Evidence map›Paper›PMID 38951438›Full record

ArticleClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2025

Access to systemic treatment of non-melanoma skin cancer in Spain: a survey analysis.

Pablo Cerezuela-Fuentes, Maria Gonzalez-Cao, Teresa Puertolas, Jose Luis Manzano, Cayetana Maldonado, Oriol Yelamos, Miguel A Berciano-Guerrero, Juan Martin-Liberal, Eva Muñoz-Couselo, Enrique Espinosa and 8 more

Abstract read
PubMed Publisher
In one paragraph

Article in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Geographic equity in oncology clinical trials in Spain: fragmentation, indicators, and evidence.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Article
  2. Patterns and trends in melanoma mortality in Spain (1999-2022).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Article
  3. Access to systemic treatment of non-melanoma skin cancer in Spain: a survey analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Article
  4. Article
  5. SEOM 2023 clinical guidelines.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    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

18 authors.

Pablo Cerezuela-FuentesOncology Department, Hospital Clínico Universitario Virgen de la Arrixaca, Ciudad de Murcia, Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain.
Maria Gonzalez-CaoTranslational Cancer Research Unit, Dr. Rosell Oncology Institute (IOR), Dexeus University Hospital, C/Sabino Arana, 5, 080028, Barcelona, Spain. mgonzalezcao@oncorosell.com.ORCID http://orcid.org/0000-0003-3791-540X
Teresa PuertolasOncology Department, Hospital Miguel Servet, Saragossa, Spain.
Jose Luis ManzanoCatalan Institute of Oncology (ICO-Badalona), Hospital Germans Trias i Pujol, Badalona, Spain.
Cayetana MaldonadoDermatology Department, Hospital Universitario de Asturias, Oviedo, Spain.
Oriol YelamosDermatology Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Miguel A Berciano-GuerreroOncology Department Hospitales, Universitarios Regional y Virgen de la Victoria (HURyVV), Instituto de Investigaciones Biomédicas de Málaga (IBIMA), Málaga, Spain.
Juan Martin-LiberalCatalan Institute of Oncology (ICO-Hospitalet), Hospital Duran i Reynals, Barcelona, Spain.
Eva Muñoz-CouseloOncology Department, Hospital Valle Hebron, Barcelona, Spain.
Enrique EspinosaOncology Department, Hospital Universitario la Paz, Madrid, Spain.
Ana DrozdowskyjOncology Department, Hospital Clínico Universitario Virgen de la Arrixaca, Ciudad de Murcia, Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, Spain.
Alfonso BerrocalOncology Department, Hospital General de Valencia, Valencia, Spain.
Ainara SoriaOncology Department, Hospital Ramon y Cajal, Madrid, Spain.
Ivan Marquez-RodasOncology Department, Hospital General Universitario Gregorio Marañon, Madrid, Spain.
Salvador Martin-AlgarraOncology Department, Clinica Universidad de Navarra, Pamplona, Spain.
Maria QuindosMedical Oncology Department, Complexo Hospitalario Universitario de A Coruña. Biomedical Research Institute (INIBIC), A Coruña, Spain.
Susana PuigCIBERER, Barcelona, Spain. spuig@clinic.cat.
Spanish Melanoma Group (GEM)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNovel and highly effective drugs for non-melanoma skin cancer (NMSC) improve patient outcomes, but their high cost strains healthcare systems. Spain's decentralized public health system, managed by 17 autonomous communities (AaCc), raises concerns about equitable access.

methodsA cross-sectional survey (July-September 2023) was sent to Spanish Multidisciplinary Melanoma Group (GEM Group) members to assess access to new drugs.

findingsFifty physicians from 15 Spanish AaCc responded to the survey. Access for drug with approved public reimbursement, Hedgehog inhibitors in basal-cell carcinoma and anti PD-L1 antibody in Merkel carcinoma, was observed in 84% and 86% of centers, respectively. For other EMA-approved treatments, but without reimbursement in Spain access decreased to 78% of centers. Heterogeneity in access was mainly observed intra regions.

conclusionUnequal financial support for drugs for NMSC with creates a patchwork of access across Spanish hospitals, with variations even within the same AaCc.

Indexed as

Antineoplastic AgentsBasal Cell CarcinomaHealth Services AccessibilitySkin NeoplasmsCross-Sectional StudiesHumansSpainSurveys and QuestionnairesAntineoplastic AgentsAccessInnovative therapiesNon-melanoma skin cancer

Identifiers

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.