Abstract
Sentinel Lymph Node Biopsy in Patients with Melanoma: Trend and Pattern of Utilization
Journal of the American College of Surgeons, Vol.223(4), pp.e187-e187
10/2016
DOI: 10.1016/j.jamcollsurg.2016.08.473
Abstract
Introduction
Sentinel lymph node biopsy (SLNB) was introduced to avoid unnecessary extensive lymph node dissection. However the indications for SLNB are still not definitive and recent data showed a higher rate of unnecessary SLNB. In this study, we aim to assess the pattern and trend of SLN biopsy performed with melanoma excision based on patients’ and settings’ characteristics.
Methods
A cross-sectional analysis using State Ambulatory Surgery and Services Databases, 2007-2011, for California, Florida, and New York. Study population included adult (≥18 years) outpatients who underwent melanoma excision with or without SLN biopsy.
Results
A total of 26,488 melanoma patients were included in this analysis. SLNB was performed in 34.2% of the cases. There was a significant upward trend over the years in SLNB the study period (p<0.001). Younger patients (≤65 years), male, and those with trunk or limb melanoma were more likely to undergo SLNB (p<0.05); while Blacks were less likely to have SLNB compared to Whites (22.5% vs 35%, p= 0.011). SLNB was most likely to be performed in high-volume centers (≥10 excision/yr) [OR: 1.86, 95% CI: (1.74, 1.99)], and by high-volume surgeons (≥4 excision/yr) [OR: 1.41, 95% CI: (1.29, 1.55)1]. Utilization of SLN biopsy did not associate with higher rate of performing radical lymph node dissection [OR: 1.13, 95% CI: (0.95, 1.34)].
Conclusions
Utilization of SLN biopsy with melanoma excision is increasingly performed in the United States. However, there are disparities in the utilization based on patients’ and settings’ characteristics. Apparently, SLN biopsy did not alter the decision of performing radical dissection with melanoma excision.
Details
- Title: Subtitle
- Sentinel Lymph Node Biopsy in Patients with Melanoma: Trend and Pattern of Utilization
- Creators
- Zaid Al-QurayshiSudesh K. Srivastav - Tulane UniversityEmad Kandil - Tulane University
- Resource Type
- Abstract
- Publication Details
- Journal of the American College of Surgeons, Vol.223(4), pp.e187-e187
- Publisher
- ELSEVIER SCIENCE INC
- DOI
- 10.1016/j.jamcollsurg.2016.08.473
- ISSN
- 1072-7515
- eISSN
- 1879-1190
- Language
- English
- Date published
- 10/2016
- Academic Unit
- Otolaryngology
- Record Identifier
- 9984702771802771
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