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The surgical treatment of non-metastatic melanoma in a Clinical National Melanoma Registry Study Group (CNMR): a retrospective cohort quality improvement study to reduce the morbidity rates

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العنوان: The surgical treatment of non-metastatic melanoma in a Clinical National Melanoma Registry Study Group (CNMR): a retrospective cohort quality improvement study to reduce the morbidity rates
المؤلفون: Vecchiato, A., Mocellin, S., Del Fiore, P., Tosti, G., Ascierto, P. A., Corradin, M. T., De Giorgi, V., Giudice, G., Queirolo, P., Ferreli, C., Occelli, M., Giordano, M., Trevisan, G., Mascheroni, L., Testori, A., Spina, R., Buja, A., Cavallin, F., Caraco, C., Sommariva, A., Rossi, C. R., Asero, S., Barbati, R., Bianchi, L., Bruder, F., Catricala, C., Cinieri, S., Del Vecchio, M., Di Filippo, F., Fargnoli, M. C., Fierro, M. T., Forcignano, R., Guidoboni, M., Iacono, C., Lospalluti, L., Maio, M., Milesi, L., Moise, G., Moretti, G., Pellicano, R., Pizzichetta, M. A., Rinaldi, G., Sanna, G., Staibano, S., Visini, M., Zannetti, G., Zichichi, L.
المساهمون: Vecchiato, A., Mocellin, S., Del Fiore, P., Tosti, G., Ascierto, P. A., Corradin, M. T., De Giorgi, V., Giudice, G., Queirolo, P., Ferreli, C., Occelli, M., Giordano, M., Trevisan, G., Mascheroni, L., Testori, A., Spina, R., Buja, A., Cavallin, F., Caraco, C., Sommariva, A., Rossi, C. R., Asero, S., Barbati, R., Bianchi, L., Bruder, F., Catricala, C., Cinieri, S., Del Vecchio, M., Di Filippo, F., Fargnoli, M. C., Fierro, M. T., Forcignano, R., Guidoboni, M., Iacono, C., Lospalluti, L., Maio, M., Milesi, L., Moise, G., Moretti, G., Pellicano, R., Pizzichetta, M. A., Rinaldi, G., Sanna, G., Staibano, S., Visini, M., Zannetti, G., Zichichi, L., Clinical National Melanoma Registry Study Group at the Italian Melanoma Intergroup (IMI): Salvatore Asero, Vecchiato A., Mocellin S., Del Fiore P., Tosti G., Ascierto P. A., Corradin M. T., De Giorgi V., Giudice G., Queirolo P., Ferreli C., Occelli M., Giordano M., Trevisan G., Mascheroni L., Testori A., Spina R., Buja A., Cavallin F., Caraco C., Sommariva A., Rossi C. R., Asero S., Barbati R., Bianchi L., Bruder F., Catricala C., Cinieri S., Del Vecchio M., Di Filippo F., Fargnoli M. C., Fierro M. T., Forcignano R., Guidoboni M., Iacono C., Lospalluti L., Maio M., Milesi L., Moise G., Moretti G., Pellicano R., Pizzichetta M. A., Rinaldi G., Sanna G., Staibano S., Visini M., Zannetti G., Zichichi L., Barbati, Rosanna, Bianchi, Luca, Bruder, Francesca, Catricalà, Caterina, Cinieri, Saverio, Del Vecchio, Michele, Di Filippo, Franco, Concetta Fargnoli, Maria, Teresa Fierro, Maria, Forcignanò, Rosachiara, Guidoboni, Massimo, Iacono, Carmelo, Lospalluti, Lucia, Maio, Michele, Milesi, Laura, Moise, Gianmichele, Moretti, Giovanna, Pellicano, Riccardo, Antonietta Pizzichetta, Maria, Rinaldi, Gaetana, Sanna, Giovanni, Staibano, Stefania, Visini, Marilena, Zannetti, Guido, Zichichi), Leonardo
المصدر: BMC Cancer
BMC Cancer, Vol 21, Iss 1, Pp 1-9 (2021)
سنة النشر: 2020
مصطلحات موضوعية: Registrie, Male, Cancer Research, Skin Neoplasms, 0302 clinical medicine, Surgical oncology, Retrospective Studie, Melanoma quality improvement, 030212 general & internal medicine, Prospective Studies, Registries, Melanoma, Melanoma surgical treatment, Middle Aged, lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens, Prognosis, Quality Improvement, Survival Rate, Oncology, Italy, 030220 oncology & carcinogenesis, Melanoma morbidity, Skin Cancer, Female, Human, Research Article, medicine.medical_specialty, Prognosi, Dehiscence, lcsh:RC254-282, Follow-Up Studie, 03 medical and health sciences, Settore MED/35, Internal medicine, Genetics, medicine, Humans, Skin Neoplasm, Aged, Retrospective Studies, business.industry, Wound dehiscence, Sentinel Lymph Node Biopsy, Cancer, Retrospective cohort study, medicine.disease, Prospective Studie, Seroma, Lymph Node Excision, Skin cancer, Morbidity, business, Follow-Up Studies
الوصف: Background Reproducible, high-quality surgery is a key point in the management of cancer patients. Quality indicators for surgical treatment of melanoma has been presented with benchmarks but data on morbidity are still limited. This study presents the quality indicators on morbidity after surgical treatment for non-metastatic skin melanoma in an Italian registry. Methods Data were extracted from the Central National Melanoma Registry (CNMR) promoted by the Italian Melanoma Intergroup (IMI). All surgical procedures (WE, SNLB or LFND) for non-metastatic skin melanoma between January 2011 and February 2017 were evaluated for inclusion in the study. Only centers with adequate completeness of information (> 80%) were included in the study. Short-term complications (wound infection, dehiscence, skin graft failure and seroma) were investigated. Results Wound infection rate was 1.1% (0.4 to 2.7%) in WE, 1.3% (0.7 to 2.5%) in SLNB and 4.1% (2.1 to 8.0%) in LFND. Wound dehiscence rate was 2.0% (0.8 to 5.1%) in WE, 0.9% (0.2 to 3.0%) in SLNB and 2.8% (0.9 to 8.6%) in LFND. Seroma rate was 4.2% (1.5 to 11.1%) in SLNB and 15.1% (4.6 to 39.9%) in LFND. Unreliable information was found on skin graft failure. Conclusions Our findings contribute to available literature in setting up the recommended standards for melanoma centers, thus improving the quality of surgery offered to patients. A consensus on the core issues around surgical morbidity is needed to provide practical guidance on morbidity prevention and management.
وصف الملف: ELETTRONICO
تدمد: 1471-2407
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::53c6e2dbf95807d3552a7934779054c9
https://pubmed.ncbi.nlm.nih.gov/33402122
حقوق: OPEN
رقم الأكسشن: edsair.doi.dedup.....53c6e2dbf95807d3552a7934779054c9
قاعدة البيانات: OpenAIRE
الوصف
تدمد:14712407