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Patient Satisfaction With Outcomes of Mohs Micrographic Surgery: A Prospective Cohort Study Using the Oxford Skin
Amanda M Ferrante1, Martha Laurin Council1, Michael S Stratton1
1Division of Dermatology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.
Background:
Patient satisfaction with Mohs micrographic surgery is dependent on multiple clinical and surgical factors. This study implements a novel survey to assess patient satisfaction in multiple domains.
Objective:
(1) To assess whether satisfaction changes over time and (2) to evaluate predictors of patient satisfaction in multiple satisfaction domains.
Materials And Methods:
The Oxford Skin Cancer Treatment Scale (OxSCanTr) assesses patient satisfaction with scar aesthetics, treatment choice, surgical experience, and postoperative concerns. Surveys were completed immediately after surgery and at 1 week and 4 weeks postoperatively. Clinical and demographic data were collected. Statistical analysis included repeated-measures analysis of variance, univariate, and multivariate repeated-measures linear regression.
Results:
Satisfaction does not vary significantly over time. Diabetes, immunosuppression, and linear closure methods are associated with higher total satisfaction. Linear closure method predicts higher total, aesthetic outcome, and treatment experience satisfaction. Patient age, number of Mohs stages, noncutaneous cancer history, tumor location, skin cancer history, postoperative defect size, and absorbable top sutures predict patient satisfaction in at least one domain.
Conclusion:
This study increases awareness of the clinical and surgical factors that contribute to patient satisfaction with Mohs procedures, which can help to advance patient-centered care.
