Department of Dermatology, Mayo Clinic, Scottsdale, Arizona 85259, USA.
J Am Acad Dermatol. 2012 Aug;67(2):262-8. doi: 10.1016/j.jaad.2012.03.016. Epub 2012 May 4.
Previous single-institution studies have shown that patients and physicians struggle to identify biopsy sites requiring surgery on the day of treatment. To date no studies have been done to assess if this is a widespread challenge faced by many dermatologic surgeons.
We sought to determine if site identification is an issue among Mohs surgeons, and to determine which practice environments have the best supplementary data available to surgeons for site localization.
We conducted an online survey of 722 members of the American College of Mohs Surgery inquiring about site identification and documentation typically received from referring physicians.
Of 325 surveys completed (45% response rate), 71% reported that more than 5% of their patients have difficulty identifying their surgery site. The majority (89%) responded that a photograph is most useful for identifying biopsy sites. Surgeons in academic centers and multispecialty group practices were more likely to receive a photograph versus those in private practice.
Individual survey responses may be subject to recall bias.
Difficulty identifying biopsy sites needing surgery is a common challenge faced by Mohs surgeons. The majority of Mohs surgeons surveyed find photographs the most useful documentation for decreasing the risk of wrong-site dermatologic surgery.
以往的单机构研究表明，患者和医生在治疗当天难以确定需要手术的活检部位。迄今为止，尚无研究评估这是否是许多皮肤科医生普遍面临的挑战。
我们旨在确定在Mohs 外科医生中，确定部位是否是一个问题，并确定哪些实践环境可为外科医生提供最佳的补充数据来进行部位定位。
我们对美国 Mohs 外科学会的 722 名成员进行了在线调查，询问他们有关部位识别和通常从转诊医生那里获得的记录。
在完成的 325 份调查中（应答率为 45%），71%的人报告说，超过 5%的患者难以识别他们的手术部位。大多数（89%）人认为照片是识别活检部位最有用的方法。与私人执业者相比，学术中心和多专科小组实践中的外科医生更有可能收到照片。
个人调查答复可能受到回忆偏差的影响。
难以识别需要手术的活检部位是 Mohs 外科医生面临的常见挑战。大多数接受调查的 Mohs 外科医生认为照片是降低错误部位皮肤科手术风险的最有用记录。
