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Perioperative Anxiety Associated With Mohs Micrographic Surgery: A Survey-Based Study
Jun Long1, Ali Rajabi-Estarabadi1,2, Adam Levin3
1Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida.
Background:
Mohs micrographic surgery (MMS)-associated anxiety is an important issue that remains poorly discussed. Identifying risk factors for MMS-associated anxiety will better equip physicians to manage patients' preoperative anxiety and result in improved patient satisfaction and outcomes.
Objective:
This study aims in identification of risk factors that may play a role in MMS-associated anxiety among patients with nonmelanoma skin cancer.
Methods:
A cross-sectional case series was conducted among MMS patients collect information on patient demographics and surgical locations and to measure perioperative anxiety and quality of life (QoL). In addition, adjusted linear and logistic regression analyses were performed to identify potential risk factors that predict MMS-associated anxiety.
Results:
Significant increases in perioperative anxiety were associated with the eyelid area compared with the noneyelid facial area and nonfacial area ( p ≤ .05). Patients with graduate degrees exhibited less anxiety compared with ones who received less education ( p ≤ .05). Higher perioperative anxiety was associated with a greater impact on QoL ( p ≤ .05).
Conclusion:
This study identified that surgical location and the patient's educational level are 2 critical predicting factors for perioperative anxiety. Furthermore, perioperative anxiety could negatively affect a patient's quality of life and warrants further investigation into effective management.
Insights
Anxiety during Mohs micrographic surgery (MMS) is linked to surgical site and education level. Understanding these factors for MMS anxiety can improve patient care and outcomes.
Area of Science:
- Dermatology
- Psychology
- Surgical Oncology
Background:
- Mohs micrographic surgery (MMS)-associated anxiety is a significant concern impacting patient experience.
- Identifying risk factors for MMS anxiety is crucial for improving patient satisfaction and outcomes.
Purpose of the Study:
- To identify risk factors associated with MMS-induced anxiety in nonmelanoma skin cancer patients.
- To explore the relationship between patient demographics, surgical characteristics, and perioperative anxiety.
Main Methods:
- A cross-sectional case series design was employed.
- Data collected included patient demographics, surgical locations, perioperative anxiety levels, and quality of life (QoL).
- Adjusted linear and logistic regression analyses were used to identify predictors of MMS-associated anxiety.
Main Results:
- Anxiety was significantly higher for surgeries in the eyelid area compared to other facial and non-facial sites.
- Patients with graduate degrees reported less anxiety than those with lower educational attainment.
- Increased perioperative anxiety correlated with a greater negative impact on QoL.
Conclusions:
- Surgical location (eyelid area) and educational level are key predictors of perioperative anxiety in MMS patients.
- Perioperative anxiety negatively affects patient quality of life.
- Further research is needed to develop effective management strategies for MMS-associated anxiety.
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