatologic Surgical Procedures/economicsABSTRACT
OBJETIVO: Avaliar a auto-estima de pacientes com carcinomas de pele da face e do pescoço. MÉTODOS: Foram estudados 100 pacientes, com idades entre 30 e 90 anos (mediana = 55 anos), sendo 44 eram do gênero masculino e 56 do gênero feminino. O Grupo Estudo foi composto por 50 pacientes portadores de carcinomas de pele na face e no pescoço, com tamanho igual ou maior a 10 mm no seu maior eixo e com diagnóstico confirmado por biópsia prévia. O Grupo Controle consistiu de 50 indivíduos da população geral. Para avaliação da auto-estima, utilizou-se a Escala de Auto-estima de Rosenberg / UNIFESP-EPM. A análise estatística utilizou com o teste de Mann-Whitney e a Análise de Variância de Kruskal Wallis. RESULTADOS: Os pacientes portadores de câncer de pele e os da população geral não apresentaram diferenças significantes em relação à idade (p=0,331), gênero e escolaridade. O tamanho médio do tumor foi 20,9 + 2 mm. Os pacientes com câncer de pele apresentaram auto-estima significantemente mais baixa, com escore médio de 6,84 e 3,90 para o Grupo Controle (p=0,002). CONCLUSÃO: Os pacientes com câncer de pele na face e no pescoço apresentaram auto-estima menor do que os pacientes sem câncer.
BACKGROUND: To evaluate self-esteem among patients with skin cancer of the face and the neck area. METHODS: One hundred patients were studied, with ages ranging between 30 and 90 years old (median = 55 years old). There were 44 males and 56 females. We divided them in two groups. One group had fifty patients with skin cancers, equal or larger than 10mm in the greater axis, and the pathological status was confirmed by previous biopsy. The control group had 50 patients without skin cancer. Rosenberg/UNIFESP-EPM's Self-esteem Scale was used to evaluate self-esteem. Data were analyzed by Mann - Whitney's test and Kruskal Wallis test. RESULTS: There was no significant difference between the two groups in relation to age (p = 0.331), sex and education. The mean tumor size was 20.9 ± 2 mm. Skin cancer patients presented significantly lower self-esteem, with average score of 6.84 and 3.90 for the control group (p = 0.002). CONCLUSION: Patients with skin cancer of the head and neck presented lower self-esteem than individuals without cancer.