关于黑色素瘤管理的NICE 2022指南:更新和影响
Aiswarya Lakshmi1, Rahul Shah1, Ardit Begaj2
1University of Cambridge, School of Clinical Medicine, United Kingdom.
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
|August 12, 2023
概括
新的黑色素瘤管理指南减少了随访预约和哨兵淋巴结活检 (SLNB),但增加了扫描. 这种转换提供了每名患者141.85英的成本效益,影响了人员和资源分配.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 医学指导方针 医学指导方针
背景情况:
- 国家卫生和护理卓越研究所 (NICE) 在2022年7月更新了黑色素瘤管理指南.
- 这些变化涉及更少的后续预约和哨兵淋巴结活检 (SLNB),但更多的诊断成像和遗传检测.
研究的目的:
- 评估实施更新的NICE黑色素瘤管理指南的成本效益和人事影响.
- 为其他中心规划服务提供和资源分配提供基准.
主要方法:
- 对2019年新诊断出I-III阶段黑色素瘤的110名患者的回顾性评估.
- 在5年的时间里,根据NICE的先前和新指导方针对患者管理途径进行比较分析.
- 量化每个患者的成本,并评估医院部门的财务影响.
主要成果:
- 据计算,每名患者的总体成本效益为141.85英.
- 平均减少了1.22次入院,每名患者的时间增加了19.55分钟.
- 虽然减少了整形外科和皮肤病学方面的负担,但新的指导方针增加了放射科医生和组织病理学家的工作量.
- 对于BRAF测试,CT和超声波扫描的额外费用被减少后续和SLNB的节省所抵消.
结论:
- 更新的指导方针将重点转向早期黑色素瘤的侵入性较小的程序和较少的例行后续检查,需要增加基因测试和成像.
- 该研究为医疗保健提供者提供了根据修订后的NICE指南规划资源分配和服务交付的宝贵基准.
相关概念视频
Skin Cancer
4.2K
Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
4.2K
Changes in Skin Color: Clinical Perspectives
2.0K
The first thing a clinician sees is the skin, so the examination of the skin should be part of any thorough physical examination. Most skin disorders are relatively benign, but a few, including melanomas, can be fatal if untreated. A couple of the more noticeable disorders, albinism and vitiligo, affect the appearance of the skin and its accessory organs.
Albinism
Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily...
Albinism
Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily...
2.0K
Tumor Immunotherapy
557
Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
557
Targeted Cancer Therapies
7.7K
The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
There are several types of targeted therapies against...
7.7K
Standards of Care II
679
Nurses bear specific legal responsibilities under several federal statutes, including:
679


