Predictors of patient satisfaction with Mohs micrographic surgery at time of surgery and three months post-surgery: a prospective cohort study.

Publication date: Jul 06, 2023

Despite the importance of patient satisfaction in ensuring high-quality care, studies investigating patient satisfaction in Mohs micrographic surgery (MMS) are limited. We investigated the factors associated with patient satisfaction in MMS for non-melanoma skin cancer and how patient satisfaction changes in the post-operative period. In this prospective cohort study including 100 patients, patient satisfaction surveys were administered at the time of surgery and at three months post-surgery. Sociodemographic characteristics, medical history, and surgical parameters were collected by chart review. Univariate linear and logistic regression models were created to examine these relationships. Decreased satisfaction was observed in patients requiring three or more MMS stages both at the time of surgery (p=0. 047) and at three months post-surgery (p=0. 0244). Patients with morning procedures ending after 1:00 PM had decreased satisfaction at the time of surgery (p=0. 019). A decrease in patient satisfaction between the time of surgery and three months post-surgery was observed in patients with surgical sites on the extremities (p=0. 036), larger pre-operative lesion sizes (p=0. 012), and larger defect sizes (p=0. 033). Single-institution data, self-selection bias, and recall bias. Patient satisfaction for MMS is impacted by numerous factors and remains dynamic over time.

Concepts Keywords
Bias basal cell carcinoma
Models dermatologic surgery
Months high-value care
Morning Mohs micrographic surgery
Surgery Mohs surgery
non-melanoma skin cancer
patient satisfaction
quality of care
squamous cell carcinoma

Semantics

Type Source Name
disease MESH melanoma
pathway KEGG Melanoma
disease MESH skin cancer
disease MESH basal cell carcinoma
pathway KEGG Basal cell carcinoma
disease MESH squamous cell carcinoma

Original Article

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