Mohs Micrographic Surgery Use in the United States

To the Editor I read with great interest the excellent article by Adamson and Dusetzina published in the January 2017 issue of JAMA Dermatology. The authors note that 55% of surgically treated nonmelanoma skin cancers were treated with Mohs micrographic surgery (MMS), while excisions and electrodessication and curettage accounted for 16.2% and 28.8% of procedures, respectively. However, the authors' suggestions that these numbers are inconsistent with the Appropriate Use Criteria (AUC) for MMS, and their implication that these data suggest MMS overuse, merit additional context and comment.

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