Same-day Versus Separate-day Preoperative Consultation for Mohs Surgery
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 主要终点
- Time to repair
研究概览
简要总结
The purpose of this study is to determine whether separate- versus same-day preoperative consultation affects time to treatment (start to finish), utilization rate of Mohs, rate of case cancellations, cost, and patient satisfaction. The investigators hypothesize that patients with same-day preoperative consultation will have a shorter time between cancer diagnosis and removal but, only when coordination of care is needed, longer time between removal and consultation with other specialists, as compared to patients with separate-day consultation. The investigators anticipate that patients with same-day preoperative consultation will have a decrease in travel cost as compared to patients with separate-day consultation. The investigators expect that there will be no difference in various satisfaction matters between groups, with the exception of potentially greater convenience reported by patients in the same-day preoperative consultation group. Finally, the investigators hypothesize that there will be no difference between groups in regards to rates of surgery cancellation.
详细描述
Procedure: Prospective trial which randomly assigns patients to either separate- or same-day preoperative consultation for Mohs surgery. A phone consultation will take place, which will assist in determining whether the patient is appropriate for enrollment into the study. If so, the patient will be randomized to either separate-day or same-day preoperative consultation.
Materials: Patient survey
Methods of data collection: The patient-specific data obtained from the medical record will include: Patient age, number of previous skin cancers, preoperative size, history of cutaneous surgery, employment status, and distance between home address and dermatology facility. Outcome measures that will be obtained from the medical record will include: Time between cancer diagnosis, removal and defect repair, rate of proceeding with Mohs as opposed to other treatment options, and rate of cancelling surgery (due to site discrepancy, anticoagulation issues). A survey will be used to assess patient satisfaction.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients will be considered for enrollment if they have been referred to a Mohs surgeon for consideration of Mohs surgery for non-melanoma skin cancer
排除标准
- •Patients would be excluded if there is a lack of indication for Mohs
- •Significant comorbidities, or
- •In the case of a high-risk location or tumor size, for which in advance it is known that they will need consultation with other specialties
结局指标
主要结局
Time to repair
时间窗: Eight weeks
Assess the amount of time elapsed between cancer removal and defect repair
Time to treatment
时间窗: Eight weeks
Assess the total amount of time elapsed between skin cancer diagnosis and defect repair
Time to consultation with other specialties
时间窗: Eight weeks
Assess the amount of time between cancer diagnosis and consultation with non-dermatologic specialties
Patient satisfaction
时间窗: Eight weeks
Administer a survey to assess patient's perception of convenience, level of comfort with the procedure, and self-evaluation of knowledge regarding the diagnosis and treatment
次要结局
- Utilization rate of Mohs surgery(Eight weeks)
- Rate of case cancellation(Eight weeks)
- Travel cost(Eight weeks)