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Preoperative telephone consultation does not decrease patient anxiety before Mohs micrographic surgery.

Joseph F Sobanko1, Diego Da Silva2, Zelma C Chiesa Fuxench3

  • 1Division of Dermatologic Surgery, University of Pennsylvania Health System, Philadelphia, Pennsylvania.

Journal of the American Academy of Dermatology
|December 8, 2016
PubMed
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This summary is machine-generated.

A preoperative educational telephone call did not significantly impact anxiety or satisfaction for patients undergoing Mohs micrographic surgery (MMS). Further research is needed to understand patient education benefits for MMS procedures.

Area of Science:

  • Dermatology
  • Surgical Oncology
  • Patient Psychology

Background:

  • Patient anxiety and satisfaction are key factors in Mohs micrographic surgery (MMS) outcomes.
  • Understanding influences on patient experience is crucial for improving surgical care.

Purpose of the Study:

  • To evaluate the impact of a preoperative educational telephone call on patient anxiety and satisfaction.
  • To assess the effectiveness of this intervention for patients undergoing same-day consultation and MMS.

Main Methods:

  • 104 skin cancer patients scheduled for same-day consultation and MMS were randomized.
  • One group received a preoperative educational telephone call; the control group did not.
  • Anxiety was measured pre- and post-procedure using the State-Trait Anxiety Inventory and visual analog scale.
Keywords:
Mohs micrographic surgeryanxietyeducationpatient-reported outcomesatisfactiontelephone call

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  • Patient satisfaction was assessed post-MMS using the Visit-Specific Patient Satisfaction Questionnaire.

    • Main Results:

    • Patients reported similar increases in anxiety and high satisfaction levels, irrespective of receiving the educational call.
    • The preoperative telephone intervention did not demonstrate a significant effect on patient-reported anxiety or satisfaction.

    Conclusions:

    • Preoperative educational telephone calls did not alleviate anxiety or enhance satisfaction in patients undergoing same-day MMS.
    • The benefits of preoperative education and counseling on patient anxiety and satisfaction for MMS remain uncertain.
    • Limitations include the lack of control for prior surgical experience or patient self-education.