Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Post-Surgery Telephone Follow-up Gets High Marks

J Clin Aesthet Dermatol; ePub 2018 Jul 1; Forbes, et al

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

Patient Motivations for Seeking Cosmetic Procedures, JAMA Dermatology; ePub 2018 Aug 15; Maisel, et al

Pathology Methods for Melanocytic Lesions Compared, JAMA Dermatology; ePub 2018 Aug 15; Onega, et al

Renal Transplant Rejection Linked with Risk of cSCC, Clin Exp Dermatol; ePub 2018 Jun 27; Puza, et al

Microneedling Treatment Improves Skin Aging, J Clin Aesthet Dermatol; 2018 Aug 1; Ablon

Rejuvenation Procedure Proves Safe and Effective , Lasers Surg Med; ePub 2018 Aug 8; Knight, Kautz

Must Reads in Practice Management

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

Public Perception of Ethical Issues in Dermatology, Dermatolog Surg; ePub 2018 Jul 6; Martin, et al

Use of Advanced Practice Professionals on the Rise, JAMA Dermatology; ePub 2018 Jul 11; Zhang, et al

IBD Patients Have Low Rate of Dermatologic Care, Dig Dis Sci; ePub 2018 Apr 30; Anderson, Ferris, et al