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Time to treatment and complexity of Mohs micrographic surgery

The impact of time to treatment (TTT) on the surgical management of keratinocyte carcinoma, specifically the complexity of Mohs micrographic surgery (MMS), is incompletely understood. We performed a retrospective chart review of patients undergoing MMS for keratinocyte carcinoma between July 1, 2019...

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Autores principales: Salman, Rumsha, Daly, Caroline, Dani, Advika, Eseonu, Amarachi, Bibee, Kristin, Scott, Jeffrey F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9801139/
https://www.ncbi.nlm.nih.gov/pubmed/36583761
http://dx.doi.org/10.1007/s00403-022-02519-9
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author Salman, Rumsha
Daly, Caroline
Dani, Advika
Eseonu, Amarachi
Bibee, Kristin
Scott, Jeffrey F.
author_facet Salman, Rumsha
Daly, Caroline
Dani, Advika
Eseonu, Amarachi
Bibee, Kristin
Scott, Jeffrey F.
author_sort Salman, Rumsha
collection PubMed
description The impact of time to treatment (TTT) on the surgical management of keratinocyte carcinoma, specifically the complexity of Mohs micrographic surgery (MMS), is incompletely understood. We performed a retrospective chart review of patients undergoing MMS for keratinocyte carcinoma between July 1, 2019 and February 28, 2021 to examine associations between TTT and surgical characteristics. The median TTT for the 1571 patients treated with MMS during the study period was 42 days (interquartile range 28–61 days). In adjusted analyses, increasing TTT was not associated with increasing utilization of flap or graft repairs. Although a 42-day increase in TTT was associated with a 17.6 mm(2) increase in the post-operative surgical defect size after MMS, TTT was not associated with linear repair length or flap/graft repair area. In conclusion, TTT was not independently associated with the type of repair or repair length after MMS, suggesting that the complexity of Mohs reconstruction is not influenced by TTT within the time range studied in this cohort.
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spelling pubmed-98011392022-12-30 Time to treatment and complexity of Mohs micrographic surgery Salman, Rumsha Daly, Caroline Dani, Advika Eseonu, Amarachi Bibee, Kristin Scott, Jeffrey F. Arch Dermatol Res Short Report The impact of time to treatment (TTT) on the surgical management of keratinocyte carcinoma, specifically the complexity of Mohs micrographic surgery (MMS), is incompletely understood. We performed a retrospective chart review of patients undergoing MMS for keratinocyte carcinoma between July 1, 2019 and February 28, 2021 to examine associations between TTT and surgical characteristics. The median TTT for the 1571 patients treated with MMS during the study period was 42 days (interquartile range 28–61 days). In adjusted analyses, increasing TTT was not associated with increasing utilization of flap or graft repairs. Although a 42-day increase in TTT was associated with a 17.6 mm(2) increase in the post-operative surgical defect size after MMS, TTT was not associated with linear repair length or flap/graft repair area. In conclusion, TTT was not independently associated with the type of repair or repair length after MMS, suggesting that the complexity of Mohs reconstruction is not influenced by TTT within the time range studied in this cohort. Springer Berlin Heidelberg 2022-12-30 /pmc/articles/PMC9801139/ /pubmed/36583761 http://dx.doi.org/10.1007/s00403-022-02519-9 Text en © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Short Report
Salman, Rumsha
Daly, Caroline
Dani, Advika
Eseonu, Amarachi
Bibee, Kristin
Scott, Jeffrey F.
Time to treatment and complexity of Mohs micrographic surgery
title Time to treatment and complexity of Mohs micrographic surgery
title_full Time to treatment and complexity of Mohs micrographic surgery
title_fullStr Time to treatment and complexity of Mohs micrographic surgery
title_full_unstemmed Time to treatment and complexity of Mohs micrographic surgery
title_short Time to treatment and complexity of Mohs micrographic surgery
title_sort time to treatment and complexity of mohs micrographic surgery
topic Short Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9801139/
https://www.ncbi.nlm.nih.gov/pubmed/36583761
http://dx.doi.org/10.1007/s00403-022-02519-9
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