Publications by authors named "D J Leffell"
Background: Amid a movement toward value-based healthcare, increasing emphasis has been placed on outcomes and cost of medical services. To define and demonstrate the quality of services provided by Mohs surgeons, it is important to identify and understand the key aspects of Mohs micrographic surgery (MMS) that contribute to excellence in patient care.
Objective: The purpose of this study is to develop and identify a comprehensive list of metrics in an initial effort to define excellence in MMS.
Article Synopsis
- Skin cancers are the most common malignancies, posing a significant public health issue in the U.S. due to their personal and systemic burden.
- Ultraviolet radiation from the sun and tanning beds is a major carcinogen linked to an increased risk of skin cancer.
- The article reviews current U.S. standards for sunscreen, sunglasses, and workplace sun protection, suggesting improvements based on successful interventions from Australia and the UK.
Recent advances in artificial intelligence (AI) in dermatology have demonstrated the potential to improve the accuracy of skin cancer detection. These capabilities may augment current diagnostic processes and improve the approach to the management of skin cancer. To explain this technology, we discuss fundamental terminology, potential benefits, and limitations of AI, and commercial applications relevant to dermatologists.
View Article and Find Full Text PDFReconstruction of nasal defects secondary to Mohs micrographic surgery (MMS) presents particular challenges related to the complex topography, skin quality, tissue laxity, and functional and aesthetic concerns of the region. Factors affecting outcomes resulting from second intent healing (SIH) on the nose have not been well described. The purpose of the study was to identify factors impacting outcomes of SIH for nasal tumors following MMS.
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