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Alfurayh NA, Almishary MZ, Alghamdi KM. Perceptions and Attitudes of Primary Care Physicians Toward Dermatologic Surgery. Clin Cosmet Investig Dermatol 2024; 17:41-49. [PMID: 38196506 PMCID: PMC10775795 DOI: 10.2147/ccid.s444180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2023] [Accepted: 12/26/2023] [Indexed: 01/11/2024]
Abstract
Purpose Dermatologic surgery is a well-established subspecialty in dermatology that involves various therapeutic and esthetic procedures. To date, perceptions of primary care physicians (PCPs) regarding dermatologic surgery are poorly understood. This study aimed to assess the perception and attitude of PCPs toward dermatologic surgery and explore the factors that might affect their perception and attitude toward it. Patients and Methods This cross-sectional study used an online survey. The survey was distributed among PCPs working in various regions of Saudi Arabia and contained questions about demographics, medical training information, participants' awareness of dermatologic surgery, and a list of 10 cutaneous procedures to select the most qualified physician performing these procedures. Univariate and multivariate analyses were performed. P≤0.05 was considered statistically significant. Results In total, 440 PCPs participated in this study. Overall, 70% of the PCPs had heard about dermatologic surgery, whereas 30% had never heard about it. PCPs reported that dermatologic surgeons were the most qualified physicians to perform laser procedures (60.5%), hair transplantation (60.5%), excision of small benign and malignant skin tumors (46.1%), excision of small melanocytic nevi (55.7%), filler injection (44.8%), and injection of botulinum toxin (48.9%); 64.5% considered plastic surgeons to be the most qualified for liposuction. Both physicians were equally selected for performing cyst excision, procedures involving the fingernails and toenails, and scar correction. Multivariate analysis showed that female physicians had heard significantly more about dermatologic surgery (P=0.047, OR: 1.57, 95% CI: 1.006-2.45) and reported that dermatologic surgeons were the most qualified physicians (P=0.042, OR: 1.51, 95% CI: 1.016-2.25) than male physicians. PCPs working at secondary and tertiary health care hospitals heard more about dermatologic surgery (P=0.015, OR: 2.36, 95% CI: 1.18-4.71) than those working at primary health care centers. Conclusion Most PCPs were aware of dermatologic surgery and recognized dermatologic surgeons as the most qualified physicians to perform most cutaneous procedures.
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Affiliation(s)
- Nuha A Alfurayh
- Department of Dermatology, College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | | | - Khalid M Alghamdi
- Department of Dermatology, College of Medicine, King Saud University, Riyadh, Saudi Arabia
- Vitiligo Research Chair, College of Medicine, King Saud University, Riyadh, Saudi Arabia
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Wang X, Zhang Y, Ng SKH, Zhang Z, Pu Z, Yang H, Min P. Using Modified Skin-Stretching Technique as an Alternative Solution for the Closure of Moderate and Extensive Skin Defects. Rejuvenation Res 2021; 24:407-416. [PMID: 34714135 DOI: 10.1089/rej.2020.2389] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
External skin-stretching devices have been developed and used for wound closure since 1970s. Devices such as Miami STAR®, SureClosure®, TopClosure®, and WiseBand® have their own advantages and disadvantages. The modified external skin-stretching technique of this case series study has the advantage to improve tension distribution and simplified the application. Between January 2014 and June 2017, 20 patients were treated with the modified external skin-stretching device for the closure of the skin defects of the trunk (n = 6) and extremities (n = 14). Skin defects ranged from 8 × 5 to 19 × 16 cm achieved primary closure with the utilization of the modified skin-stretching device without major complications. Subsequent minor revisions were performed under local anesthesia between 6 and 12 months postoperatively. The modified skin-stretching device utilized biomechanical properties and mechanical creep of skin tissue to achieve a reliable and effective primary closure for moderate to extensive skin defects. Therefore, this modified external skin-stretching technique provided, in the appropriate setting, an effective alternative to skin grafts or free flaps.
