Pre-operative Consultation on Patient Anxiety and First-time Mohs Micrographic Surgery

University of California, Davis31 enrolled

Overview

To determine if in-office pre-operative consultation has a significant effect on the anxiety level and overall post-operative satisfaction of patients undergoing first time Mohs surgery

This study is designed to determine if having a seperate in-office pre-operative consultation with the dermatologist before having a dermatologic procedure has any effect on patient anxiety levels and satisfaction following the procedure. The goal of the study is to help us understand if pre-operative consultation is beneficial to patients to reduce anxiety and increase satisfaction following the procedure.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Anxiety Surgery

Interventions

Pre-operative ConsultationBEHAVIORAL

Pre-operative consultation will be given before Mohs surgery

Eligibility

Sex: ALLMin age: 18 YearsMax age: 100 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adults 18 years old or older * Able to provide consent for participation * Fluency in English * Presenting for first-time Mohs surgery for treatment of a cutaneous malignancy Exclusion Criteria: * • Patients under 18 years old * Prisoners * Patients unable to provide consent * History of prior Mohs surgery * Patients requiring multi-disciplinary care (i.e. Involvement of other surgical specialties such as Plastic Surgery or Ophthalmology for reconstruction)

Locations (1)

UC Davis Dermatology

Sacramento, California, United States

Outcomes

Primary Outcomes

The score on the PSQ-18 survey following the Mohs procedure

The PSQ-18 (aka patient satisfaction questionaire-18) is a validated assessment tool developed to measure holistic patient satisfaction with the aspects of clinical care (assessing six domains of patient satisfaction: technical quality, interpersonal manner, communication, financial aspects of care, accessibility of care and time spent with the physician), and by virtue of its brevity (18 questions taking an average of 3-4 minutes to complete) has great utility for measuring patient satisfaction in the clinical setting. Each question ranges from 1-5. Lower scores are better. The primary null hypothesis for this study is that mean PSQ-18 survey scores do not differ between patients receiving pre-operative consultation versus those not receiving this intervention.

Time frame: 2 years

Secondary Outcomes

Patient anxiety as measured on the 10-point VAS scale for anxiety

The VAS is a horizontal line with a scale ranging from "no anxiety at all" to "extremely anxious." By measuring the position of the patient's response on the line, a score out of 10 will be generated. The VAS for anxiety will be administered to enrolled patients at three time points: randomization (consent visit), pre-operatively on day of Mohs surgery and post-operatively on the day of the Mohs surgical procedure.

Time frame: 2 years

Data from ClinicalTrials.gov

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