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Patient preferences for treatment of basal cell carcinoma: importance of cure and cosmetic outcome

Treatment options for localized resectable basal cell carcinoma (BCC) include micrographically controlled surgery, simple excision, curettage, laser ablation, cryosurgery, imiquimod, 5-fluorouracil, photodynamic therapy and radiotherapy. The aim of this study was to assess the preferences of patient...

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Main Authors: Martin, Isabelle (Author) , Schaarschmidt, Marthe-Lisa (Author) , Glocker, Anne (Author) , Herr, Raphael (Author) , Schmieder, Astrid (Author) , Goerdt, Sergij (Author) , Ludwig-Peitsch, Wiebke (Author)
Format: Article (Journal)
Language:English
Published: 2016
In: Acta dermato-venereologica
Year: 2016, Volume: 96, Issue: 3, Pages: 355-360
ISSN:1651-2057
DOI:10.2340/00015555-2273
Online Access:Verlag, Volltext: http://dx.doi.org/10.2340/00015555-2273
Verlag, Volltext: http://www.medicaljournals.se/acta/content/abstract/10.2340/00015555-2273
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Author Notes:Isabelle Martin, Marthe-Lisa Schaarschmidt, Anne Glocker, Raphael Herr, Astrid Schmieder, Sergij Goerdt and Wiebke K. Peitsch
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Summary:Treatment options for localized resectable basal cell carcinoma (BCC) include micrographically controlled surgery, simple excision, curettage, laser ablation, cryosurgery, imiquimod, 5-fluorouracil, photodynamic therapy and radiotherapy. The aim of this study was to assess the preferences of patients with BCC for outcome (cure and recurrence rate, cosmetic outcome, risk of temporary and permanent complications) and process attributes (type of therapy, treatment location, anaesthesia, method of wound closure, duration of wound healing, out-of-pocket costs) of these treatments with conjoint analysis. Participants (n = 124) attached greatest importance to recurrence rate (relative importance score (RIS) = 17.28), followed by cosmetic outcome (RIS = 16.90) and cure rate (RIS = 15.02). Participants with BCC on the head or neck were particularly interested in cosmetic outcome. Those with a recurrence were willing to trade risk of recurrence, treatment location and duration of wound healing for a better cosmetic result. In summary, participants particularly valued cure and cosmetic outcome, although preferences varied with individual and tumour-associated characteristics.
Item Description:Gesehen am 12.02.2019
Epub ahead of print Nov 5, 2015
Physical Description:Online Resource
ISSN:1651-2057
DOI:10.2340/00015555-2273

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