{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T05:06:27Z","timestamp":1768885587971,"version":"3.49.0"},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,2,24]],"date-time":"2016-02-24T00:00:00Z","timestamp":1456272000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust J Dermatology"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background\/Objectives<\/jats:title><jats:p>In Mohs micrographic surgery (<jats:styled-content style=\"fixed-case\">MMS<\/jats:styled-content>) the dermatologist serves as surgeon, pathologist and reconstructive surgeon. Analysis of the factors that play a part in determining defect size and closure type may result in better patient outcomes. The objective was to identify factors contributing to the defect size and closure method employed in<jats:styled-content style=\"fixed-case\">MMS<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective analysis of all<jats:styled-content style=\"fixed-case\">MMS<\/jats:styled-content>performed for non\u2010melanoma skin cancers (<jats:styled-content style=\"fixed-case\">NMSC<\/jats:styled-content>) of the head at the Skin and Cancer Foundation Australia, Westmead, between 1 January and 31 December 2007.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Tumor size was the main factor involved in the final defect size (<jats:italic>r<\/jats:italic><jats:sup>2<\/jats:sup>: 0.60,<jats:italic>P<\/jats:italic>&lt; 0.001), but the sex and age of the patient, tumour pathology, site and surgeon were also significantly associated with the final defect size. In a multivariate analysis, only sex did not remain as an independent factor. Regarding closure method, the age of the patient, defect size, site and surgeon were significantly associated, but patient's age did not remain significant in the multivariate analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our study has demonstrated that the performing surgeon is a relevant factor in the determination of defect size and repair methods in<jats:styled-content style=\"fixed-case\">MMS<\/jats:styled-content>. The factors underlying this variability require further study as decisions on closure method should be made objectively, based on patient\u2010related and tumour\u2010related factors. As expected, the location and size of the defect are the other factors that determine the chosen method of repair.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajd.12453","type":"journal-article","created":{"date-parts":[[2016,2,26]],"date-time":"2016-02-26T03:38:31Z","timestamp":1456457911000},"page":"189-193","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Factors affecting choice of repair in Mohs micrographic surgery for non\u2010melanoma skin cancer of the head"],"prefix":"10.1111","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1513-0927","authenticated-orcid":false,"given":"Charlotte L","family":"Thomas","sequence":"first","affiliation":[{"name":"Skin and Cancer Foundation Australia Sydney New South Wales Australia"},{"name":"Sydney Medical School University of Sydney Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alvin","family":"Lam","sequence":"additional","affiliation":[{"name":"Skin and Cancer Foundation Australia Sydney New South Wales Australia"},{"name":"Melbourne Medical School University of Melbourne Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janice","family":"Lam","sequence":"additional","affiliation":[{"name":"Skin and Cancer Foundation Australia Sydney New South Wales Australia"},{"name":"Melbourne Medical School University of Melbourne Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Paver","sequence":"additional","affiliation":[{"name":"Skin and Cancer Foundation Australia Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leslie","family":"Storey","sequence":"additional","affiliation":[{"name":"Skin and Cancer Foundation Australia Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4882-1564","authenticated-orcid":false,"given":"Pablo","family":"Fernandez\u2010Pe\u00f1as","sequence":"additional","affiliation":[{"name":"Skin and Cancer Foundation Australia Sydney New South Wales Australia"},{"name":"Sydney Medical School University of Sydney Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,2,24]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(98)70405-0"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2014.08.018"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2015.03.012"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.310.6987.1122"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2006.tb00086.x"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2005.04.083"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2005.02.059"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/0190-9622(92)70144-5"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/dsu.12227"},{"key":"e_1_2_6_11_1","doi-asserted-by":"crossref","first-page":"738","DOI":"10.1159\/000356834","article-title":"Patient\u2010related delay in presentation for cutaneous squamous cell carcinoma. 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