Separate- versus same-day preoperative consultation in dermatologic surgery: a patient-centered investigation in an academic practice

Abstract

Background: Little is known about patient preferences for preoperative consultation in dermatologic surgery.

Objective: To determine patient preferences for separate- versus same-day preoperative consultation and factors that may be associated with these preferences.

Methods and materials: Patients who underwent Mohs micrographic surgery (MMS) or excision at our institution within 24 months were retrospectively surveyed regarding their preferences for a separate- or same-day preoperative consultation. Procedure, tumor attributes, complications, and medications were recorded.

Results: Sixty-seven percent of patients preferred same-day preoperative consultation and surgery. Patients preferring same-day surgery were more likely to have a larger preoperative tumor size, whereas those preferring separate-day surgery were more likely to have had a history of complications.

Limitations: This was a retrospective study performed at a single academic center.

Conclusion: A majority of patients preferred same-day preoperative consultation and surgery. Tumor size and prior complications should be considered in preoperative planning for dermatologic surgery.