PDF(Pubmed)
Abstract：
UNASSIGNED: While there is a higher risk of surgical site infection (SSI) on the lower extremities following Mohs micrographic surgery (MMS), antibiotic prophylaxis (AP) is debated.
UNASSIGNED: To determine the role of shared decision making (SDM) in guiding AP usage during MMS on the lower extremities.
UNASSIGNED: A prospective observational study was conducted whereby patients received a standardized SDM discussion or routine counseling. Patient satisfaction quantified by the shared decision-making questionnaire (SDMQ9) survey, rate of SSI, and rate of AP prescription were recorded.
UNASSIGNED: In total, 51 patients were included. While there were less antibiotics prescribed in the treatment group (20% versus 50%, P = .025), this did not affect incidence of SSI (8% in treatment group versus 7.7% in control group, P = .668). Patient satisfaction was statistically greater in SDM group (4.73 versus 2.18 in control (P < .001).
UNASSIGNED: Patient satisfaction scores were higher among the patients who received SDM. While the usage of AP was lower in the SDM group, this did not affect incidence of SSI. This study allows the opportunity to apply SDM in the setting of MMS, which to our knowledge has not yet been attempted in the field of dermatologic surgery.
UNASSIGNED: To determine the role of shared decision making (SDM) in guiding AP usage during MMS on the lower extremities.
UNASSIGNED: A prospective observational study was conducted whereby patients received a standardized SDM discussion or routine counseling. Patient satisfaction quantified by the shared decision-making questionnaire (SDMQ9) survey, rate of SSI, and rate of AP prescription were recorded.
UNASSIGNED: In total, 51 patients were included. While there were less antibiotics prescribed in the treatment group (20% versus 50%, P = .025), this did not affect incidence of SSI (8% in treatment group versus 7.7% in control group, P = .668). Patient satisfaction was statistically greater in SDM group (4.73 versus 2.18 in control (P < .001).
UNASSIGNED: Patient satisfaction scores were higher among the patients who received SDM. While the usage of AP was lower in the SDM group, this did not affect incidence of SSI. This study allows the opportunity to apply SDM in the setting of MMS, which to our knowledge has not yet been attempted in the field of dermatologic surgery.
摘要：
■虽然Mohs显微手术（MMS）后下肢手术部位感染（SSI）的风险较高，抗生素预防（AP）存在争议。
■确定共享决策（SDM）在下肢彩信期间指导AP使用的作用。
进行了一项前瞻性观察性研究，患者接受了标准化的SDM讨论或常规咨询。患者满意度通过共享决策问卷(SDMQ9)调查量化，SSI率，记录AP处方率。
■总共，包括51例患者。虽然治疗组的抗生素处方较少(20%对50%，P=.025)，这并不影响SSI的发生率（治疗组为8%，对照组为7.7%，P=.668）。SDM组患者满意度显著高于对照组（4.73比2.18（P<.001）。
■接受SDM的患者的患者满意度得分较高。当SDM组中AP的使用率较低时，这并不影响SSI的发生率.本研究提供了在MMS设置中应用SDM的机会，据我们所知，这在皮肤病外科领域还没有尝试过。
■确定共享决策（SDM）在下肢彩信期间指导AP使用的作用。
进行了一项前瞻性观察性研究，患者接受了标准化的SDM讨论或常规咨询。患者满意度通过共享决策问卷(SDMQ9)调查量化，SSI率，记录AP处方率。
■总共，包括51例患者。虽然治疗组的抗生素处方较少(20%对50%，P=.025)，这并不影响SSI的发生率（治疗组为8%，对照组为7.7%，P=.668）。SDM组患者满意度显著高于对照组（4.73比2.18（P<.001）。
■接受SDM的患者的患者满意度得分较高。当SDM组中AP的使用率较低时，这并不影响SSI的发生率.本研究提供了在MMS设置中应用SDM的机会，据我们所知，这在皮肤病外科领域还没有尝试过。