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Affiliation(s)
- Xin Wang
- Department of Orthopedic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, China
| | - Yixin Zhang
- Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China
| | - Sally Kiu-Huen Ng
- Department of Plastic Surgery, Austin Hospital, Melbourne, Australia
| | - Zheng Zhang
- Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China
| | - ZheMing Pu
- Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China
| | - Huilin Yang
- Department of Orthopedic Surgery, The First Affiliated Hospital of Soochow University, Suzhou, China
| | - PeiRu Min
- Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China
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Seyffert J, Harding T, Sanghvi A, Bibliowicz N, Yungmann M, Camner S, Leavitt M, Solomon J. Surgical wound dehiscence following cutaneous excisions: A retrospective study and review of the literature. JOURNAL OF DERMATOLOGY & DERMATOLOGIC SURGERY 2020. [DOI: 10.4103/jdds.jdds_71_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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A Review of the Use of Medicare Claims Data in Plastic Surgery Outcomes Research. PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN 2015; 3:e530. [PMID: 26579336 PMCID: PMC4634167 DOI: 10.1097/gox.0000000000000497] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2015] [Accepted: 07/27/2015] [Indexed: 12/17/2022]
Abstract
With a growing national emphasis in data transparency and reporting of public health data, it is essential for researchers to know more about Medicare claims data, the largest and most reliable source of health-care utilization and expenditure for individuals older than 65 years in the United States. This article provides an overview of Medicare claims data for plastic surgery outcomes research. We highlight essential information on various files included in Medicare claims data, strengths and limitations of the data, and ways to expand the use of existing data for research purposes. As of now, Medicare data are limited in providing adequate information regarding severity of diagnosed conditions, health status of individuals, and health outcomes after certain procedures. However, the data contain all health-care utilization and expenditures for services that are covered by Medicare Parts A, B, and D (inpatient, outpatient, ambulatory-based and physician-based services, and prescription drugs). Additionally, Medicare claims data can be used for longitudinal analysis of variations in utilization and cost of health-care services at the patient level and provider level. Linking Medicare claims data with other national databases and utilizing the ICD-10 coding system would further expand the use of these datasets in health services research.
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Prather JL, Tummel EK, Patel AB, Smith DJ, Gould LJ. Prospective Randomized Controlled Trial Comparing the Effects of Noncontact Low-Frequency Ultrasound with Standard Care in Healing Split-Thickness Donor Sites. J Am Coll Surg 2015; 221:309-18. [PMID: 25868409 DOI: 10.1016/j.jamcollsurg.2015.02.031] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2014] [Revised: 02/19/2015] [Accepted: 02/26/2015] [Indexed: 11/16/2022]
Abstract
BACKGROUND Skin graft donor sites are notoriously painful, with potential complications of fluid loss, delayed healing, infection, and hypertrophic scarring, particularly in patients with burns or traumatic injury. In this population, rapid epithelialization is critical to reducing morbidity and cost. STUDY DESIGN This prospective, randomized controlled trial compared the effects of 40-kHz noncontact low-frequency ultrasound (NLFU) in addition to standard care (SC) with SC alone in subjects with split-thickness donor sites of 20 to 200 cm(2). Standard care consisted of cleansing and moist wound dressings. Outcomes measured were time to healing, defined as absence of drainage and full epithelialization; pain and itching scores; and recidivism rates. RESULTS Of 33 patients enrolled; 27 were randomized and received a minimum of 4 study treatments. Median age was 49 years, 69% were male, and 84% were burn patients. Comorbidities included hypertension (31%), coronary artery disease (22%), pulmonary disease (38%), anemia (31%), and diabetes (16%). Median donor site area was 136.0 cm(2). Noncontact low-frequency ultrasound and SC compared with SC demonstrated a mean time to heal of 12.1 days vs 21.3 days (p = 0.04). All NLFU+SC subjects had epithelialized by 4 weeks compared with only 71% in SC. Recidivism rates were 8% for NLFU+SC compared with 45% for SC. Pain scores were reduced and significant differences in itching were observed. CONCLUSIONS Noncontact low-frequency ultrasound and SC compared with SC alone in the treatment of split-thickness donor sites demonstrated significant accelerated healing and reduced pain and itching. Noncontact low-frequency ultrasound subjects experienced a better quality of healing with less incidence of infection and recidivism.
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Affiliation(s)
| | - Evan K Tummel
- Department of Surgery, Tampa General Hospital, Tampa, FL
| | - Ami B Patel
- Department of Surgery, Tampa General Hospital, Tampa, FL
| | - David J Smith
- Department of Surgery, Tampa General Hospital, Tampa, FL
| | - Lisa J Gould
- Department of Molecular Pharmacology and Physiology, University of South Florida, Tampa, FL.
