Increase of sentinel lymph node melanoma staging in The Netherlands; still room and need for further improvement
Aim: To investigate implementation of the seventh American Joint Committee on Cancer melanoma staging with sentinel lymph node biopsy (SLNB) and associations with socioeconomic status (SES). Patients & methods: Data from The Netherlands Cancer Registry on patient and tumor characteristics were analyzed for all stage IB-II melanoma cases diagnosed 2010-2016, along with SES data from The Netherlands Institute for Social Research. Results: The proportion of SLNB-staged patients increased from 40% to 65% (p <0.001). Multivariate analysis showed that being female, elderly, or having head-and... Mehr ...
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| Dokumenttyp: | Artikel |
| Erscheinungsdatum: | 2020 |
| Reihe/Periodikum: | Deckers , E A , Louwman , M W J , Kruijff , S & Hoekstra , H J 2020 , ' Increase of sentinel lymph node melanoma staging in The Netherlands; still room and need for further improvement ' , Melanoma management , vol. 7 , no. 1 , pp. 27-38 . https://doi.org/10.2217/mmt-2019-0018 |
| Schlagwörter: | elderly / head and neck / melanoma / sentinel lymph node / socioeconomic status / staging / POPULATION-BASED ANALYSIS / QUALITY-OF-LIFE / CUTANEOUS MELANOMA / FOLLOW-UP / BIOPSY / MORBIDITY / DISSECTION / TRIAL / LYMPHADENECTOMY / AXILLARY |
| Sprache: | Englisch |
| Permalink: | https://search.fid-benelux.de/Record/base-27210545 |
| Datenquelle: | BASE; Originalkatalog |
| Powered By: | BASE |
| Link(s) : | https://hdl.handle.net/11370/949672ab-db40-4214-ad26-611615d0f6cd |
Aim: To investigate implementation of the seventh American Joint Committee on Cancer melanoma staging with sentinel lymph node biopsy (SLNB) and associations with socioeconomic status (SES). Patients & methods: Data from The Netherlands Cancer Registry on patient and tumor characteristics were analyzed for all stage IB-II melanoma cases diagnosed 2010-2016, along with SES data from The Netherlands Institute for Social Research. Results: The proportion of SLNB-staged patients increased from 40% to 65% (p <0.001). Multivariate analysis showed that being female, elderly, or having head-and-neck disease reduced the likelihood of SLNB staging. Conclusion: SLNB staging increased by 25% during the study period but lagged among elderly patients and those with head-and-neck melanoma. In The Netherlands, SES no longer affects SLNB staging performance.