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

ALT-70 Gets High Marks for Diagnosing Cellulitis, J Am Acad Dermatol; ePub 2018 Jul 9; Li, et al

MMS/MART-1 Immunostaining for Atypical Melanocytes, J Am Acad Dermatol; ePub 2018 Jul 9; Etzkorn, et al

Economic Analysis of Noninvasive Pathologic Assay, JAMA Dermatology; ePub 2018 Jul 11; Hornberger, et al

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

Folate and Risk of Cutaneous Melanoma in Women, Cancer Epidemiol; 2018 Aug; Dhana, Ten, Li, et al

Must Reads in Dermatologic Surgery

Safety of Dermatologic Surgery in an Office Setting, Dermatolog Surg; ePub 2018 Jun 27; Schmitt, et al

Mohs Surgery Effective for Atypical Fibroxanthoma, J Am Acad Dermatol; ePub 2018 Jul 5; Tolkachjov, et al

Surgical Management of Hidradenitis Suppurativa, J Surg Res; 2018 Sep; Ruan, Chen, Singhal, et al

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