Investigating the Impacts of Perianal Skin Cancer on Patient Quality of Life

Abstract

Perianal skin cancer, while rare, can have severe consequences on patient quality of life. This study sought to address this question by examining patient lived experience, social impact, psychological symptoms, and perceived informational needs following a diagnosis of perianal skin cancer. Mixed methods enabled contextualization, exploration, and illumination of pertinent patient issues. Results indicated that stigma, communication, psychological and physical effects, and concern for survival may impact patient care. Psychometric data support these findings. Patient informational needs suggest a reduction in the perceived frequency of all needs and a strong preference for digital over face-to-face information provision. As a truly patient-centered study, this paper provides an important starting point for the consideration of psychosocial support for perianal skin cancer patients. The outcomes are disseminated across clinical policy, offering highlighted points of consideration.

Perianal skin cancers are rare. They are rare enough that, in general, the evidence base lacks the larger studies and data that could enable more consistent practice worldwide. This is the first patient-centered investigation of the impacts of perianal skin cancer on quality of life and patient well-being, and it is the first patient study to cascade into policy amendment within the United Kingdom, notably within the clinical unit. This study provides concrete, specific outcomes related to patient experience and clinical need, and suggests both the generic nature of the support available to assist these patients and the lack of productive practice that could be molded and strengthened from it. 1