Separate- Versus Same-Day Preoperative Consultation in Dermatologic Surgery: A Patient-Centered Investigation in an Academic Practice

Abstract

Little is known about patient preferences for preoperative consultation in dermatologic surgery. To determine patient preferences for separate- versus same-day preoperative consultation and factors that may be associated with these preferences. 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. 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. This was a retrospective study performed at a single academic center. 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.