Date of Presentation

5-4-2023 12:00 AM

College

School of Osteopathic Medicine

Poster Abstract

Background: Dermatological care needs to be accessible for the elderly, but they face prominent challenges contributing to delays in diagnosis and treatment. Prolonged management of may lead to widespread cutaneous malignancies, necessitating extensive Mohs surgery.

Objective: To identify areas for early intervention in the geriatric population who have undergone extensive Mohs surgery.

Methods: We performed a qualitative study on 10 patients 65 years and older (68-91) from Atrium Health Wake Forest Baptist dermatology clinics between December 2022 and February 2023, who had extensive Mohs surgery (3 or more layers removed).

Results: Three major areas for potential intervention for cutaneous carcinoma identified in our study were lack of knowledge, delayed care, and relationships.

Discussion: Early cutaneous carcinoma intervention is essential to avoid extensive Mohs micrographic surgery and the associated risks, and to optimize patient health outcomes.

Keywords

Mohs Surgery, Dermatologic Surgical Procedures, Neoplasms, Delivery of Health Care, Health Services Accessibility, Aged, Health Literacy

Disciplines

Dermatology | Geriatrics | Health and Medical Administration | Medicine and Health Sciences | Neoplasms | Pathological Conditions, Signs and Symptoms | Public Health Education and Promotion | Skin and Connective Tissue Diseases | Surgical Procedures, Operative

Document Type

Poster

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May 4th, 12:00 AM

Barriers to Dermatological Care in Patients who Received Extensive Mohs Surgery - An In-Depth Qualitative Analysis

Background: Dermatological care needs to be accessible for the elderly, but they face prominent challenges contributing to delays in diagnosis and treatment. Prolonged management of may lead to widespread cutaneous malignancies, necessitating extensive Mohs surgery.

Objective: To identify areas for early intervention in the geriatric population who have undergone extensive Mohs surgery.

Methods: We performed a qualitative study on 10 patients 65 years and older (68-91) from Atrium Health Wake Forest Baptist dermatology clinics between December 2022 and February 2023, who had extensive Mohs surgery (3 or more layers removed).

Results: Three major areas for potential intervention for cutaneous carcinoma identified in our study were lack of knowledge, delayed care, and relationships.

Discussion: Early cutaneous carcinoma intervention is essential to avoid extensive Mohs micrographic surgery and the associated risks, and to optimize patient health outcomes.

 

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