Clinical Edge

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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.

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