ArticleDermatology (Basel, Switzerland)2018
Differences in Rate of Complete Excision of Basal Cell Carcinoma by Dermatologists, Plastic Surgeons and General Practitioners: A Large Cross-Sectional Study.
Article in Dermatology (Basel, Switzerland), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.
- Assessing the impact of anaesthetic and surgical task-shifting globally: a systematic literature review.Health policy and planning · 2023Pooled it
- Trial
- Barriers and facilitators for community surgery in general practice / family medicine settings: a scoping review.Irish journal of medical science · 2026Review
- Monitoring and evaluation strategies for surgical task-shifting and task-sharing interventions: a scoping review.Human resources for health · 2026Article
- Expanding Community Skin Cancer Services in the UK: Outcomes of Specialist-Led Head and Neck Surgery.Cureus · 2025Article
- Margin Status following Simple Excision of Head and Neck Basal Cell Carcinoma: A Population-Based, Cross-Sectional Study of 9,291 Excisions.Acta dermato-venereologica · 2025Article
- Margin Involvement After Excision with Preoperative Dermoscopic Assessment of Head and Neck Basal Cell Carcinomas - a Retrospective Study.Cancer management and research · 2025Article
- Measuring the quality of skin cancer management in primary care: A scoping review.The Australasian journal of dermatology · 2023Article
- Office-Based Minor Surgery: An Ever-Increasing Challenge Not Only for the Dutch General Practitioner.Family medicine · 2023Article
- Complex skin cancer treatment requiring reconstructive plastic surgery: an interview study on the experiences and needs of patients.Archives of dermatological research · 2022Article
- Clinicopathological Factors Associated with Incomplete Excision of High-risk Basal Cell Carcinoma.Acta dermato-venereologica · 2021Article
- Basal Cell Carcinoma Surgery in general practice: Is there a role for the local General Practitioner?Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2020Review
- Basal cell carcinoma with compromised margins: retrospective study of management, evolution, and prognosis.Anais brasileiros de dermatologiaArticle
- Factors associated with incomplete surgical margins in basal cell carcinoma of the head and neck.Brazilian journal of otorhinolaryngologyArticle
- Who Should Carry Out Skin Cancer Excisions? A Systematic Review.Journal of cutaneous and aesthetic surgeryReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDue to the increasing incidence of basal cell carcinoma (BCC) and rising health care costs, health care insurance companies seek ways to shift skin surgery for BCC from secondary to primary care.
objectivesTo study the differences in complete excision of BCC by general practitioners (GPs), dermatologists, and plastic surgeons.
methodsA retrospective cross-sectional study of pathology records of 2,986 standard excisions of primary BCCs performed by a GP, dermatologist, or plastic surgeon in the area of Southwest Netherlands between 2008 and 2014. To compare the risk of an incomplete BCC excision between the specialties, the odds ratio (OR) was used adjusted for patient age, sex, tumor site, size, and histological subtype.
resultsBCCs were completely excised by GPs in 70%, which was lower than the 93% by dermatologists and 83% by plastic surgeons (p < 0.001). Compared to the dermatologist, BCCs which were excised by a GP were 6 times higher at risk of an incomplete excision (adjusted OR 6, 95% CI 5-8) and 2 times higher at risk when excised by a plastic surgeon (adjusted OR 2, 95% CI 2-3).
conclusionBCCs were more often completely excised by dermatologists than by GPs and plastic surgeons. Dermatologists probably perform better because of their extensive training and high experience in BCC care. To minimize incomplete BCC excision, GPs should receive specific training before the shift of BCC care from secondary to primary care is justifiable.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.