Preoperative expectations and values of patients undergoing Mohs micrographic surgery

Dermatol Surg. 2011 Mar;37(3):311-9. doi: 10.1111/j.1524-4725.2011.01878.x. Epub 2011 Feb 22.

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.

MeSH terms

  • Adult
  • Aged
  • Attitude to Health*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Mohs Surgery*
  • Preoperative Period
  • Prospective Studies
  • Skin Neoplasms / psychology
  • Skin Neoplasms / surgery*
  • Surveys and Questionnaires