Preoperative Expectations and Values of Patients Undergoing Mohs Micrographic Surgery

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Abstract:

BACKGROUND

Dermatologists have championed Mohs micrographic surgery (MMS) for its unsurpassed treatment success for skin cancers, safety profile, cost-effectiveness, and tissue-sparing quality. It is unclear whether patients undergoing MMS also value these characteristics. OBJECTIVE

To evaluate patients' preoperative expectations of MMS and identify the factors that may influence such expectations METHODS

The study prospectively recruited participants who were newly diagnosed with skin cancer and referred for MMS. A questionnaire listing the characteristics of MMS was given to the participants asking them to score the importance of each characteristic on a 10-point scale. The participants were also asked to provide information regarding their gender, age, subjective health status, education level, family annual income, and their referral source RESULTS

On average, participants placed the highest value, in descending order, on a treatment that yielded the highest cure rate, reconstruction initiation only after complete tumor removal, and the surgeon being a skin cancer specialist. Overall, participants placed high values on characteristics of MMS that dermatologists have long esteemed. CONCLUSION

Our data corroborate that MMS is a valuable procedure that meets the expectations not just of physicians, but also of patients.

The authors have indicated no significant interest with commercial supporters.

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/j.1524-4725.2011.01878.x

Affiliations: 1: Department of Dermatology and Dermatologic Surgery 2: Division of Biostatistics and Epidemiology, Department of Medicine, Medical University of South Carolina, Charleston, South Carolina

Publication date: March 1, 2011

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