Evaluating complications in below-knee skin cancer surgery after introduction of preoperative appointments : A 2-year retrospective cohort study

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dc.contributor.author Lindholm, Vivian M.
dc.contributor.author Isoherranen, Kirsi M.
dc.contributor.author Schröder, Marika T.
dc.contributor.author Pitkänen, Sari T.
dc.date.accessioned 2020-12-12T23:37:37Z
dc.date.available 2021-12-18T03:46:01Z
dc.date.issued 2020-04
dc.identifier.citation Lindholm , V M , Isoherranen , K M , Schröder , M T & Pitkänen , S T 2020 , ' Evaluating complications in below-knee skin cancer surgery after introduction of preoperative appointments : A 2-year retrospective cohort study ' , International Wound Journal , vol. 17 , no. 2 , pp. 363-369 . https://doi.org/10.1111/iwj.13280
dc.identifier.other PURE: 134133344
dc.identifier.other PURE UUID: 443494c3-7c3a-4e0c-b5de-ce19c12cb81e
dc.identifier.other WOS: 000517522000015
dc.identifier.other ORCID: /0000-0003-2707-0861/work/71183794
dc.identifier.uri http://hdl.handle.net/10138/322844
dc.description.abstract Below-knee dermatological surgery has a high risk of complications such as wound infection, bleeding, and necrosis. In this study, we evaluated the impact of preoperative appointments on complication risks. We searched the medical records of the Helsinki University Central Hospital (HUS) Dermatosurgery unit for all below-knee surgeries during 2016, when no preoperative nurse appointments were carried out, and compared it with 2018, when preoperative appointments for risk patients were introduced. The study included 187 patients in 2016 and 179 patients in 2018, of whom 68 (about one third) attended preoperative appointments. At the appointments, risk factors were evaluated, and compression therapy was introduced when possible. The results show complication rates of 13.4% in 2016 vs 10.1% in 2018 (P = .33), despite significantly higher risks in the 2018 patient group. The odds ratio for complications in appointment attendees vs non-attendees was reduced after adjustments to 0.58; however, this was insignificant (P = .47). The odds of complications for skin grafts were considerably higher: 11.33 vs other surgery techniques (P = .00). In conclusion, the introduction of preoperative appointments appeared to reduce complications in below-knee surgery. For graft reconstructions, complication risk is high, even with carefully planned pre- and postoperative care. Further studies are needed to evaluate preventable risk factors of below-knee graft reconstructions. en
dc.format.extent 7
dc.language.iso eng
dc.relation.ispartof International Wound Journal
dc.rights unspecified
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject below-knee
dc.subject dermatological surgery
dc.subject preoperative evaluation
dc.subject prevention
dc.subject wound healing
dc.subject SURGICAL SITE INFECTION
dc.subject LOWER LEG DEFECTS
dc.subject DERMATOLOGICAL SURGERY
dc.subject WOUND INFECTIONS
dc.subject RISK-FACTORS
dc.subject PREVENTION
dc.subject MANAGEMENT
dc.subject ABSENCE
dc.subject GRAFTS
dc.subject REPAIR
dc.subject 3121 General medicine, internal medicine and other clinical medicine
dc.title Evaluating complications in below-knee skin cancer surgery after introduction of preoperative appointments : A 2-year retrospective cohort study en
dc.type Article
dc.contributor.organization HUS Inflammation Center
dc.contributor.organization Department of Dermatology, Allergology and Venereology
dc.contributor.organization University of Helsinki
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1111/iwj.13280
dc.relation.issn 1742-4801
dc.rights.accesslevel openAccess
dc.type.version acceptedVersion

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