Identifying and defining complications of dermatologic surgery to be tracked in the American College of Mohs Surgery (ACMS) Registry

M. Laurin Council, Murad Alam, Hugh M. Gloster, Jeremy S. Bordeaux, Bryan T. Carroll, Justin J. Leitenberger, Oliver J. Wisco, Ian A. Maher

Research output: Contribution to journalArticlepeer-review

23 Scopus citations


Background In recent years, increasing emphasis has been placed on value-based health care delivery. Dermatology must develop performance measures to judge the quality of services provided. The implementation of a national complication registry is one such method of tracking surgical outcomes and monitoring the safety of the specialty. Objective The purpose of this study was to define critical outcome measures to be included in the complications registry of the American College of Mohs Surgery (ACMS). Methods A Delphi process was used to reach consensus on the complications to be recorded. Results Four major and one minor complications were selected: death, bleeding requiring additional intervention, functional loss attributable to surgery, hospitalization for an operative complication, and surgical site infection. Limitations This article addresses only one aspect of registry development: identifying and defining surgical complications. Conclusion The ACMS Registry aims to gather data to monitor the safety and value of dermatologic surgery. Determining and defining the outcomes to be included in the registry is an important foundation toward this endeavor.

Original languageEnglish (US)
Pages (from-to)739-745
Number of pages7
JournalJournal of the American Academy of Dermatology
Issue number4
StatePublished - Apr 1 2016
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2015 American Academy of Dermatology, Inc.


  • American College of Mohs Surgery
  • Mohs
  • complications
  • dermatologic surgery
  • outcome measures
  • registry
  • value-based health care


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