Evidence map›Paper›PMID 33809399›Full record

SynthesisCurrent oncology (Toronto, Ont.)2021

Restructuring Skin Cancer Care in Ontario: A Provincial Plan.

John Milkovich, Tim Hanna, Carolyn Nessim, Teresa M Petrella, Louis Weatherhead, An-Wen Chan, Jonathan C Irish, Christian Murray, Grace Bannerman, Claire Holloway and 4 more

Abstract readSystematic Review
In one paragraph

Synthesis in Current oncology (Toronto, Ont.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

14 authors.

John MilkovichSurgical Oncology Program, Ontario Health-Cancer Care Ontario, Toronto, ON M5G 2L7, Canada.ORCID 0000-0001-8907-1371
Tim HannaDivision of Cancer Care and Epidemiology, Cancer Research Institute at Queen's University, Kingston, ON K7L 3N6, Canada.ORCID 0000-0003-3228-6042
Carolyn NessimDivision of Dermatology and Medical Oncology, The University of Ottawa, Ottawa, ON K1H 8L6, Canada.ORCID 0000-0002-0419-3511
Teresa M PetrellaSunnybrook Health Sciences Centre, Department of Medical Oncology, Toronto, ON M4N 3M5, Canada.
Louis WeatherheadDivision of Dermatology and Medical Oncology, The University of Ottawa, Ottawa, ON K1H 8L6, Canada.ORCID 0000-0002-8740-4467
An-Wen ChanDepartment of Medicine, Women's College Hospital, Toronto, ON M5S 1B2, Canada.
Jonathan C IrishSurgical Oncology Program, Ontario Health-Cancer Care Ontario, Toronto, ON M5G 2L7, Canada.
Christian MurrayDepartment of Medicine, University of Toronto, Toronto, ON M5S 1B2, Canada.
Grace BannermanClinical Institutes and Quality Programs, Ontario Health, Toronto, ON M5G 2L7, Canada.ORCID 0000-0002-7148-7149
Claire HollowayClinical Institutes and Quality Programs, Ontario Health, Toronto, ON M5G 2L7, Canada.
Katharina ForsterClinical Institutes and Quality Programs, Ontario Health, Toronto, ON M5G 2L7, Canada.
Laura PazzanoClinical Institutes and Quality Programs, Ontario Health, Toronto, ON M5G 2L7, Canada.ORCID 0000-0003-4099-5914
Frances C WrightSunnybrook Health Sciences Centre, Department of Medical Oncology, Toronto, ON M4N 3M5, Canada.
The Ontario Skin Cancer Advisory Committee

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is a global rise in skin cancer incidence, resulting in an increase in patient care needs and healthcare costs. To optimize health care planning, costs, and patient care, Ontario Health developed a provincial skin cancer plan to streamline the quality of care. We conducted a systematic review and a grey literature search to evaluate the definitions and management of skin cancer within other jurisdictions, as well as a provincial survey of skin cancer care practices, to identify care gaps. The systematic review did not identify any published comprehensive skin cancer management plans. The grey literature search revealed skin cancer plans in isolated regions of the United Kingdom (U.K.), National Institute for Health and Care Excellence (NICE) guidelines for skin cancer quality indicators and regional skin cancer biopsy clinics, and wait time guidelines in Australia and the U.K. With the input of the Ontario Cancer Advisory Committee (CAC), unique definitions for complex and non-complex skin cancers and the appropriate cancer services were created. A provincial survey of skin cancer care yielded 44 responses and demonstrated gaps in biopsy access. A skin cancer pathway map was created and a recommendation was made for regional skin cancer biopsy clinics. We have created unique definitions for complex and non-complex skin cancer and a skin cancer pathways map, which will allow for the implementation of both process and performance metrics to address identified gaps in care.

Indexed as

Skin NeoplasmsHumansIncidenceOntariobasal cell carcinomakeratinocyte carcinomamanagement planmelanomaMerkel cell carcinomaorganization of carepathway mapskin cancersquamous cell carcinoma

Identifiers

PMID33809399
PMCPMC8025818

What OpenQuestion holds

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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.