Patient Satisfaction With Mohs Micrographic Surgery: A Systematic Review

Area of Science:

• Dermatology
• Surgical Oncology
• Patient-Reported Outcomes

Background:

• Patient satisfaction is vital for assessing treatment success in Mohs micrographic surgery (MMS).
• Limited research synthesizes data on patient satisfaction with MMS and its impact.
• Understanding patient satisfaction is key to improving dermatologic surgery quality of care.

Purpose of the Study:

• To systematically review and analyze existing data on patient satisfaction with Mohs micrographic surgery.
• To identify factors influencing patient satisfaction with MMS.
• To explore strategies for enhancing patient satisfaction following MMS.

Main Methods:

• A systematic literature review was conducted using PubMed, Scopus, Embase, and Google Scholar.
• Search terms included "patient satisfaction," "Mohs surgery," and "dermatologic surgery."
• Articles published before November 2024 were screened for relevance.

Main Results:

• High patient satisfaction rates were reported, with 76.1%–92.7% rating satisfaction ≥4/5 shortly after surgery, increasing to 81%–95.2% months later.
• Patients reported highest satisfaction with surgeons' interpersonal skills (4.46-4.77/5), technical quality (4.29-4.55/5), and communication (4.28-4.57/5).
• Mohs micrographic surgery independently predicts higher patient satisfaction compared to other nonmelanoma skin cancer treatments.

Conclusions:

• The majority of patients report high satisfaction with Mohs micrographic surgery.
• Factors influencing satisfaction include surgical technique, communication, and interpersonal skills.
• Personalized preoperative, intraoperative, and postoperative strategies can further improve patient satisfaction with MMS.