Clinical trial NCT02321982: Same-day Versus Separate-day Preoperative Consultation for Mohs Surgery
Official title: Same-day Versus Separate-day Preoperative Consultation for Mohs Surgery
Study type: INTERVENTIONAL
Overall status: WITHDRAWN
Phase: NA
Conditions: Non-melanoma Skin Cancer
Squamous Cell Carcinoma of Skin
Basal Cell Carcinoma
Keywords: Mohs surgery
Preoperative consultation
Lead sponsor: Dartmouth-Hitchcock Medical Center
Sponsor class: OTHER
First posted: 2014-12-22
Enrollment: 0
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: 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.

Detailed description: 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.

Eligibility criteria: Inclusion Criteria:

* 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

Exclusion Criteria:

* 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

Primary outcomes:
measure: Time to treatment
timeFrame: Eight weeks
measure: Time to consultation with other specialties
timeFrame: Eight weeks
measure: Time to repair
timeFrame: Eight weeks
measure: Patient satisfaction
timeFrame: Eight weeks
Secondary outcomes:
measure: Utilization rate of Mohs surgery
timeFrame: Eight weeks
measure: Rate of case cancellation
timeFrame: Eight weeks
measure: Travel cost
timeFrame: Eight weeks
Other outcomes:
Locations:
Study officials:
affiliation: Dartmouth-Hitchcock Medical Center
name: Faramarz Samie, MD, PhD
role: PRINCIPAL_INVESTIGATOR
References: