Comorbidity Assessment in Skin Cancer Patients: A Pilot Study Comparing Medical Interview with a Patient-Reported Questionnaire
Joint Authors
Barker, Christopher A.
Lee, Erica H.
Nijhawan, Rajiv I.
Nehal, Kishwer S.
Dusza, Stephen W.
Levine, Amanda
Hill, Amanda
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-06-09
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
Comorbidities are conditions that occur simultaneously but independently of another disorder.
Among skin cancer patients, comorbidities are common and may influence management.
Objective.
We compared comorbidity assessment by traditional medical interview (MI) and by standardized patient-reported questionnaire based on the Adult Comorbidity Evaluation-27 (ACE-27).
Methods.
Between September 2011 and October 2013, skin cancer patients underwent prospective comorbidity assessment by a Mohs surgeon (MI) and a radiation oncologist (using a standardized patient-reported questionnaire based on the ACE-27, the PRACE-27).
Comorbidities were identified and graded according to the ACE-27 and compared for agreement.
Results.
Forty-four patients were evaluated.
MI and PRACE-27 identified comorbidities in 79.5% and 88.6% (p=0.12) of patients, respectively.
Among 27 comorbid ailments, the MI identified 9.9% as being present, while the PRACE-27 identified 12.5%.
When there were discordant observations, PRACE-27 was more likely than MI to identify the comorbidity (OR=5.4, 95% CI = 2.4–14.4, p<0.001).
Overall comorbidity scores were moderate or severe in 43.2% (MI) versus 59.1% (PRACE-27) (p=0.016).
Limitations.
Small sample size from a single institution.
Conclusion.
Comorbidities are common in skin cancer patients, and a standardized questionnaire may better identify and grade them.
More accurate comorbidity assessments may help guide skin cancer management.
American Psychological Association (APA)
Lee, Erica H.& Nijhawan, Rajiv I.& Nehal, Kishwer S.& Dusza, Stephen W.& Levine, Amanda& Hill, Amanda…[et al.]. 2015. Comorbidity Assessment in Skin Cancer Patients: A Pilot Study Comparing Medical Interview with a Patient-Reported Questionnaire. Journal of Skin Cancer،Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1070252
Modern Language Association (MLA)
Lee, Erica H.…[et al.]. Comorbidity Assessment in Skin Cancer Patients: A Pilot Study Comparing Medical Interview with a Patient-Reported Questionnaire. Journal of Skin Cancer No. 2015 (2015), pp.1-6.
https://search.emarefa.net/detail/BIM-1070252
American Medical Association (AMA)
Lee, Erica H.& Nijhawan, Rajiv I.& Nehal, Kishwer S.& Dusza, Stephen W.& Levine, Amanda& Hill, Amanda…[et al.]. Comorbidity Assessment in Skin Cancer Patients: A Pilot Study Comparing Medical Interview with a Patient-Reported Questionnaire. Journal of Skin Cancer. 2015. Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1070252
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1070252