Research Letter |

Patient-Reported Problems After Office Procedures

Eleni Linos, MD, DrPH1; Mackenzie R. Wehner, MPhil1; Dominick L. Frosch, PhD2; Louise Walter, MD3; Mary Margaret Chren, MD1
[+] Author Affiliations
1Department of Dermatology, University of California, San Francisco
2Patient Care Program, Gordon and Betty Moore Foundation
3Division of Geriatrics, San Francisco VA Medical Center and University of California, San Francisco
JAMA Intern Med. 2013;173(13):1249-1250. doi:10.1001/jamainternmed.2013.1040.
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Even though 83 million procedures are performed in medical offices in the United States each year,1 patients are only rarely asked about problems they experience after these procedures. This oversight may highlight a key opportunity to improve health care because patient self-reporting is known to offer both clinical and scientific value.2,3 To inform decision making for office-based procedures, we studied patients treated for nonmelanoma skin cancer (NMSC), the most common malignant neoplasm,4 which is most often treated with an office procedure.

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Types of Complications Described by Patients Treated for Nonmelanoma Skin Cancer (NMSC)

The “Administrative” category includes problems with insurance, travel or telephone contact with clinic. The “Other” category includes patient responses reported by less than 1% sample, for example, allergic reactions, anxiety, problems relating to postoperative period (eg, “not able to wear glasses because ear flap attached to scalp,” “have to wear a dressing over my mouth, need to drink with a straw,” “can’t swim anymore and I was a competitive swimmer”).

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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