254 Development and validation of the dysesthesia assessment questionnaire

Sensory changes such as dysesthesia and numbness are frequent postoperative symptoms of cutaneous surgery due to disruption the underlying network nerves. These sensory disturbances an unpredictable phenomenon with widely variable estimates incidence (2.3% 43.4%) longevity (1 >12 months) in literature. Questionnaires vital for assessing dysesthesia, neurocutaneous testing does not align self-reported deficits. This field research is limited there few tools evaluate sensation change. Our objective was design validate Dysesthesia Assessment Questionnaire (DAQ) assess numbness, impact on quality life. Questions were written based principles outlined current psychophysical scale development research. In this pilot study, 35 patients undergoing Mohs a facial neoplasm completed DAQ date their two weeks into post-operative period interrater reliability. Thirty-four questionnaire at time points (97.1%, n=1 lost follow-up). Overall performance demonstrated adequate agreement, 8/9 question items identified statistically significant acceptable weighted kappa values (from 0.12 0.63; p> 0.05) fair substantial All illustrated consistent trends response frequency across time. Consistent outcomes between raters establish reliable tool dysesthesia. study validates instrument clinical screening abnormalities after surgery.