Institutional Adherence to Current Mohs Surgery Appropriate Use Criteria With Reasons for Nonadherence and Recommendations for Future Versions

Melvin, Olivia G.; Griffin, Russell; Phillips, Carlton Blake; Huang, Conway C.

doi:10.1097/dss.0000000000003369

Cited by 2 publications

(1 citation statement)

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“…This finding almost mirrors a previously reported 98% use of MMS for the same anatomic locations identified in a survey from 2011 1 . Anatomic location is a significant predictor of appropriate use of MMS, and the practice of MMS in Australia, according to our findings, is comparing favourably to experience overseas 9,10 . An ongoing overall upward trend identified in our data for the total number of MMS procedures performed annually is supported by a previous report on Medicare data demonstrating a per capita increase from 13 cases per 100,000 population in 1995, to 35 in 2009, to 61 in 2017 and 79 in 2021 1,4 …”

Section: Discussionsupporting

confidence: 90%

Slice by slice: An Australian state‐by‐state analysis of Mohs micrographic surgery over 5 years

Farrell,

Moreno

2023

Aust J Dermatology

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BackgroundIn November 2018, Mohs micrographic surgery (MMS) was restricted to fellows registered with the Australasian College of Dermatologists. Three new item numbers for the provision of MMS were also introduced. We examine the national and state usage of MMS item numbers based on Medicare claim statistics and Mohs surgeons' self‐reported data, noting the impact of the pandemic and the usage of individual item numbers.MethodsMedicare item number data were obtained from the Medicare Benefits Schedule website for January 2017–December 2021. Self‐reported data were collected on an annual basis by the Royal College of Pathologists of Australasia (RCPA) as part of the Quality Assurance Program (QAP) from 2019 onwards. Data were analysed with the Holt–Winters smoothing method for forecasting.ResultsAn increasing number of MMS claims were processed each year, with a total of 89,183 for the study period. Since November 2018, 97.7% of procedures have been conducted on the head, neck, genitalia, hand, digits, leg (below the knee) or foot. The provision of services across the country was maintained during the pandemic years of 2020–2021, with an increase in services in Queensland. There were discrepancies between the states for procedures performed in greater than six sections; these constituted more than 35% of claims in Queensland and Western Australia compared to less than 15% in other states. The pandemic impacted certain states more than others, with Victoria and the Northern Territory having significantly fewer presentations than predicted (p < 0.05).ConclusionsOverall, the use of MMS in Australia is in keeping with peer‐developed guidelines, despite discrepancies between states. Although certain states were more severely affected by the pandemic, MMS is increasingly used in Australia.

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Section: Discussionsupporting

confidence: 90%