Evidence map›Paper›PMID 39315624›Full record

ArticleActa dermato-venereologica2024

Exploring Patients' Perceptions of One-step Surgery for Primary Cutaneous Melanoma: A Qualitative Study.

Margueritte Lim, Thibault Kervarrec, Youssef Mourtada, Laura Chaput, Jean-Pierre Lebeau, Laurent Machet

Abstract read
In one paragraph

Article in Acta dermato-venereologica, 2024. 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

6 authors.

Margueritte LimDepartment of Dermatology, CHRU Tours, Tours, France.
Thibault KervarrecDepartment of Pathology, CHRU Tours, Tours, France.
Youssef MourtadaDepartment of Dermatology, CHRU Tours, Tours, France.
Laura ChaputDepartment of Dermatology, CHRU Tours, Tours, France.
Jean-Pierre LebeauDepartment of General Practice, CHRU Tours, Tours, France.
Laurent MachetDepartment of Dermatology, CHRU Tours, Tours, France; Faculty of Medicine, University of Tours, UMR Inserm U1253, Tours, France. machet@med.univ-tours.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High-frequency ultrasonography (> 20 MHz) has allowed for preoperative measurement of melanoma thickness and thus a one-step surgery strategy. The potential benefits of one-step surgery to patients remain unexplored. From June 2022 to August 2023, 2 dermatologists conducted semi-structured individual interviews with patients who had undergone HFUS examination allowing the choice for one-step surgery (group A) and with patients who had had standard two-step surgery (group B). Analysis of interviews with 21 patients (age range 31-81 years) revealed 5 main themes: (a) understanding the diagnosis, highlighting the significance of clear and comprehensive medical explanations; (b) personal factors considered in treatment decisions, including preferences for minimizing surgical procedures; (c) making choices, bearing responsibility, thus showcasing different levels of patient involvement in decision-making; (d) high- frequency ultrasonography reassurance emphasizing the role of medical reassurance, and (e) patient satisfaction, discussing surgical outcomes and the decision-making process. The majority of participants expressed a clear preference for one-step surgery, perceived as a pragmatic and fast surgical strategy while minimizing interventions. In conclusion, the results emphasize the importance of patient-centred care. These insights can guide improved preoperative consultations and enhance shared decision-making between healthcare professionals and patients regarding melanoma treatment strategies.

Indexed as

MelanomaPatient PreferencePatient SatisfactionQualitative ResearchSkin NeoplasmsAdultAgedAged, 80 and overClinical Decision-MakingFemaleHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicMaleMiddle AgedPatient Participation

Identifiers

PMID39315624
PMCPMC11439966

What OpenQuestion holds

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LicenceCC BY-NC
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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.