Benchmarking surgeons cuts overuse of Mohs surgery

US study aims to overcome the 'perverse incentive' of fee-for-service

Giving surgeons feedback on how their performance compares with norms is effective in reducing overuse of Mohs micrographic surgery, a study suggests.


US researchers designed an audit-and-feedback intervention aimed at reducing extreme overuse of Mohs surgery by confidentially sharing stages-per-case performance data with individual surgeons benchmarked to their peers nationally for similar head and neck lesions.

In Mohs surgery, skin cancers such as basal or squamous cell carcinomas are removed in resection layers, known as stages.