{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T19:02:58Z","timestamp":1784919778554,"version":"3.55.0"},"reference-count":19,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T00:00:00Z","timestamp":1692835200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust J Dermatology"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In November 2018, Mohs micrographic surgery (MMS) was restricted to fellows registered with the Australasian College of Dermatologists. Three new item numbers for the provision of MMS were also introduced. We examine the national and state usage of MMS item numbers based on Medicare claim statistics and Mohs surgeons' self\u2010reported data, noting the impact of the pandemic and the usage of individual item numbers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Medicare item number data were obtained from the Medicare Benefits Schedule website for January 2017\u2013December 2021. Self\u2010reported data were collected on an annual basis by the Royal College of Pathologists of Australasia (RCPA) as part of the Quality Assurance Program (QAP) from 2019 onwards. Data were analysed with the Holt\u2013Winters smoothing method for forecasting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>An increasing number of MMS claims were processed each year, with a total of 89,183 for the study period. Since November 2018, 97.7% of procedures have been conducted on the head, neck, genitalia, hand, digits, leg (below the knee) or foot. The provision of services across the country was maintained during the pandemic years of 2020\u20132021, with an increase in services in Queensland. There were discrepancies between the states for procedures performed in greater than six sections; these constituted more than 35% of claims in Queensland and Western Australia compared to less than 15% in other states. The pandemic impacted certain states more than others, with Victoria and the Northern Territory having significantly fewer presentations than predicted (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Overall, the use of MMS in Australia is in keeping with peer\u2010developed guidelines, despite discrepancies between states. Although certain states were more severely affected by the pandemic, MMS is increasingly used in Australia.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajd.14145","type":"journal-article","created":{"date-parts":[[2023,8,25]],"date-time":"2023-08-25T05:27:50Z","timestamp":1692941270000},"page":"497-503","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Slice by slice: An Australian state\u2010by\u2010state analysis of Mohs micrographic surgery over 5\u2009years"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6531-9360","authenticated-orcid":false,"given":"Joshua","family":"Farrell","sequence":"first","affiliation":[{"name":"School of Clinical Medicine UNSW Medicine and Health, Randwick Clinical Campus  Kensington New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4227-8169","authenticated-orcid":false,"given":"Gilberto","family":"Moreno","sequence":"additional","affiliation":[{"name":"Central Clinical School, Faculty of Medicine University of Sydney  Camperdown New South Wales Australia"},{"name":"Department of Dermatology Royal Prince Alfred Hospital  Camperdown New South Wales Australia"},{"name":"Department of Dermatology Royal North Shore Hospital  St Leonards New South Wales Australia"},{"name":"The Skin Hospital  Westmead New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,24]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440\u20100960.2011.00751.x"},{"key":"e_1_2_9_3_1","volume-title":"Find an ACD Approved Mohs Specialist","author":"The Australasian College of Dermatologists [Internet]"},{"key":"e_1_2_9_4_1","volume-title":"Fact sheet: changes to dermatology and allergy items","author":"Department of Health","year":"2018"},{"key":"e_1_2_9_5_1","volume-title":"Requested Medicare items processed from January 2017 to December 2021 [Internet]","author":"Medicare Statistics","year":"2022"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/for.1125"},{"key":"e_1_2_9_7_1","volume-title":"R: a language and environment for statistical computing","author":"R Core Team","year":"2021"},{"key":"e_1_2_9_8_1","unstructured":"Mohs surgery practice questionnaire.The royal college of pathologists of Australasia quality assurance program.2022."},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2012.06.009"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/DSS.0000000000003369"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2018.12.050"},{"key":"e_1_2_9_12_1","volume-title":"Dermatology: 2016 factsheet","author":"National Health Workforce Data","year":"2017"},{"key":"e_1_2_9_13_1","volume-title":"Variation in policy response to COVID\u201019 across Australian states and territories","author":"Edwards B","year":"2022"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajd.13741"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.34239\/ajops.v5n2.306"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0269484"},{"key":"e_1_2_9_17_1","volume-title":"Population \u2013 states and territories: quarterly population by sex, by state and territory, from June 1981 onwards","author":"Australian Bureau of Statistics","year":"2022"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511581236"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.det.2011.01.002"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajd.12282"}],"container-title":["Australasian 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Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajd.14145","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T08:24:25Z","timestamp":1699518265000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ajd.14145"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,24]]},"references-count":19,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,11]]}},"alternative-id":["10.1111\/ajd.14145"],"URL":"https:\/\/doi.org\/10.1111\/ajd.14145","archive":["Portico"],"relation":{},"ISSN":["0004-8380","1440-0960"],"issn-type":[{"value":"0004-8380","type":"print"},{"value":"1440-0960","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,24]]},"assertion":[{"value":"2023-04-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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