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Patient Satisfaction After Mohs Surgery is not Dependent on Seeing Post-Mohs Defect Prior to Repair
Ganary Dabiri1, Jeffrey Tiger2, Heidi Anderson3
1Roger Williams Medical Center/Boston University School of Medicine, Providence, Rhode Island;
The Journal of Clinical and Aesthetic Dermatology
|December 26, 2015
Summary
Showing patients their post-Mohs defect before repair does not impact scar satisfaction. This study found no significant difference in patient outcomes regardless of whether the defect was shown, aiding Mohs surgeons in patient communication.
Area of Science:
- Dermatology
- Surgical Oncology
- Plastic Surgery
Background:
- Patient satisfaction and scar appearance are key considerations for Mohs surgeons.
- Effective communication strategies can enhance the patient experience post-Mohs surgery.
Purpose of the Study:
- To investigate if visualizing the post-Mohs defect influences patient satisfaction with scar outcomes.
- To provide evidence-based guidance for Mohs surgeons on pre-repair patient communication.
Main Methods:
- A randomized controlled trial involving 50 patients undergoing Mohs surgery for head and neck nonmelanoma skin cancer.
- Patients were assigned to either view or not view their defect before surgical repair.
- Scar satisfaction was assessed using the Patient Scar Assessment Questionnaire at 1 and 4 weeks post-surgery.
Main Results:
- No statistically significant difference in scar satisfaction between groups.
- No significant variations in wound care compliance or complication rates were observed.
- Patient perception of scar outcomes remained consistent regardless of pre-repair defect visualization.
Conclusions:
- Whether patients see their post-Mohs defect before repair has no bearing on their ultimate scar satisfaction.
- Mohs surgeons can optimize patient management without the necessity of showing the defect prior to repair.
