Evidence map›Paper›PMID 33665815›Full record

ArticleInternational journal of dermatology2021

Impact of delay in follow-up due to COVID-19 pandemic on skin cancer progression: a real-life experience from an Italian hub hospital.

Mario Valenti, Giulia Pavia, Luigi Gargiulo, Paola Facheris, Ombretta Nucca, Luca Mancini, Francesco Sacrini, Riccardo G Borroni, Alessandra Narcisi, Antonio Costanzo

Open access · bronzeAbstract read
In one paragraph

Article in International journal of dermatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 5% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

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  6. Impact of COVID-19 related movement restrictions on the follow-up care visits of adults with chronic conditions: A Saudi arabian survey study.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2023
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  12. Melanoma care during one year pandemic in Berlin: decreasing appointment cancellations despite increasing COVID-19 concern.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2022
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  13. Melanomversorgung während eines Jahres Pandemie in Berlin: abnehmende Terminstornierungen trotz zunehmender Besorgnis über COVID-19.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2022
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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

10 authors at 1 institution in 1 country.

Mario ValentiDermatology, Humanitas Clinical and Research Center-IRCCS, Rozzano, MI, Italy.
Giulia PaviaDermatology, Humanitas Clinical and Research Center-IRCCS, Rozzano, MI, Italy.ORCID https://orcid.org/0000-0001-5600-288X
Luigi GargiuloDermatology, Humanitas Clinical and Research Center-IRCCS, Rozzano, MI, Italy.
Paola FacherisDermatology, Humanitas Clinical and Research Center-IRCCS, Rozzano, MI, Italy.
Ombretta NuccaDermatology, Humanitas Clinical and Research Center-IRCCS, Rozzano, MI, Italy.
Luca ManciniDermatology, Humanitas Clinical and Research Center-IRCCS, Rozzano, MI, Italy.
Francesco SacriniDermatology, Humanitas Clinical and Research Center-IRCCS, Rozzano, MI, Italy.
Riccardo G BorroniDermatology, Humanitas Clinical and Research Center-IRCCS, Rozzano, MI, Italy.
Alessandra NarcisiDermatology, Humanitas Clinical and Research Center-IRCCS, Rozzano, MI, Italy.
Antonio CostanzoDermatology, Humanitas Clinical and Research Center-IRCCS, Rozzano, MI, Italy.
Humanitas University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic required the setting of a national lockdown in Italy from March 9, 2020, until May 18, 2020; therefore, most of the non-COVID-19 activities were postponed. As a consequence, many follow-up visits in patients with previously excised skin cancers were delayed. The aim of this retrospective real-life case-control study is demonstrating that delay in follow-up led to an increased incidence of advanced melanoma and keratinocyte cancers on the total of surgically excised skin cancers.

methodsThe incidence of excised advanced melanoma and keratinocyte cancers in our dermato-surgery division in the period May 18 to November 18, 2020, was compared to the same time span of 2019. All data were collected from the electronic database of our department. Odds ratio with 95% confidence interval was used to assess the risk of excised advanced skin cancers in 2020 compared to 2019.

resultsFrom May to November 2019, we performed 265 surgical excisions, while during the pandemic in 2020, we completed 280 surgeries. The number of advanced skin cancers excised between May 18 and November 18, 2020, was significantly higher compared with the same period in 2019 (54 vs. 22, OR: 2.64; 95% CI: 1.56-4.47; P = 0.0003). Significant differences were also observed regarding the number of surgically removed advanced BCCs (OR 2.15; 95% CI 1.14-4.07; P = 0.0187) and advanced SCCs (OR 4.60; 95% CI 1.31-16.18; P = 0.0175).

conclusionThese results confirm that delay in follow-up and, consequently, postponed surgical excisions are related to an increased incidence of advanced skin tumors, resulting in poorer prognosis lifelong. Follow-up visits should be carried on even during COVID-19 pandemic, avoiding significant delays as much as possible.

Indexed as

COVID-19Skin NeoplasmsCase-Control StudiesCommunicable Disease ControlFollow-Up StudiesHospitalsHumansItalyPandemicsRetrospective StudiesSARS-CoV-2

Identifiers

PMID33665815
PMCPMC8014866
OpenAlexW3133975688

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.