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

Recommendations for the management of cutaneous squamous cell carcinoma: a systematic multidisciplinary Delphi consensus approach.

Eva Muñoz Couselo, Javier Cañueto, Vanessa Jerviz Guía, Ana María López López, Josep Oriol Bermejo Segú, Almudena García Castaño, Susana Puig Sardá, Onofre Sanmartín Jiménez, Ainara Soria Rivas, Paula Gratal and 3 more

Abstract readConsensus Statement
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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 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. Review
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

13 authors.

Eva Muñoz Couselo *Medical Oncology Department, Hospital Universitario Vall d'Hebron, Barcelona, Spain.
Javier Cañueto *Dermatology Department, Complejo Asistencial Universitario de Salamanca, Salamanca, Spain. jcanueto@usal.es.ORCID http://orcid.org/0000-0003-0037-7353
Vanessa Jerviz GuíaRadiation Oncology Department, Hospital Universitario Clínico San Cecilio, Granada, Spain.
Ana María López LópezOral and Maxillofacial Surgery Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Josep Oriol Bermejo SegúPlastic Surgery Department, Hospital Universitario de Bellvitge, Barcelona, Spain.
Almudena García CastañoMedical Oncology Department, Hospital Universitario Marqués de Valdecilla, Santander, Spain.
Susana Puig SardáDermatology Department, Hospital Clínic, Barcelona, Spain.
Onofre Sanmartín JiménezDermatology Department, Instituto Valenciano de Oncología, Valencia, Spain.
Ainara Soria RivasMedical Oncology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Paula GratalFundación ECO (Excelencia y Calidad en Oncología), Madrid, Spain.
María Teresa PardoFundación ECO (Excelencia y Calidad en Oncología), Madrid, Spain.
Álvaro RogadoFundación ECO (Excelencia y Calidad en Oncología), Madrid, Spain.
Alfonso Berrocal JaimeFundación ECO (Excelencia y Calidad en Oncología), Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are gaps and unanswered questions in clinical guidelines regarding several aspects of the management of patients with cutaneous squamous cell carcinoma (cSCC).

methodsA scientific committee of ten cSCC specialists in Spain (dermatology, medical oncology, oral and maxillofacial surgery, plastic surgery, and radiotherapy) used ADAPTE methodology to develop recommendations by: (i) identifying clinical questions not fully answered by clinical practice guidelines; (ii) systematically reviewing the literature (published between November 2017 and July 2023 in PubMed and the Cochrane database) and grading the evidence (using Oxford levels); (iii) developing recommendations and assessing those with no consensus among the scientific committee or with evidence level 3-5 or strength of recommendation under C or D in a two-round Delphi method; and (iv) developing the final recommendations in the form of answers to key clinical questions, grading the strength of recommendation. An external group of 32 experts plus the members of the committee participated in both Delphi rounds, evaluating the appropriateness and need of the recommendations.

resultsInitially, 33 recommendations were made for 26 questions; 19 recommendations were evaluated with the Delphi method. All 19 recommendations were deemed appropriate and necessary. A total of 27 final recommendations were made, concerning initial patient management, treatment of the primary tumour, management of advanced disease, specific populations, supportive and palliative care, and follow-up.

conclusionWe developed 27 recommendations that answer clinical questions on the management of patients with cSCC, providing guidance on aspects that are unclear in clinical guidelines or on which guidelines differ.

Indexed as

Carcinoma, Squamous CellPractice Guidelines as TopicSkin NeoplasmsDelphi TechniqueHumansConsensusDelphi, SpainSquamous cell carcinoma

Identifiers

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Registered trials

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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.