Health behaviors and needs of melanoma survivors
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Little is known about melanoma survivors’ long-term symptoms, sun protection practices, and support needs from health providers.
Melanoma survivors treated at Stanford Cancer Center from 1995 through 2011 were invited to complete a heath needs survey. We compared responses of survivors by sex, education, time since diagnosis (long-term vs. short-term survivors), and extent of treatment received (wide local excision (WLE) alone versus WLE plus additional surgical or medical treatment (WLE+)).
One hundred sixty melanoma survivors (51 % male; 61 % long-term; 73 % WLE+) provided evaluable data. On average, patients were 62 years of age (SD = 14), highly educated (75 % college degree), and Caucasian (94 %). Overall, participants rated anxiety as the most prevalent symptom (34 %). Seventy percent reported that their health provider did not address their symptoms, and 53 % requested education about melanoma-specific issues. Following treatment, women spent significantly less time seeking a tan compared with men (p = 0.01), had more extremity swelling (p = 0.014), and expressed higher need for additional services (p = 0.03). Long-term survivors decreased their use of tanning beds (p = 0.03) and time spent seeking a tan (p = 0.002) and were less likely to receive skin screening every 3–6 months (p < 0.001) compared with short-term survivors. WLE+ survivors reported greater physical long-term effects than WLE survivors (p ≤ 0.001) following treatment.
Melanoma survivors experience continuing symptoms long after treatment, namely anxiety, and they express a need for information about long-term melanoma effects, psychosocial support, and prevention of further skin cancer.
KeywordsMelanoma Survivor Clinical services Long-term effects Quality of life Gender
The authors thank Katherine L. McGurk, BS for her work in administering the survey. This study was funded in part by NCI K07CA132916 (OP).
Conflict of interest
The authors declare no financial conflict of interest. The authors have full control of all primary data, and we agree to allow the journal to review these data if requested.
- 1.CDC (2013) Skin cancer rates by race and ethnicity 2013. Centers for Disease Control and Prevention, Atlanta, GAGoogle Scholar
- 3.SEER (2013) SEER statistics cancer factsheets: Melanoma of the skin. National Cancer Institute, Bethesda, MDGoogle Scholar
- 5.Engel J, Schlesinger-Raab A, Emeny R, Holzel D, Schubert-Fritschle G (2013) Quality of life in women with localised breast cancer or malignant melanoma 2 years after initial treatment: a comparison. Int J Behav MedGoogle Scholar
- 6.Schlesinger-Raab A, Schubert-Fritschle G, Hein R, Stolz W, Volkenandt M, Hölzel D, Engel J (2010) Quality of life in localised malignant melanoma. Ann Oncol 21(12):2428–2435Google Scholar
- 12.Kelly B, Raphael B, Smithers M, Swanson C, Reid C, McLeod R, Thomson D, Walpole E (1995) Psychological responses to malignant melanoma. An investigation of traumatic stress reactions to life-threatening illness. Gen Hosp Psychiatry 17(2):126–134Google Scholar
- 16.Holterhues C, Cornish D, van de Poll-Franse LV, Krekels G, Koedijk F, Kuijpers D, Coebergh JW, Nijsten T (2011) Impact of melanoma on patients’ lives among 562 survivors: a Dutch population-based study. Arch Dermatol 147(2):177–185Google Scholar
- 17.Oliveria SA, Shuk E, Hay JL, Heneghan M, Goulart JM, Panageas K, Geller AC, Halpern AC (2013) Melanoma survivors: health behaviors, surveillance, psychosocial factors, and family concerns. Psychooncology 22(1):106–116Google Scholar
- 24.Veloso AG, Sperling C, Holm LV, Nicolaisen A, Rottmann N, Thayssen S, Christensen RD, Lehmann Knudsen J, Hansen DG. (2013) Unmet needs in cancer rehabilitation during the early cancer trajectory–a nationwide patient survey. Acta Oncol 52(2):372–381Google Scholar
- 25.Rowland JH, Kent EE, Forsythe LP, Loge JH, Hjorth L, Glaser A, Mattioli V, Fosså SD (2013) Cancer survivorship research in Europe and the United States: where have we been, where are we going, and what can we learn from each other? Cancer 119(Suppl 11):2094–2108Google Scholar
- 26.Knobf MT, Ferrucci LM, Cartmel B, Jones BA, Stevens D, Smith M, Salner A, Mowad L (2012) Needs assessment of cancer survivors in Connecticut. J Cancer Surviv 6(1):1–10Google Scholar
- 27.Tambuyzer E, Van Audenhove C (2013) Is perceived patient involvement in mental health care associated with satisfaction and empowerment? Health Expect. doi: 10.1111/hex.12052
- 29.McLoone JK, Watts KJ, Menzies SW, Barlow-Stewart K, Mann GJ, Kasparian NA (2013) Melanoma survivors at high risk of developing new primary disease: a qualitative examination of the factors that contribute to patient satisfaction with clinical care. Psychooncology 22(9):1994–2000Google Scholar