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Patient Satisfaction With Mohs Micrographic Surgery: A Systematic Review
Joshua Burshtein1, Jesse M Lewin2
1Department of Dermatology, University of Illinois-Chicago, Chicago, Illinois.
Background:
Patient satisfaction with Mohs micrographic surgery (MMS) is a crucial aspect of treatment success and quality of care. There is limited literature synthesizing the available data on patient satisfaction and its associated impact.
Objective:
To analyze existing data on patient satisfaction with MMS and explore methods to enhance satisfaction.
Methods:
A systematic review of literature was performed. The terms "patient satisfaction," "Mohs surgery," and "dermatologic surgery" were used to search PubMed, Scopus, Embase, and Google Scholar. Original and review articles published before November 2024 were screened for relevance.
Results:
Prospective cohort studies reported overall average Patient Satisfaction Questionnaire-18 ranging between 4.29 and 4.34/5. Shortly after surgery, 76.1% to 92.7% of patients rate their satisfaction ≥4/5 and this rises to 81% to 95.2% after several months. Patients are most satisfied with interpersonal skills (4.46-4.77/5), technical quality (4.29-4.55/5), and communication (4.28-4.57/5) of Mohs surgeons. Mohs micrographic surgery is an independent predictor of higher patient satisfaction compared with other treatment modalities for nonmelanoma skin cancer.
Conclusion:
Most patients experience high satisfaction with MMS. This systematic review reports a variety of factors that may influence satisfaction rates and describes preoperative, intraoperative, and postoperative strategies to personalize care and improve satisfaction.
