Home > Dermatology > Survival after Mohs surgery likely better at academic, high-volume facilities

Survival after Mohs surgery likely better at academic, high-volume facilities

Journal
JAMA Dermatology
Reuters Health - 06/04/2021 -In patients with early-stage melanoma, undergoing Mohs micrographic surgery (MMS) at academic and/or high-volume centers was associated with improved long-term survival compared with having the procedure done at nonacademic, low-volume facilities, a retrospective study shows. The authors call for "protocolization" of facility practices to help reduce survival differences between centers. "Uniform practices need to be data driven," Dr. Sean Christensen of Yale University School of Medicine in New Haven told Reuters Health by email. "There are several potential variations in the practice of MMS for melanoma, including the size of the surgical margin excised in the initial stage of MMS; the way excised tissue is processed for intraoperative histologic evaluation; the use of immunostains to identify melanoma microscopically; the criteria used to distinguish melanoma from benign melanocytes microscopically; and whether formalin-fixed sections...


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