Division of Dermatologic Surgery
200 First St SW
Rochester, MN 55905
I read with interest the article by Bentkover et al1 entitled "Excision of Head and Neck Basal Cell Carcinoma with a Rapid, Cross-Sectional, Frozen-Section Technique." The authors analyzed the cost-effectiveness of their management of cutaneous pathology specimens in their capitated system. I am concerned that the nature of the capitated arrangement in their health system has led the authors to make a number of unconventional assumptions, which lead to unsubstantiated conclusions.
Otley CC. Excision vs Mohs Surgery for Basal Cell Carcinoma. Arch Facial Plast Surg. 2003;5(2):203. doi:10.1001/archfaci.5.2.203