Analysis of Factors Contributing to Perioperative Mohs Micrographic Surgery Anxiety: Patient Survey Study at an Academic Center
| Autor: | Ryan E, Kokoska, Mindy D, Szeto, Laryn, Steadman, Jeremiah H, Au, Ally-Khan, Somani |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Dermatologic Surgery. 48:1279-1282 |
| ISSN: | 1524-4725 1076-0512 |
| DOI: | 10.1097/dss.0000000000003600 |
| Popis: | High perioperative patient anxiety is predictive of worse postoperative pain and quality of life. Several Mohs micrographic surgery (MMS) patient characteristics influence anxiety; however, the contributions of certain factors remain uncertain.Investigate factors influencing perioperative MMS patient anxiety, especially those with debated impact or unclear data.The authors surveyed 145 adult patients receiving MMS performed by a single MMS surgeon from 2018 to 2020. Patients self-reported demographics, history, and 10-point visual analog scale anxiety assessments at multiple stages. Health care provider (HCP)-perceived anxiety assessments were queried. A stepwise multiple regression modeling approach was used to explore potential factors.Younger age, female sex, and a self-reported history of anxiety confirmed by prior HCP diagnosis were significant predictors of pre-MMS anxiety. Postoperative anxiety increased with more layers removed and higher pre-MMS anxiety. HCP-perceived patient anxiety increased with younger patient age, more layers removed, prior skin cancer removal, and HCP-perceived pre-MMS patient anxiety.Anxiety-reducing interventions should target young female patients with a history of HCP-diagnosed anxiety, and patients with more layers removed. Prior skin cancer removal is associated with increased HCP-perceived intraoperative patient anxiety; however, it is not significant for patient-reported anxiety. Pre-MMS consultation may not be effective for anxiety reduction. |
| Databáze: | OpenAIRE |
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