Display Settings:

Format

Send to:

Choose Destination
We are sorry, but NCBI web applications do not support your browser and may not function properly. More information
Dermatol Surg. 2009 Nov;35(11):1776-87. doi: 10.1111/j.1524-4725.2009.01291.x. Epub 2009 Sep 8.

Mohs versus traditional surgical excision for facial and auricular nonmelanoma skin cancer: an analysis of cost-effectiveness.

Author information

  • 1Department of Dermatology, Emory University School of Medicine, Atlanta, Georgia 30322, USA.

Abstract

OBJECTIVE:

To evaluate and compare Mohs micrographic surgery and traditional excision in terms of cost and outcomes.

DESIGN:

We developed a computer-simulation, probabilistic, decision model to perform a cost-effectiveness analysis, with each patient serving as his or her own control.

SETTING:

University of Connecticut dermatology clinic, a tertiary care referral center.

PARTICIPANTS:

Input data were derived from results of a consecutive sample of 98 patients with nonmelanoma skin cancer on the face and ears, estimates in the literature on 5-year recurrence rates, and a query of healthy focus-group participants.

INTERVENTION:

We considered Mohs and traditional excision strategies.

MAIN OUTCOME MEASURES:

Outcomes were measured in quality-adjusted life years, cost, and cost-effectiveness.

RESULTS:

The Mohs strategy was $292 less expensive than the traditional surgical strategy and was more effective by an incremental quality-adjusted life year of 0.056 (translating to approximately 3 weeks of optimal quality of life). Results were robust to subgroup and sensitivity analyses.

CONCLUSIONS:

Mohs may be more cost-effective than traditional excision in eradicating nonmelanoma skin cancer. Further investigation of costs from various geographic payment localities and assessment of quality-of-life outcomes from a population-based sample are needed.

PMID:
19737291
[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Blackwell Publishing
    Loading ...
    Write to the Help Desk