Factors Influencing the Use of Sentinel Lymph Node Biopsy in the Netherlands
| Autor: | Kevin Wevers, Harald J. Hoekstra, Anna M. Huismans, Maarten G. Niebling, Melinda S. Schuurman |
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| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Skin Neoplasms CUTANEOUS MELANOMA Sentinel lymph node GUIDELINES Health care insurance MALIGNANT-MELANOMA Health care Biopsy medicine MANAGEMENT Humans Neoplasm Invasiveness HEAD Practice Patterns Physicians' Socioeconomic status Melanoma DISSECTION Patient factors Aged Neoplasm Staging Netherlands Insurance Health medicine.diagnostic_test business.industry Sentinel Lymph Node Biopsy General surgery Middle Aged medicine.disease Prognosis II MELANOMA PATIENTS NECK MELANOMA Dissection STAGE-I Oncology Socioeconomic Factors Lymph Node Excision Surgery Female business DYNAMIC LYMPHOSCINTIGRAPHY Follow-Up Studies |
| Zdroj: | Annals of Surgical Oncology, 21(11), 3395-3400. SPRINGER |
| ISSN: | 1534-4681 1068-9265 |
| Popis: | In the US, whether a sentinel lymph node biopsy (SLNB) is performed depends on tumor and patient factors, including socioeconomic status (SES) and type of health care insurance. We analyzed which patient and tumor characteristics influenced the use of SLNB in a country where every patient has equal access to healthcare.Patients diagnosed with a cutaneous invasive melanoma of a parts per thousand yen1 mm between 2004 and 2011 and living in the northeastern part of the Netherlands were selected from the Netherlands Cancer Registry. Regression analysis was performed to assess the association of patient and tumor characteristics and SLNB use.SLNB was performed in 42 % of the 2,413 included patients. The frequency of performing SLNB increased between 2004 and 2011 from 24 to 55 % (p The use of SLNB has increased significantly between 2004 and 2011. However, in 2011 it was still performed in only 55 % of the Dutch patients with a melanoma a parts per thousand yen1 mm. In patients with head and neck melanoma, older patients, and patients with low SES, SLNB was less frequently performed. Patients with T3 melanomas and a diagnosis made in the university hospital more often had an SLNB performed. |
| Databáze: | OpenAIRE |
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