Clinical Edge

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

Patient QOL Fluctuates Before & After Mohs Surgery

J Am Acad Dermatol; ePub 2018 Mar 5; Zhang, et al

Skin cancer patients had persistent concerns about social interactions and physical appearance 1-2 weeks after Mohs micrographic surgery (MMS), but all aspects of quality of life (QOL) improved by 3 months after surgery, a recent study found. However, MMS patients who were aged <65 years, female, or smoked were at increased risk for longitudinally impaired QOL. Researchers conducted a prospective observational study of 727 skin cancer patients who self-reported QOL via the Skin Cancer Index immediately before and at 1-2 weeks and 3 months after MMS. They found:

  • QOL fluctuated after MMS.
  • At 1-2 weeks after surgery, overall QOL remained unchanged compared to before MMS.
  • Patients reported reduced anxiety about skin cancer, but had increased distress about social interactions and physical appearance.
  • At 3 months after surgery, patients reported an overall improvement in QOL compared to before MMS.
Commentary:

Zhang J, Miller CJ, O’Malley V, Etzkorn JR, Shin TM, Sobanko JF. Patient quality of life fluctuates before and after Mohs micrographic surgery: A longitudinal assessment of the patient experience. [Published online ahead of print March 5, 2018]. J Am Acad Dermatol. doi:10.1016/j.jaad.2018.02.065.

This Week's Must Reads

Should Medical Coding Be Taught During Residency?, J Drugs Dermatol; 2018 Jun; Blecher, Halverstam, et al

Primary Closure Lengths in MMS Based on Cancer Type, Dermatolog Surg; ePub 2018 Jun 8; Theroux, et al

Citizen Pscientist: Important New Research Tool, Dermatol Ther (Heidelb); ePub 2018 Jun 6; Sanchez, et al

Acne Successfully Treated with Laser Combination, Dermatolog Surg; ePub 2018 Jun 5; Bakus, et al

FDA Approves Rituxan for Pemphigus Vulgaris, Genentech Web site; 2018 Jun 7

Must Reads in Dermatologic Surgery

Primary Closure Lengths in MMS Based on Cancer Type, Dermatolog Surg; ePub 2018 Jun 8; Theroux, et al

Acne Successfully Treated with Laser Combination, Dermatolog Surg; ePub 2018 Jun 5; Bakus, et al

Body Image After Mohs Surgery on Head/Neck, Dermatolog Surg; ePub 2018 May 24; Beal, et al

Mohs Surgery Referral for Patients <50 with NMSC, J Drugs Dermatol; 2018 May; Quatrano, Mu, et al

Complications with Large Tumors After Mohs Surgery, J Drugs Dermatol; 2018 May; Cowan, Goldenberg, et al