Telephone follow-up (TFU) is practical and efficient for assessing and mitigating Mohs micrographic surgery (MMS) postoperative complications, according to a recent study, which took place in a single-institution academic dermatology department with 5 fellowship-trained Mohs surgeons. Participants included patients undergoing MMS during a 2-month period. Postoperatively, patients were called twice: 1) within 24 to 48 hours to assess bleeding, swelling, and pain control; and 2) at 1 week to assess wound care, signs of infection, or other concerns. Data regarding completed TFU rate, time to complete calls, and patient-reported complication rates were collected and analyzed. Researchers found:
- Of 349 MMS patients, 263 (75.4%) were successfully contacted during the 24- to 48-hour follow-up window and 232 (66.5%) at the 1-week interval.
- Major complication rates were 0.4 percent (n=1) for bleeding and 0.4 percent (n=1) for infection; both were treated by their respective Mohs surgeon.
- Timed calls averaged approximately 3 minutes per encounter.
Forbes B, Secrest AM, Hand MQ, Eliason MJ. Process of post-operative telephone follow-up implementation for Mohs micrographic surgery: A pilot study. [Published online ahead of print July 1, 2018]. J Clin Aesthet Dermatol.
This Week's Must Reads
Link Between AD and Autoimmune Disorders, J Am Acad Dermatol; ePub 2018 Oct 1; Narla, et al
Predictors of Mucosal Melanoma Survival, J Am Acad Dermatol; ePub 2018 Oct 5; Altieri, et al
Prevalence of Acne Vulgaris Among Patients with HS, J Am Acad Dermatol; ePub 2018 Oct 1; Wertenteil, et al
Skin Disease Epidemiology in a Diverse Population, J Drugs Dermatol; 2018 Oct; Gaulding, et al
Psoriasis Treatment Receives Tentative FDA Approval, Bausch Heath news release; 2018 Oct 8
Must Reads in Practice Management
Dermatologic Procedures Independently Billed by NPPs, J Am Acad Dermatol; ePub 2018 Sep 15; Qi, Hibler, et al
Trends in Medicare Billing Among Mohs Surgeons, Dermatolog Surg; ePub 2018 Sep 7; Tsai, et al
Value of Urgent Care Dermatology Examined, Int J Dermatol; ePub 2018 Aug 28; Sempler, et al
Dermatologist-Delivered Intervention Is Effective, JAMA Dermatology; ePub 2018 Aug 8; Mallett, et al
Post-Surgery Telephone Follow-up Gets High Marks, J Clin Aesthet Dermatol; ePub 2018 Jul 1; Forbes, et al