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O'Neill JL, Shutty B, Lee YS, Solomon JA, Patel N, Davis SA, Taheri A, Huang KE, Landis ET, Robins DN, Williford PM, Feldman SR, Pearce DJ. Comparing Demographic Characteristics and Adverse Event Rates at Two Dermatologic Surgery Practices. J Cutan Med Surg 2014; 18:337-40. [DOI: 10.2310/7750.2014.13119] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Background: Patient demographics and operative techniques may contribute to adverse events after surgeries. Objective: To identify differences in adverse event rates between different dermatologic surgery centers and potential contributing features affecting these rates. Methods: Data regarding demographics, procedure type, and adverse events were collected at two dermatologic surgery centers. Results: The most common adverse event at both sites was infection: 2.1% at site 1 versus 0.5% at site 2 ( p < .001). Using multivariate logistic regression, procedure type (Mohs surgery), geographic location (being at site 1), older age, and anatomic location of surgery were associated with a higher risk of infection. Conclusion: Adverse event rate appears to correlate with patient demographics, procedure type, and setting of surgery more than use of prophylactic antibiotics. Identification of differences in adverse event rates and potential contributing variables at different practices may allow for identification of opportunities to prevent adverse events.
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Affiliation(s)
- Jenna L. O'Neill
- From the Center for Dermatology Research and Departments of Dermatology, Pathology, and Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC; Ameriderm Research, Ormond Beach and Jacksonville, FL; Department of Medicine (Dermatology), University of Central Florida College of Medicine, Lake Nona, FL; and Department of Medicine (Dermatology), University of Illinois College of Medicine, Urbana-Champaign, IL
| | - Brandon Shutty
- From the Center for Dermatology Research and Departments of Dermatology, Pathology, and Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC; Ameriderm Research, Ormond Beach and Jacksonville, FL; Department of Medicine (Dermatology), University of Central Florida College of Medicine, Lake Nona, FL; and Department of Medicine (Dermatology), University of Illinois College of Medicine, Urbana-Champaign, IL
| | - Yun Sun Lee
- From the Center for Dermatology Research and Departments of Dermatology, Pathology, and Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC; Ameriderm Research, Ormond Beach and Jacksonville, FL; Department of Medicine (Dermatology), University of Central Florida College of Medicine, Lake Nona, FL; and Department of Medicine (Dermatology), University of Illinois College of Medicine, Urbana-Champaign, IL
| | - James A. Solomon
- From the Center for Dermatology Research and Departments of Dermatology, Pathology, and Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC; Ameriderm Research, Ormond Beach and Jacksonville, FL; Department of Medicine (Dermatology), University of Central Florida College of Medicine, Lake Nona, FL; and Department of Medicine (Dermatology), University of Illinois College of Medicine, Urbana-Champaign, IL
| | - Nikita Patel
- From the Center for Dermatology Research and Departments of Dermatology, Pathology, and Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC; Ameriderm Research, Ormond Beach and Jacksonville, FL; Department of Medicine (Dermatology), University of Central Florida College of Medicine, Lake Nona, FL; and Department of Medicine (Dermatology), University of Illinois College of Medicine, Urbana-Champaign, IL
| | - Scott A. Davis
- From the Center for Dermatology Research and Departments of Dermatology, Pathology, and Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC; Ameriderm Research, Ormond Beach and Jacksonville, FL; Department of Medicine (Dermatology), University of Central Florida College of Medicine, Lake Nona, FL; and Department of Medicine (Dermatology), University of Illinois College of Medicine, Urbana-Champaign, IL
| | - Arash Taheri
- From the Center for Dermatology Research and Departments of Dermatology, Pathology, and Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC; Ameriderm Research, Ormond Beach and Jacksonville, FL; Department of Medicine (Dermatology), University of Central Florida College of Medicine, Lake Nona, FL; and Department of Medicine (Dermatology), University of Illinois College of Medicine, Urbana-Champaign, IL
| | - Karen E. Huang
- From the Center for Dermatology Research and Departments of Dermatology, Pathology, and Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC; Ameriderm Research, Ormond Beach and Jacksonville, FL; Department of Medicine (Dermatology), University of Central Florida College of Medicine, Lake Nona, FL; and Department of Medicine (Dermatology), University of Illinois College of Medicine, Urbana-Champaign, IL
| | - Erin T. Landis
