Evidence map›Paper›PMID 30853814›Full record

ArticleCurrent oncology (Toronto, Ont.)2019

Patient indications for Mohs micrographic surgery: a clinical practice guideline.

C Murray, D Sivajohanathan, T P Hanna, S Bradshaw, N Solish, B Moran, R Hekkenberg, A C Wei, T Petrella

Open access · goldAbstract read
In one paragraph

Article in Current oncology (Toronto, Ont.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 16% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

C MurrayDivision of Dermatology, Women's College Hospital, and University of Toronto, Toronto, ON.
D SivajohanathanDepartment of Oncology, McMaster University, and Program in Evidence-Based Care, Cancer Care Ontario, Hamilton, ON.
T P HannaDepartment of Radiation Oncology, Cancer Centre of Southeastern Ontario, Kingston, ON.
S BradshawDynacare Labs, Ottawa, ON.
N SolishDivision of Dermatology, Women's College Hospital, and University of Toronto, Toronto, ON.
B MoranDivision of Dermatology, Queen's University, Kingston, ON.
R HekkenbergDepartment of Surgery, Royal Victoria Regional Health Centre, and Surgical Oncology Program, Cancer Care Ontario, Barrie, ON.
A C WeiQuality and Knowledge Transfer, Surgical Oncology Program, Cancer Care Ontario, Toronto and, ON.
T PetrellaDepartment of Medical Oncology, Odette Cancer Centre, Toronto, ON.
Cancer Care Ontario · CAQueen's University · CARoyal Victoria Regional Health Centre · CAWomen's College Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The purpose of the present work was to develop evidence-based indications for Mohs micrographic surgery in patients with a diagnosis of skin cancer. Methods: The guideline was developed by Cancer Care Ontario's Program in Evidence-Based Care, together with the Melanoma Disease Site Group and the Surgical Oncology Program, through a systematic review of relevant literature, patient- and caregiver-specific consultation, and internal and external reviews. Recommendation 1: Given a lack of high-quality, comparative evidence, surgery (with postoperative or intraoperative margin assessment) or radiation (for those who are ineligible for surgery) should remain the standard of care for patients with skin cancer. Recommendation 2: Mohs micrographic surgery is recommended for patients with histologically confirmed recurrent basal cell carcinoma of the face and is appropriate for primary basal cell carcinomas of the face that are larger than 1 cm, have aggressive histology, or are located on the H zone of the face. Recommendation 3: Mohs micrographic surgery should be performed by physicians who have completed a degree in medicine or equivalent, including a Royal College of Physicians and Surgeons of Canada Specialist Certificate or equivalent, and have received advanced training in Mohs micrographic surgery.

Indexed as

Guidelines as TopicHumansMohs SurgeryTreatment OutcomeexcisionmmsMohspractice guidelinesradiationsurgery

Identifiers

PMID30853814
PMCPMC6380643
OpenAlexW2916171567

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.