Patient Anxiety Related to Patient-Perceived Delays in Surgical Treatment of Skin Cancer

Daly, Caroline M.; Scott, Jeffrey F.; Bibee, Kristin

doi:10.1097/dss.0000000000003716

Cited by 1 publication

(1 citation statement)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Coordination of next day reconstruction can be a logistical challenge, 6 and long delays to schedule completion surgery after iMMS may increase patient anxiety. 17 Anticipating iMMS significantly decreased the time to adjuvant surgery from an average of 13.2 days to 3.9 days. Initiating iMMS discussions preoperatively also allows collaborators to plan for their involvement and offer input into the treatment approach.…”

Section: Discussionmentioning

confidence: 96%

Anticipated Versus Unanticipated Incomplete Mohs Micrographic Surgery for Keratinocyte Carcinomas: Impact on Treatment Delays and Final Margin Status

Lin,

Deitermann,

Lubeck

et al. 2023

Dermatol Surg

View full text Add to dashboard Cite

BACKGROUND Mohs micrographic surgery may be discontinued with positive margins as an anticipated strategy for multidisciplinary care or as an unanticipated occurrence. Management of primary tumors has not been compared after anticipated versus unanticipated incomplete Mohs micrographic surgery (iMMS). OBJECTIVE To compare rates and timing of adjuvant surgery after iMMS and final margin status when iMMS is anticipated versus unanticipated. Secondary outcomes were preoperative and intraoperative clinicopathologic factors associated with iMMS. METHODS Cases of iMMS of keratinocyte carcinomas at a tertiary academic center between 2005 and 2022 were classified as anticipated (preoperative assembly of multidisciplinary teams) or unanticipated (ad hoc management of positive margins). Rate, timing, and final margin status of adjuvant surgery was compared between anticipated and unanticipated iMMS cohorts using χ2/Fisher exact test for categorical variables and t-test for continuous variables. RESULTS Of 127 iMMS cases, 51.2% (65/127) were anticipated. Anticipated iMMS cases were more likely to undergo additional resection (98.5% vs 72.6%, p < .001), with fewer delays (3.9 vs 13.2 days, p < .001) and higher rates of final margin clearance (84.6% vs 59.7%, p < .001). CONCLUSION When iMMS is anticipated as part of multidisciplinary care, patients are more likely to undergo additional resection, with fewer delays to next surgery and higher final margin clearance rates.

show abstract

Section: Discussionmentioning

confidence: 96%