- From the Center for Dermatology Research and Departments of Dermatology, Pathology, and Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC; Ameriderm Research, Ormond Beach and Jacksonville, FL; Department of Medicine (Dermatology), University of Central Florida College of Medicine, Lake Nona, FL; and Department of Medicine (Dermatology), University of Illinois College of Medicine, Urbana-Champaign, IL
| | - Douglas N. Robins
- From the Center for Dermatology Research and Departments of Dermatology, Pathology, and Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC; Ameriderm Research, Ormond Beach and Jacksonville, FL; Department of Medicine (Dermatology), University of Central Florida College of Medicine, Lake Nona, FL; and Department of Medicine (Dermatology), University of Illinois College of Medicine, Urbana-Champaign, IL
| | - Philip M. Williford
- From the Center for Dermatology Research and Departments of Dermatology, Pathology, and Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC; Ameriderm Research, Ormond Beach and Jacksonville, FL; Department of Medicine (Dermatology), University of Central Florida College of Medicine, Lake Nona, FL; and Department of Medicine (Dermatology), University of Illinois College of Medicine, Urbana-Champaign, IL
| | - Steven R. Feldman
- From the Center for Dermatology Research and Departments of Dermatology, Pathology, and Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC; Ameriderm Research, Ormond Beach and Jacksonville, FL; Department of Medicine (Dermatology), University of Central Florida College of Medicine, Lake Nona, FL; and Department of Medicine (Dermatology), University of Illinois College of Medicine, Urbana-Champaign, IL
| | - Daniel J. Pearce
- From the Center for Dermatology Research and Departments of Dermatology, Pathology, and Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC; Ameriderm Research, Ormond Beach and Jacksonville, FL; Department of Medicine (Dermatology), University of Central Florida College of Medicine, Lake Nona, FL; and Department of Medicine (Dermatology), University of Illinois College of Medicine, Urbana-Champaign, IL
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Newlove T, Cook J. Safety of Staged Interpolation Flaps After Mohs Micrographic Surgery in an Outpatient Setting: A Single-Center Experience. Dermatol Surg 2013; 39:1671-82. [DOI: 10.1111/dsu.12338] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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8
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O'Neill JL, Lee YS, Solomon JA, Patel N, Shutty B, Davis SA, Robins DN, Williford PM, Feldman SR, Pearce DJ. Quantifying and Characterizing Adverse Events in Dermatologic Surgery. Dermatol Surg 2013; 39:872-8. [DOI: 10.1111/dsu.12165] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Ahn C, Davis SA, Dabade TS, Fleischer AB, Feldman SR. Services Available and Their Effectiveness. Dermatol Clin 2012; 30:19-37, vii. [DOI: 10.1016/j.det.2011.08.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
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10
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Paradela S, Pita-Fernández S, Peña C, Fernández-Jorge B, García-Silva J, Mazaira M, Fonseca E. Complications of ambulatory major dermatological surgery in patients older than 85 years. J Eur Acad Dermatol Venereol 2011; 24:1207-13. [PMID: 20337810 DOI: 10.1111/j.1468-3083.2010.03628.x] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND During the last decades, the progressive ageing of the population has resulted in a rising skin cancer incidence. Although previous studies detected no higher morbidity for dermatological surgery in senior patients, their exclusion from optimal surgical treatment remains as a common clinical practice. OBJECTIVE The aim of this study was to determine the diseases treated with ambulatory major dermatological surgery, the surgical morbidity and the associated variables in ≥ 85 year-old patients. PATIENTS/METHODS This is an observational study on 247 successive patients older than 85 years of age who underwent dermatological surgery in a single Ambulatory Mayor Surgery unit. Studied variables were age, gender, tobacco-alcohol exposure, co-morbid medical conditions, blood-thinning medication, antibiotic prophylaxis, number of lesions, location, histopathological diagnosis, area of skin removed, surgical technique, type of flap, length of surgery, entrance order, suture thread, surgical complications and need of post-operative admission. RESULTS The most common site was head and neck (82.7%). The most frequent tumour was basal cell carcinoma (45.1%), followed by squamous cell carcinoma (38.7%) and melanoma (8.3%). Direct closure was the most frequent procedure (55.6%). Of the total number of patients, 7.9% of patients suffered complications; necrosis followed by cellulitis were the most frequent. Length of surgical procedure, area of skin removed and reconstruction with skin-graft were significantly related to higher risk of post-operative complications. CONCLUSIONS No intra or post-surgical mortality or life-threatening local complications were detected. Most post-surgical local complications appeared after wide excisions and complex reconstruction techniques that prolonged the length of the surgery.
