Skin lesion assessment and management model: optimising existing resources in the management of non-melanoma skin cancer
**Background:** Skin cancer is a relatively common cancer in Australia with early diagnosis and simple treatment conferring a high likelihood of cure. The aim of this study was to implement a ‘see-and-treat’ clinic, using pre-existing infrastructure, to investigate whether this model of care would r...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Australian Society of Plastic Surgeons
2022-03-01
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| Series: | Australasian Journal of Plastic Surgery |
| Online Access: | https://doi.org/10.34239/ajops.v5n1.252 |
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| Summary: | **Background:** Skin cancer is a relatively common cancer in Australia with early diagnosis and simple treatment conferring a high likelihood of cure. The aim of this study was to implement a ‘see-and-treat’ clinic, using pre-existing infrastructure, to investigate whether this model of care would reduce waiting times and costs and give high levels of patient satisfaction.
**Methods:** Inclusion and exclusion criteria based on suitability for day surgery treatment eligibility were developed in consultation with the hospital’s specialist anaesthetic service. Referrals were screened and those eligible underwent consultation with a plastic and reconstructive surgeon and same-day operative management with their choice of anaesthesia. Patients were reviewed one week and four weeks postoperatively.
**Results:** Two hundred and six patients had 286 skin lesions removed over 23 operating lists. Over 75 per cent of excisions were on the face. Local anaesthetic with sedation was the most popular anaesthetic technique. There were 22 complications, and the incomplete excision rate was 4.2 per cent. The average waiting time for suitable patients reduced by 76 per cent, and category I outpatient waitlists were reduced by 100 per cent. An estimated gross saving of AU$1339 per patient was calculated. A survey of patients postoperatively showed all patients would recommend this model.
**Conclusion:** This’ see-and-treat’ model was shown to reduce waiting times and costs and provide high levels of patient satisfaction. It was also easily implemented using pre-existing infrastructure. It is a service that continues to be offered and expanded, with ongoing patient satisfaction. |
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| ISSN: | 2209-170X |