Predictors of Patient Satisfaction With Mohs Surgery

Asgari, Maryam M.; Warton, E. Margaret; Neugebauer, Romain; Chren, Mary‐Margaret

doi:10.1001/archdermatol.2011.319

Cited by 37 publications

(12 citation statements)

References 37 publications

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“…Although most bleeding did occur in patients receiving anticoagulants, the risk of serious bleeding was very low and most bleeding was easily controlled. Interestingly, a survey looking at patient satisfaction after cutaneous surgery showed patients were not bothered by postoperative bleeding, and those with bleeding actually reported higher satisfaction short term (OR, 2.25; 95% CI 1.25-4.05) . It is also important to note that serious adverse vascular events have been reported after discontinuation of anticoagulants .…”

Section: Resultsmentioning

confidence: 99%

Addressing Practice Gaps in Cutaneous Surgery

Kreicher

Bordeaux

2017

JAMA Facial Plast Surg

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utaneous surgery (CS) is performed by otolaryngologists, plastic surgeons, oculoplastic surgeons, dermatologic surgeons, and some primary care physicians. Practice gaps and differences exist among cutaneous surgeons for how preoperative, intraoperative, and postoperative decision-making is approached. The purpose of this review is to present the best and most recent evidence to help guide cutaneous surgeons in these decisions. MethodsA literature search was performed using PubMed/MEDLINE

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Section: Resultsmentioning

confidence: 99%

Addressing Practice Gaps in Cutaneous Surgery

Kreicher

Bordeaux

2017

JAMA Facial Plast Surg

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“…The Centers for Medicare and Medicaid Services have created various CAHPS surveys to obtain standardized data about health care organizations. 3,4 Health care organizations often mandate that individual clinics and surgical centers implement such surveys to identify targets for improvement. However, in our experience, the information collected in such surveys frequently has little-to-no relevance to the experience of patients undergoing Mohs surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Based on previous investigation regarding factors that affect patient satisfaction during Mohs surgery, we developed a novel 5-question survey to assess the postoperative experience. 2,3 These questions included c larity of postoperative instructions, adequacy of instructions on a ctivity limitations, whether postoperative p ain was controlled, quality of a ccess to a provider in the postoperative period, and whether postoperative ble eding was controlled (shortened to the acronym CAPABLE), outlined in Supplemental Digital Content 1 , Figure S1, http://links.lww.com/DSS/B333. The study was conducted in 2 phases.…”

mentioning

confidence: 99%

CAPABLE: A Scoring System Utilizing Patient-Reported Measures to Evaluate Patient Experience After Mohs Surgery

Fox,

Riddle,

Cervantes

et al. 2023

Dermatol Surg

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BACKGROUND Patient experience metrics are gaining prominence in health care. We introduce the CAPABLE survey to assess postoperative experiences of Mohs surgery patients. OBJECTIVE We sought to determine whether CAPABLE scores aligned with overall patient satisfaction in Mohs surgery. METHODS This was a cross-sectional, survey-based study of patients presenting for their first postoperative visit after Mohs surgery. The CAPABLE survey included questions on postoperative instructions, activity limitations, pain control, provider accessibility, and bleeding, followed by 2 overall satisfaction questions taken from the Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems survey. The pilot study took place at the University of Texas Dell Medical School (DMS), followed by a validation study (n = 206) at DMS and Oregon Health and Science University (OHSU). We assessed for correlations between CAPABLE scores and overall satisfaction. RESULTS In the pilot study (n = 137), overall CAPABLE scores and scores of individual CAPABLE components correlated positively with overall satisfaction. In the multisite validation study (n = 206) spanning DMS and OHSU, CAPABLE scores correlated positively with overall satisfaction. CONCLUSION The CAPABLE survey is a concise tool for assessing specific, actionable components of the postoperative patient experience in Mohs surgery, while correlating with overall patient satisfaction.

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“…The use of DAGs is an established approach for understanding the relationship between exposure and outcome, identifying appropriate variables for modeling, and, conversely, preventing overadjustment with variables that may actually increase bias in the model. [14][15][16][17][18] Institutional experience and a review of the literature informed our choice of confounders. 10 Our DAG has been included as Supplemental Figure 1 (Supplemental Digital Content 2, http:// links.lww.com/SLA/D865).…”

Section: Discussionmentioning

confidence: 99%

“…Confounders were selected using a causal inference approach, specifically using directed acyclic graphs (DAGs) to model our causal pathways. The use of DAGs is an established approach for understanding the relationship between exposure and outcome, identifying appropriate variables for modeling, and, conversely, preventing overadjustment with variables that may actually increase bias in the model 14–18. Institutional experience and a review of the literature informed our choice of confounders 10.…”

Section: Methodsmentioning

confidence: 99%

The Impact of Psychiatric Diagnoses on Patient-reported Satisfaction and Quality of Life in Postmastectomy Breast Reconstruction

et al. 2022

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Objective: The purpose of this study was to determine the prevalence of psychiatric diagnoses among a sample of breast reconstruction patients and measure the association between these diagnoses and reconstruction-related, patient-reported outcomes. Background: The impact of psychiatric disorders in conjunction with breast cancer diagnosis, treatment, and reconstruction have the potential to cause significant patient distress but remains not well understood. Methods: A retrospective review of postmastectomy breast reconstruction patients from 2007 to 2018 at Memorial Sloan Kettering Cancer Center was conducted. Patient demographics, comorbidities, cancer characteristics, psychiatric diagnoses, and BREAST-Q Reconstruction Module scores (measuring satisfaction with breast, well-being of the chest, psychosocial, and sexual well-being) at postoperative years 1 to 3 were examined. Mixed-effects models and cross-sectional linear regressions were conducted to measure the effect of psychiatric diagnostic class type and number on scores. Results: Of 7414 total patients, 50.1% had at least 1 psychiatric diagnosis. Patients with any psychiatric diagnoses before reconstruction had significantly lower BREAST-Q scores for all domains at all time points. Anxiety (50%) and depression (27.6%) disorders were the most prevalent and had the greatest impact on BREAST-Q scores. Patients with a greater number of psychiatric diagnostic classes had significantly worse patient-reported outcomes compared with patients with no psychiatric diagnosis. Psychosocial (β: −7.29; 95% confidence interval: −8.67, −5.91), and sexual well-being (β: −7.99; 95% confidence interval: −9.57, −6.40) were most sensitive to the impact of psychiatric diagnoses. Conclusions: Mental health status is associated with psychosocial and sexual well-being after breast reconstruction surgery as measured with the BREAST-Q. Future research will need to determine what interventions (eg, screening, early referral) can help improve outcomes for breast cancer patients with psychiatric disorders undergoing breast reconstruction.

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Predictors of Patient Satisfaction With Mohs Surgery

Cited by 37 publications

References 37 publications

Addressing Practice Gaps in Cutaneous Surgery

Addressing Practice Gaps in Cutaneous Surgery

CAPABLE: A Scoring System Utilizing Patient-Reported Measures to Evaluate Patient Experience After Mohs Surgery

The Impact of Psychiatric Diagnoses on Patient-reported Satisfaction and Quality of Life in Postmastectomy Breast Reconstruction

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