The following is a summary of “Predictors of patient satisfaction with Mohs micrographic surgery at time of surgery and 3 months postsurgery: A prospective cohort study,” published in the NOVEMBER 2023 issue of Dermatology by Thompson, et al.

Despite its critical role in ensuring the quality of care, research on patient satisfaction in Mohs micrographic surgery (MMS) for nonmelanoma skin cancer is limited. In a prospective cohort study, researchers sought to identify factors associated with patient satisfaction in MMS and examine how satisfaction evolves during the postoperative period.

One hundred patients undergoing MMS were enrolled, and patient satisfaction surveys were administered at the time of surgery and at 3 months post-surgery. Sociodemographic characteristics, medical history, and surgical parameters were obtained through chart review. Univariate linear and logistic regression models were utilized to explore the relationships between various factors and patient satisfaction.

Patients requiring 3 or more MMS stages showed decreased satisfaction at the time of surgery (P = .047) and at 3 months post-surgery (P = .0244). Those undergoing morning procedures ending after 1:00 pm had reduced satisfaction during surgery (P = .019). A decline in patient satisfaction between the time of surgery and 3 months post-surgery was observed in patients with surgical sites on the extremities (P = .036), larger preoperative lesion sizes (P = .012), and larger defect sizes (P = .033). The study’s limitations included reliance on single-institution data, potential self-selection bias, and recall bias.

Patient satisfaction with MMS was influenced by various factors and exhibited dynamic changes over time.

Source: jaad.org/article/S0190-9622(23)01266-5/fulltext