Association between number of stages in Mohs micrographic surgery and surgeon-, patient-, and tumor-specific features

A cross-sectional study of practice patterns of 20 early- and mid-career Mohs surgeons

Murad Alam*, Daniel Berg, Ashish Bhatia, Joel L. Cohen, Elizabeth K. Hale, Alysa R. Herman, Conway C. Huang, Shang I Brian Jiang, Arash Kimyai-Asadi, Ken K. Lee, Ross Levy, Alfred W Rademaker, Lucile E. White, Simon S Yoo

*Corresponding author for this work

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Objective To determine the number of Mohs micrographic surgery (MMS) stages per tumor taken by early- to mid-career Mohs surgeons and to assess other factors affecting number of stages. Methods Statistical analysis of MMS logs of 20 representative early- to mid-career surgeons. Results There was no difference in stages when surgeons were divided into two categories based on whether they had more than 500 cases per year or more than 5 years of experience. Similarly, when surgeons were categorized according to geographic location, there was no difference in number of stages. Anatomic location was associated with the number of stages (analysis of variance, p<.001), with the greatest number of stages for nose (2.01) and ear (2.06) lesions and the fewest for neck (1.47), back and shoulder (1.47), and lower extremity (1.33) lesions. Basal cell carcinomas required 1.92 stages (median 2.00), compared with 1.66 (median 1.00) for squamous cell carcinoma (p<.001). Conclusions Early- and mid-career Mohs surgeons appear to remove tumors with similar numbers of stages regardless of their experience, case volume, or geographic location. Number of stages varies with anatomic location and tumor type.

Original languageEnglish (US)
Pages (from-to)1915-1920
Number of pages6
JournalDermatologic Surgery
Volume36
Issue number12
DOIs
StatePublished - Dec 1 2010

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Mohs Surgery
Cross-Sectional Studies
Geographic Locations
Neoplasms
Basal Cell Carcinoma
Nose
Ear
Squamous Cell Carcinoma
Lower Extremity
Analysis of Variance
Neck
Surgeons

ASJC Scopus subject areas

  • Dermatology
  • Surgery

Cite this

Alam, Murad ; Berg, Daniel ; Bhatia, Ashish ; Cohen, Joel L. ; Hale, Elizabeth K. ; Herman, Alysa R. ; Huang, Conway C. ; Jiang, Shang I Brian ; Kimyai-Asadi, Arash ; Lee, Ken K. ; Levy, Ross ; Rademaker, Alfred W ; White, Lucile E. ; Yoo, Simon S. / Association between number of stages in Mohs micrographic surgery and surgeon-, patient-, and tumor-specific features : A cross-sectional study of practice patterns of 20 early- and mid-career Mohs surgeons. In: Dermatologic Surgery. 2010 ; Vol. 36, No. 12. pp. 1915-1920.
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abstract = "Objective To determine the number of Mohs micrographic surgery (MMS) stages per tumor taken by early- to mid-career Mohs surgeons and to assess other factors affecting number of stages. Methods Statistical analysis of MMS logs of 20 representative early- to mid-career surgeons. Results There was no difference in stages when surgeons were divided into two categories based on whether they had more than 500 cases per year or more than 5 years of experience. Similarly, when surgeons were categorized according to geographic location, there was no difference in number of stages. Anatomic location was associated with the number of stages (analysis of variance, p<.001), with the greatest number of stages for nose (2.01) and ear (2.06) lesions and the fewest for neck (1.47), back and shoulder (1.47), and lower extremity (1.33) lesions. Basal cell carcinomas required 1.92 stages (median 2.00), compared with 1.66 (median 1.00) for squamous cell carcinoma (p<.001). Conclusions Early- and mid-career Mohs surgeons appear to remove tumors with similar numbers of stages regardless of their experience, case volume, or geographic location. Number of stages varies with anatomic location and tumor type.",
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Association between number of stages in Mohs micrographic surgery and surgeon-, patient-, and tumor-specific features : A cross-sectional study of practice patterns of 20 early- and mid-career Mohs surgeons. / Alam, Murad; Berg, Daniel; Bhatia, Ashish; Cohen, Joel L.; Hale, Elizabeth K.; Herman, Alysa R.; Huang, Conway C.; Jiang, Shang I Brian; Kimyai-Asadi, Arash; Lee, Ken K.; Levy, Ross; Rademaker, Alfred W; White, Lucile E.; Yoo, Simon S.

In: Dermatologic Surgery, Vol. 36, No. 12, 01.12.2010, p. 1915-1920.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Association between number of stages in Mohs micrographic surgery and surgeon-, patient-, and tumor-specific features

T2 - A cross-sectional study of practice patterns of 20 early- and mid-career Mohs surgeons

AU - Alam, Murad

AU - Berg, Daniel

AU - Bhatia, Ashish

AU - Cohen, Joel L.

AU - Hale, Elizabeth K.

AU - Herman, Alysa R.

AU - Huang, Conway C.

AU - Jiang, Shang I Brian

AU - Kimyai-Asadi, Arash

AU - Lee, Ken K.

AU - Levy, Ross

AU - Rademaker, Alfred W

AU - White, Lucile E.

AU - Yoo, Simon S

PY - 2010/12/1

Y1 - 2010/12/1

N2 - Objective To determine the number of Mohs micrographic surgery (MMS) stages per tumor taken by early- to mid-career Mohs surgeons and to assess other factors affecting number of stages. Methods Statistical analysis of MMS logs of 20 representative early- to mid-career surgeons. Results There was no difference in stages when surgeons were divided into two categories based on whether they had more than 500 cases per year or more than 5 years of experience. Similarly, when surgeons were categorized according to geographic location, there was no difference in number of stages. Anatomic location was associated with the number of stages (analysis of variance, p<.001), with the greatest number of stages for nose (2.01) and ear (2.06) lesions and the fewest for neck (1.47), back and shoulder (1.47), and lower extremity (1.33) lesions. Basal cell carcinomas required 1.92 stages (median 2.00), compared with 1.66 (median 1.00) for squamous cell carcinoma (p<.001). Conclusions Early- and mid-career Mohs surgeons appear to remove tumors with similar numbers of stages regardless of their experience, case volume, or geographic location. Number of stages varies with anatomic location and tumor type.

AB - Objective To determine the number of Mohs micrographic surgery (MMS) stages per tumor taken by early- to mid-career Mohs surgeons and to assess other factors affecting number of stages. Methods Statistical analysis of MMS logs of 20 representative early- to mid-career surgeons. Results There was no difference in stages when surgeons were divided into two categories based on whether they had more than 500 cases per year or more than 5 years of experience. Similarly, when surgeons were categorized according to geographic location, there was no difference in number of stages. Anatomic location was associated with the number of stages (analysis of variance, p<.001), with the greatest number of stages for nose (2.01) and ear (2.06) lesions and the fewest for neck (1.47), back and shoulder (1.47), and lower extremity (1.33) lesions. Basal cell carcinomas required 1.92 stages (median 2.00), compared with 1.66 (median 1.00) for squamous cell carcinoma (p<.001). Conclusions Early- and mid-career Mohs surgeons appear to remove tumors with similar numbers of stages regardless of their experience, case volume, or geographic location. Number of stages varies with anatomic location and tumor type.

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