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Association of treatment facility characteristics with overall survival after Mohs micrographic surgery for T1a-T2a invasive melanoma

JAMA Apr 03, 2021

Cheraghlou S, Christensen SR, Leffell DJ, et al. - In this retrospective cohort study, researchers assessed the correlation of treatment center academic affiliation and case volume with long-term patient survival after Mohs micrographic surgery (MMS) for T1a-T2a invasive melanoma. Four thousand sixty-two patients with nonmetastatic (2,213 [54.5%] men; median [SD] age, 60 [16.3] years), T1a-T2a melanoma diagnosed from 2004 to 2014 and treated with MMS in the National Cancer Database have been identified. In this cohort study, patients with T1a-T2a invasive melanoma excised with MMS at academic and high decile–volume (≥ 8 cases per year) facilities had better long-term survival than those excised at nonacademic and low-volume facilities. Identification and protocolization of these facilities' practices may aid in reducing survival disparities between centers.

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