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Mohs micrographic surgery: a cost analysis

J Cook1, J A Zitelli

  • 1Department of Dermatology, Medical University of South Carolina, Charleston 29425, USA. cookjw@musc.edu

Journal of the American Academy of Dermatology
|November 12, 1998
PubMed
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Mohs micrographic surgery offers high value and is cost-effective for treating skin cancer. This skin cancer treatment is comparable in cost to traditional surgical excision, making it a valuable option.

Area of Science:

  • Dermatology
  • Surgical Oncology
  • Health Economics

Background:

  • Skin cancer incidence is rising, creating an epidemic.
  • Physicians need to understand the cost-effectiveness of skin cancer treatments.
  • An estimated 900,000 to 1.2 million nonmelanoma skin cancer cases occurred in the US in 1994.

Purpose of the Study:

  • To determine the true cost of Mohs micrographic surgery for skin cancer.
  • To compare the costs of Mohs surgery with traditional surgical excision methods.

Main Methods:

  • A study of 400 consecutive skin tumors was conducted.
  • Costs included diagnosis, surgery, reconstruction, follow-up, and recurrence treatment.
  • Compared Mohs surgery costs against traditional excision with various margin controls and settings.

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Main Results:

  • Mohs micrographic surgery costs were similar to office-based traditional excision ($1243 vs. $1167).
  • Mohs surgery was less expensive than excision in an ambulatory surgical facility ($1243 vs. $1973).
  • Costs for Mohs surgery were comparable to other traditional methods, including those with frozen section margin control.

Conclusions:

  • Mohs micrographic surgery provides high intrinsic value.
  • Mohs surgery is a cost-effective skin cancer treatment compared to traditional excision methods.