Increase of sentinel lymph node melanoma staging in The Netherlands; still room and need for further improvement

Eric A. Deckers; Marieke W. J. Louwman; Schelto Kruijff; Harald J. Hoekstra

doi:10.2217/mmt-2019-0018

Increase of sentinel lymph node melanoma staging in The Netherlands; still room and need for further improvement

Eric A. Deckers, Marieke W. J. Louwman, Schelto Kruijff, Harald J. Hoekstra^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

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.

Original language	English
Pages (from-to)	27-38
Number of pages	12
Journal	Melanoma management
Volume	7
Issue number	1
DOIs	https://doi.org/10.2217/mmt-2019-0018
Publication status	Published - May-2020

Keywords

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

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Increase of sentinel lymph node melanoma staging in The Netherlands; still room and need for further improvementFinal publisher's version, 1.24 MBLicence: CC BY-NC-ND

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@article{949672abdb404214ad26611615d0f6cd,

title = "Increase of sentinel lymph node melanoma staging in The Netherlands; still room and need for further improvement",

abstract = "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.",

keywords = "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",

author = "Deckers, {Eric A.} and Louwman, {Marieke W. J.} and Schelto Kruijff and Hoekstra, {Harald J.}",

year = "2020",

month = may,

doi = "10.2217/mmt-2019-0018",

language = "English",

volume = "7",

pages = "27--38",

journal = "Melanoma management",

issn = "2045-0885",

publisher = "FUTURE MEDICINE LTD",

number = "1",

}

TY - JOUR

T1 - Increase of sentinel lymph node melanoma staging in The Netherlands; still room and need for further improvement

AU - Deckers, Eric A.

AU - Louwman, Marieke W. J.

AU - Kruijff, Schelto

AU - Hoekstra, Harald J.

PY - 2020/5

Y1 - 2020/5

N2 - 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.

AB - 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.

KW - elderly

KW - head and neck

KW - melanoma

KW - sentinel lymph node

KW - socioeconomic status

KW - staging

KW - POPULATION-BASED ANALYSIS

KW - QUALITY-OF-LIFE

KW - CUTANEOUS MELANOMA

KW - FOLLOW-UP

KW - BIOPSY

KW - MORBIDITY

KW - DISSECTION

KW - TRIAL

KW - LYMPHADENECTOMY

KW - AXILLARY

U2 - 10.2217/mmt-2019-0018

DO - 10.2217/mmt-2019-0018

M3 - Article

SN - 2045-0885

VL - 7

SP - 27

EP - 38

JO - Melanoma management

JF - Melanoma management

IS - 1

ER -

Increase of sentinel lymph node melanoma staging in The Netherlands; still room and need for further improvement

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Keywords

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