Evidence map›Paper›PMID 22184760›Full record

ArticleArchives of dermatology2011

Predictors of patient satisfaction with Mohs surgery: analysis of preoperative, intraoperative, and postoperative factors in a prospective cohort.

Maryam M Asgari, E Margaret Warton, Romain Neugebauer, Mary-Margaret Chren

Open access · greenAbstract read
In one paragraph

Article in Archives of dermatology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 10% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Patient Expectations Influence Postoperative Facial Satisfaction Measured by the FACE-Q Skin Cancer Module: A Pilot Study.Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] · 2020
    Article
  9. Article
  10. Virtual Reality to Improve the Experience of the Mohs Patient-A Prospective Interventional Study.Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] · 2019
    Article
  11. Article
  12. Review
  13. Review
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

4 authors at 1 institution in 1 country.

Maryam M AsgariDivision of Research, Kaiser Permanente Northern California, Oakland , California 94612, USA. maryam.m.asgari@kp.org
E Margaret Warton
Romain Neugebauer
Mary-Margaret Chren
Kaiser Permanente · US

Funding

Patient-Oriented Research in Skin DiseasesK24AR052667 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHREN, MARY-MARGARET · 2005 to 2014
$1.8M
NSAID use in Chemoprevention of Squamous Cell CarcinomasK23AR051037 · NIAMS · KAISER FOUNDATION RESEARCH INSTITUTE · PI ASGARI, MARYAM MANDANA · 2005 to 2009
$659k
NIAMS NIH HHS K23 AR 051037NIAMS NIH HHS K23 AR051037NIAMS NIH HHS K24 AR052667
6 · The paper itself

Abstract

objectiveTo identify preoperative, intraoperative, and postoperative variables that predict higher short- and long-term patient satisfaction with Mohs surgery.

designProspective cohort study.

settingA university-based dermatology practice and the affiliated Veterans Affairs medical center dermatology clinic. PATIENTS: A total of 339 consecutive patients treated with Mohs surgery in 1999 and 2000.

main outcome measuresShort-term satisfaction at 1 week and long-term satisfaction at 1 year. We used directed acyclic graphs to determine appropriate confounding adjustment for preoperative, intraoperative, and postoperative variables that influence satisfaction with Mohs surgery in logistic regression models.

resultsBetter preoperative skin-related quality of life (measured using Skindex) and more intraoperative Mohs stages were the most salient predictors of higher short- and long-term satisfaction; these odds ratios (ORs) were 2.33 (95% CI, 1.01-5.35) and 5.19 (1.66-16.29), respectively, for preoperative skin-related quality of life and 7.06 (2.02-24.67) and 5.30 (1.24-22.64), respectively, for more intraoperative Mohs stages. Patients not bothered by postoperative bleeding were more likely to be satisfied short term (OR, 2.25; 95% CI, 1.25-4.05), as were those who considered themselves involved in decision making about their treatment (3.05; 1.52-6.10). Higher long-term satisfaction with Mohs surgery was observed among patients who were married (2.36; 1.10-5.09).

conclusionsHigher short- and long-term satisfaction with Mohs surgery is predicted by better preoperative skin-related quality of life and by more intraoperative Mohs stages. The effect of postoperative variables wanes over time, suggesting that factors influencing satisfaction can vary depending on the time frame when satisfaction is measured. Our results may help clinicians identify patients who are at higher risk of dissatisfaction following Mohs surgery.

Indexed as

Patient SatisfactionQuality of LifeAgedAged, 80 and overCohort StudiesFemaleFollow-Up StudiesHumansLogistic ModelsMaleMarital StatusMiddle AgedMohs SurgeryPatient ParticipationPostoperative HemorrhageProspective Studies

Identifiers

PMID22184760
PMCPMC3620041
OpenAlexW2062059185

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.