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Affiliation(s)
- S Paradela
- Department of Dermatology, Universitary Hospital A Coruña, A Coruña, Spain
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Marks MM, Yelverton CB, Williford PM, Teuschler HV, Coloe J, Chen J, Feldman SR. A Medicare cost comparison of minor cutaneous procedures by surgical setting. J DERMATOL TREAT 2010. [DOI: 10.3109/09546630902936760] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Maria M. Marks
- Departments of Dermatology, Pathology and Public Health Sciences, Center for Dermatology Research, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA
| | - Christopher B. Yelverton
- Departments of Dermatology, Pathology and Public Health Sciences, Center for Dermatology Research, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA
| | - Phillip M. Williford
- Departments of Dermatology, Pathology and Public Health Sciences, Center for Dermatology Research, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA
| | - Hoa V. Teuschler
- Departments of Dermatology, Pathology and Public Health Sciences, Center for Dermatology Research, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA
| | - Jacquelyn Coloe
- Departments of Dermatology, Pathology and Public Health Sciences, Center for Dermatology Research, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA
| | - John Chen
- Departments of Dermatology, Pathology and Public Health Sciences, Center for Dermatology Research, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA
| | - Steven R. Feldman
- Departments of Dermatology, Pathology and Public Health Sciences, Center for Dermatology Research, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA
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Morganroth PA, Gelfand JM, Jambusaria A, Margolis DJ, Miller CJ. A randomized, double-blind comparison of the total dose of 1.0% lidocaine with 1:100,000 epinephrine versus 0.5% lidocaine with 1:200,000 epinephrine required for effective local anesthesia during Mohs micrographic surgery for skin cancers. J Am Acad Dermatol 2009; 60:444-52. [DOI: 10.1016/j.jaad.2008.08.001] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2008] [Revised: 07/25/2008] [Accepted: 08/02/2008] [Indexed: 10/21/2022]
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Kunte C, Pfützner W, Kerschenlohr K, Konz B. Dermatology - a surgical discipline - as exemplified by surgical procedures at the Hospital of Munich Thalkirchner Strasse. J Dtsch Dermatol Ges 2009; 6:555-61. [PMID: 18611175 DOI: 10.1111/j.1610-0387.2008.06744.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND Despite the enormous progress in dermatosurgery during the last 35 years,this achievement is not always appropriately acknowledged by other surgical specialties. We outline the significance of dermatosurgery by looking at the development of dermatological operations at the Department of Dermatology,University of Munich/Hospital of Munich Thalkirchner Strasse. PATIENTS AND METHODS Data were collected and analyzed from surgery records, tables and from the SAP ISH-Med.The survey covered the time frame from 1971 to 2006. RESULTS There were 101,103 inpatient operations. The number of operations per year increased steadily,especially the number of medium-sized and large operations. A special domain of dermatosurgery is the sentinel lymph node biopsy in patients with malignant melanoma. In the last years, there was a continuous increase of patients in whom more than one tumor had to be excised. The percentage of patients undergoing dermatosurgery was constant at 46% of all inpatients. CONCLUSIONS The surgical therapy of skin tumors is the most important part of inpatient treatment of dermatology patients. The development of dermatosurgery shows that due to the increase of skin tumors and the opening of new fields of activity (for example the removal of sentinel lymph nodes) there is a growing demand for dermatological surgeons. Solid training and competent representation in dermatology and attention to our interactions with other surgical specialties will help guarantee optimal patient care in the future.
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Affiliation(s)
- Christian Kunte
- Department of Dermatology and Allergy, Ludwig Maximilian University Munich, Germany.
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15
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Hensen P, Müller ML, Petres J, Luger TA, Gollnick H. [Current situation of dermatologic surgery in Germany]. J Dtsch Dermatol Ges 2006; 4:477-85. [PMID: 16734837 DOI: 10.1111/j.1610-0387.2006.05998.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND Dermatologic surgery has become an increasingly important issue in dermatology in recent years. At present, no current epidemiologic or care-related data on cutaneous surgery procedures in dermatology are available. METHODS To determine the extent of cutaneous surgery procedures in dermatological hospitals, a national survey was performed. Both the procedure codes for 2004 based on the OPS-classification and the DRG figures grouped to the major diagnostic category 09 of G-DRG version 2004 were considered in detail. Methods of descriptive statistics were applied. RESULTS The submitted data reveal that the contributing hospitals provided 164487 cutaneous surgery procedures in the investigation period. The vast majority is represented by extensive procedures and plastic-reconstructive operations, as opposed to less complex surgeries such as simple excisions. Analysis of DRG assignment indicates that surgical procedures account for 44.2% of inpatient cases. CONCLUSIONS The present survey demonstrates that in Germany cutaneous surgery procedures are widely performed by dermatological hospitals and dermatologists. The increasing incidence of melanoma and nonmelanoma skin cancer including precursor lesions will increase the need for dermatologists to perform cutaneous surgery in the future.
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Affiliation(s)
- Peter Hensen
- Klinik und Poliklinik für Hautkrankheiten, Universitätsklinikum Münster.
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Feldman SR. We need more cross-disciplinary communication. J DERMATOL TREAT 2006; 16:257. [PMID: 16428144 DOI: 10.1080/09546630500469933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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