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Preoperative telephone consultation does not decrease patient anxiety before Mohs micrographic surgery

Published:December 03, 2016DOI:https://doi.org/10.1016/j.jaad.2016.09.027

      Background

      Many factors influence anxiety and satisfaction of patients undergoing Mohs micrographic surgery (MMS).

      Objective

      We sought to determine the effect of a preoperative educational telephone call on anxiety and satisfaction for patients undergoing same-day office consultation and MMS.

      Methods

      Patients with skin cancer (N = 104) scheduled for same-day office consultation and MMS were randomly assigned to receive or not to receive an educational telephone call during the week before surgery. All patients rated their anxiety levels immediately before and after the same-day office consultation and MMS by completing the State-Trait Anxiety Inventory and an anxiety visual analog scale. Patients also rated satisfaction immediately after MMS by completing the Visit-Specific Patient Satisfaction Questionnaire.

      Results

      Patients undergoing same-day office consultation and MMS reported similar levels of increased anxiety and high satisfaction, regardless of whether they received a preoperative educational telephone call.

      Limitations

      Lack of control for patients' prior surgery or self-education is a limitation.

      Conclusion

      Preoperative educational telephone calls did not relieve anxiety or improve satisfaction for patients undergoing same-day office consultation and MMS. Preoperative education and counseling has uncertain benefits to anxiety and satisfaction of patients undergoing MMS.

      Key words

      Abbreviations used:

      MMS (Mohs micrographic surgery), STAI (State-Trait Anxiety Inventory), VAS (visual analog scale), VSQ (Visit-Specific Patient Satisfaction Questionnaire)
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