Evidence map›Paper›PMID 22145798›Full record

ArticleDermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]2012

Fee comparisons of treatments for nonmelanoma skin cancer in a private practice academic setting.

Leslie S Wilson, Mark Pregenzer, Rituparna Basu, Daniel Bertenthal, Jeanette Torres, Maryam Asgari, Mary-Margaret Chren

Abstract readComparative Study
In one paragraph

Article in Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.], 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.4field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 39 citations in OpenAlex.

  1. Review
  2. Review
  3. Opportunities to Avoid Invasive Cancer by Diagnosis and Interception of Preneoplastic Lesions and Cancer Risk Conditions.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  4. Article
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  7. Article
  8. Review
  9. Article
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  11. Properly selected skin cancer treatments are very effective.The Journal of investigative dermatology · 2014
    Article
  12. Response to Rogers et al.The Journal of investigative dermatology · 2014
    Article
  13. Response to Rogers et al.The Journal of investigative dermatology · 2014
    Article
  14. Article
  15. Article
  16. Review
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Leslie S WilsonUniversity of California at San Francisco, San Francisco, California 94013, USA. wilsonl@pharmacy.ucsf.edu
Mark Pregenzer
Rituparna Basu
Daniel Bertenthal
Jeanette Torres
Maryam Asgari
Mary-Margaret Chren
San Francisco VA Medical Center · USUniversity of California, San Francisco · USKaiser Permanente · USRonald Reagan UCLA Medical Center · US

Funding

Patient-Oriented Research in Skin DiseasesK24AR052667 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHREN, MARY-MARGARET · 2005 to 2014
$1.8M
Long-Term Outcomes of Nonmelanoma Skin CancerR01AR054983 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHREN, MARY-MARGARET · 2006 to 2009
$1.5M
NIAMS NIH HHS K24 AR052667NIAMS NIH HHS R01 AR054983
6 · The paper itself

Abstract

objectiveTo compare fees for biopsy, treatment procedure, repair, and 2-month follow-up for nonmelanoma skin cancer (NMSC) treatments: electrodesiccation and curettage (ED&C), excision, and Mohs micrographic surgery (MMS).

methodsA cost comparison of 936 primary NMSCs diagnosed in 1999/2000 at a University affiliated dermatology practice. Clinical data was from medical record review. 2007 Medicare Fee Schedule costs determined fees for surgical care. Pearson chi-square tests, t-tests and analysis of variance compared fee differences. Linear regression determined independent effects of tumor and treatment characteristics on fees.

resultsMean fees/lesion were $463 for ED&C, $1,222 for excision, and $2,085 for MMS (p < .001). For all treatments, primary procedure costs were highest (38%, 45%, and 41%). Total repair fees were higher with MMS ($735) vs excisions ($197). Fees were higher for head and neck tumors (p < .001), H-zone tumors (p < .001), and tumors smaller than 10 mm in diameter (p = .04). Regression models predicted that the treatment fees would be $2,109 for MMS and $1,252 for excision (p < .001). Tumor size greater than 10 mm in diameter (added $128), tumors on the head and neck (added $966), and MMS (added $857 vs excision) were independently related to higher fees (p < .001).

conclusionEven after adjusting for risk factors, MMS has higher fees than excision for primary NMSC. Repairs accounted for the majority of this difference. These fee comparisons provide a basis for comparative effectiveness studies of treatments for this common cancer.

Indexed as

Fees and ChargesPrivate PracticeBasal Cell CarcinomaCarcinoma, Squamous CellFemaleHumansMaleSkin Neoplasms

Identifiers

PMID22145798
PMCPMC3839857
OpenAlexW2038178288

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.