Mohs micrographic surgery outcomes following virtual consultations during the COVID‐19 pandemic

Nicholson, Prini; Ali, Faisal; Mallipeddi, R.

doi:10.1111/ced.14678

Cited by 2 publications

(3 citation statements)

References 4 publications

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“…Furthermore, Nicholson et al found that outcomes of pre-operative consultations conducted through TD were comparable to FTF consultations, with no significant difference in the mean number of MMS stages or sections between the two groups. Consistently, the reconstructive strategy established during the TD consultation was executed as planned, eliminating the need for external surgical referrals, proving an effective alternative to FTF consultations [ 6 ]. These findings demonstrate TD as an effective and accurate preoperative tool for MMS, enabling patients to avoid unnecessary hospital visits and experience reduced waiting times [ 5 , 6 ].…”

Section: Teledermatology and Mmsmentioning

confidence: 99%

“…Consistently, the reconstructive strategy established during the TD consultation was executed as planned, eliminating the need for external surgical referrals, proving an effective alternative to FTF consultations [ 6 ]. These findings demonstrate TD as an effective and accurate preoperative tool for MMS, enabling patients to avoid unnecessary hospital visits and experience reduced waiting times [ 5 , 6 ].…”

Section: Teledermatology and Mmsmentioning

confidence: 99%

“…Some studies have demonstrated its effectiveness in reducing wait times, CFR, and travel burdens for patients. 6,7 However, the benefits of TD are largely related to logistical aspects rather than direct improvements in surgical or clinical outcomes [7]. Notably, patients facing socioeconomic barriers to healthcare access showed a strong preference for TD highlighting its potential to bridge healthcare disparities.…”

Section: Preoperative Consultationmentioning

confidence: 99%

See 2 more Smart Citations

The role of teledermatology in Mohs micrographic surgery: a review

Algarin,

Jaalouk,

Pulumati

et al. 2024

Arch Dermatol Res

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This paper explores the role of teledermatology (TD) in Mohs micrographic surgery (MMS) at various stages of patient care. The study aims to assess the benefits, limitations, and patient experiences surrounding TD integration into MMS practices. We conducted a PubMed search using keywords related to TD and MMS, categorizing selected articles into pre-operative, intra-operative, and post-operative stages of MMS. TD reduced waiting times (26.10 days for TD compared to 60.57 days for face-to-face [FTF]) and consultation failure rates (6% for TD vs. 17% for FTF) for MMS preoperative consultations. It also shortened time to treatment by two weeks and led to notable travel savings (162.7 min, 144.5 miles, and $60.00 per person). Telepathology facilitated communication and decision-making during MMS, improving accuracy and efficiency, especially in challenging cases requiring collaboration where physical presence of another surgeon or pathologist is not feasible. Telepathology definitively diagnosed benign lesions and malignant tumors in 81.8% of cases (18/22). Additionally, there was a 95% agreement between conventional light microscopy diagnosis and telepathology in tumors (19/20), and 100% agreement for all 20 Mohs frozen section consultations. For post-operative follow-up, telephone follow-up (TFU) and text messaging proved effective, cost-efficient alternatives with high patient satisfaction (94% in New Zealand and 96% in the U.K.) and early complication identification. This study underscores TD’s multifaceted benefits in MMS: enhanced patient experience preoperatively, improved communication during surgery, and cost-effective postoperative follow-up. Limitations include the financial expense and technical issues that can arise with TD (connectivity problems, delays in video/audio transmission, etc.). Further studies are needed to explore emerging TD modalities in post-operative patient management. The integration of TD into MMS signifies a progressive step in dermatological care, offering convenient, cost-effective, and better solutions with the potential to enhance patient experiences and outcomes.

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Section: Teledermatology and Mmsmentioning

confidence: 99%