No se aplican los criterios para Cirugía de Mohs como se debe...

Un estudio encontró que en un grupo grande de pacientes no se escogió mohs, cuando sí estaba indicado.

Mohs micrographic surgery (MMS) might be underused for certain nonmelanoma skin cancers (NMSC), according to a retrospective chart review of 1026 cases.

Investigators applied MMS appropriate use criteria (AUC) for an analysis of 557 basal cell and 469 squamous cell carcinomas.

Of 350 cases treated with MMS: 

• 339 were deemed appropriate; 

• 4 were categorized as uncertain; and 

• 7 were inappropriate.

Meanwhile, of the 611 cases not treated with MMS, nearly 61% would have met AUC for MMS. 

Researchers urged closer attention be paid to the AUC for MMS guidelines released in 2012 by several dermatology organizations, among them the American College of Mohs Surgery. 

An accompanying commentary pointed out that the 2012 criteria need not be the final arbiter. The final decision actually belongs to the patient and provider, in which case the 61% not treated with MMS might indicate "judicious and appropriate use" of MMS," said the commentator.

Citation: 

 

Chong T, Tristani-Firouze P, Bowen G, et al. Mohs Appropriate Use Criteria: Retrospectively Applied to Nonmelanoma Skin Cancers at a Single Academic Center. Dermatol Surg. 

2015;41(8):889-895.

Baum C. Commentary on Mohs Appropriate Use Criteria: Retrospectively Applied to Nonmelanoma Skin Cancers at a Single Academic Center. Dermatol Surg. 2015;41(8):896-

897.