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Factors Associated With Patient-Initiated Communication After Mohs Micrographic Surgery.

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Many patients contact doctors after Mohs micrographic surgery (MMS) for concerns like wound issues or pain. Understanding these reasons can improve patient care and reduce anxiety.

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Area of Science:

  • Dermatology
  • Surgical Oncology
  • Patient Communication

Background:

  • Patients frequently contact healthcare providers with concerns following Mohs micrographic surgery (MMS).
  • Postoperative communication is common despite pre-operative counseling.

Purpose of the Study:

  • To determine the incidence and reasons for patient-initiated communication after MMS.
  • To identify patient and surgical characteristics associated with postoperative calls.

Main Methods:

  • Retrospective chart review of 1,531 patients undergoing MMS.
  • Comparison of demographics and perioperative factors between patients who initiated communication and matched controls.

Main Results:

  • 17.2% of patients initiated 412 communication encounters within 90 days post-MMS.
  • Common reasons included wound concerns, bleeding, and pain.
  • Female patients, larger defect sizes, and specific repair types (second intention healing, grafts, interpolation flaps) were associated with increased communication.

Conclusions:

  • Identifies key factors predicting patient-initiated communication post-MMS.
  • Findings can guide targeted improvements in postoperative counseling.
  • Aims to reduce patient anxiety, enhance satisfaction, and improve healthcare team efficiency.