Needs Assessment for Mohs Micrographic Surgery - 25/11/11

Doi : 10.1016/j.det.2011.08.010

Maryam M. Asgari, MD, MPH ^a,^b,^⁎ , Jonathan M. Olson, MD ^c, Murad Alam, MD, MSCI ^d,^e,^f

^a Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA 94612, USA
^b Department of Dermatology, University of California at San Francisco, 1701 Divisadero Street, 3rd Floor, San Francisco, CA 94115, USA
^c Division of Dermatology, Department of Medicine, University of Washington School of Medicine, 1959 NE Pacific Street, Room BB-1353, Box 356524, Seattle, WA 98195, USA
^d Department of Dermatology, Northwestern University Feinberg School of Medicine, 676 North Saint Clair Street, Suite 1600, Chicago, IL 60611, USA
^e Department of Otolaryngology-Head and Neck Surgery, Northwestern University Feinberg School of Medicine, 676 North Saint Clair Street, Suite 1325, Chicago, IL 60611, USA
^f Department of Surgery, Northwestern University Feinberg School of Medicine, 251 East Huran Street, Chicago, IL 60611, USA

Corresponding author. Division of Research, Kaiser Permanente Northern California, 2000 Broadway, Oakland, CA 94612.

Resumen

Mohs micrographic surgery (MMS) is a unique technique that can offer the highest cure rates and maximum tissue conservation in the management of specific primary and recurrent skin cancers. However, there are many areas of controversy that surround MMS, including appropriate indications for its use, technical quandaries, and outcomes. Recent efforts in these areas need to be assessed to identify research gaps in MMS to help fuel further work. The usefulness of MMS and its methods for delivery need more stringent, evidence-based, rigorous study.

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Keywords : Mohs micrographic surgery, Needs assessment, Skin cancers