Evidence map›Paper›PMID 38672551›Full record

ArticleCancers2024

Delay in Cutaneous Squamous Cell Carcinoma Diagnosis Due to Interrupted Services Is Associated with Worse Prognoses and Modified Surgical Approaches.

Filippo Taccioli, Claudio Gio Francesco Blessent, Alessia Paganelli, Francesca Fagioli, Johanna Mary Chester, Shaniko Kaleci, Matteo Costantini, Barbara Ferrari, Chiara Fiorentini, Giorgio De Santis and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.9field-weighted citation impact, top 14% of its field
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

6 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Review
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  6. 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

11 authors at 1 institution in 1 country.

Filippo TaccioliDepartment of Plastic Reconstructive and Aesthetic Surgery, Azienda Ospedaliero-Universitaria di Modena, University of Modena and Reggio Emilia, 41125 Modena, Italy.
Claudio Gio Francesco BlessentDepartment of Plastic Reconstructive and Aesthetic Surgery, Azienda Ospedaliero-Universitaria di Modena, University of Modena and Reggio Emilia, 41125 Modena, Italy.
Alessia PaganelliPhD Course in Clinical and Experimental Medicine, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, 41125 Modena, Italy.ORCID 0000-0002-0916-7769
Francesca FagioliHealth Directorate, Azienda Ospedaliero-Universitaria di Modena, University of Modena and Reggio Emilia, 41125 Modena, Italy.
Johanna Mary ChesterSurgical, Medical, Dentistry and Morphological Sciences, University of Modena and Reggio Emilia, 41125 Modena, Italy.ORCID 0000-0003-2866-0783
Shaniko KaleciSurgical, Medical, Dentistry and Morphological Sciences, University of Modena and Reggio Emilia, 41125 Modena, Italy.ORCID 0000-0002-1166-2961
Matteo CostantiniInstitute of Pathology, University of Modena and Reggio Emilia, 41125 Modena, Italy.
Barbara FerrariDepartment of Dermatology, University of Modena and Reggio Emilia, 41125 Modena, Italy.
Chiara FiorentiniDepartment of Dermatology, University of Modena and Reggio Emilia, 41125 Modena, Italy.
Giorgio De SantisDepartment of Plastic Reconstructive and Aesthetic Surgery, Azienda Ospedaliero-Universitaria di Modena, University of Modena and Reggio Emilia, 41125 Modena, Italy.
Cristina MagnoniDepartment of Dermatology, University of Modena and Reggio Emilia, 41125 Modena, Italy.
University of Modena and Reggio Emilia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe delayed diagnosis of skin tumors is associated with a worsened prognosis. The impact of the interruption of clinical and surgical health services during the COVID-19 pandemic lockdowns has been documented among many pathologies. The impact of delayed diagnoses on patients with cutaneous squamous cell carcinomas (cSCCs) is poorly defined.

objectiveTo compare patient and lesion characteristics and the surgical management of excised cSCCs prior to the pandemic shutdown of services (2018-2019) with the phase following the pandemic's second wave (2021-2022).

methodsAn observational, single-center, cross-sectional study of 416 surgically excised cSCCs over the course of two years was performed. Only patients with histologically confirmed cSCC were enrolled. Data collection included patient demographics and lesion characteristics, time to surgery, surgical approach, and histological data.

resultsMore cSCC lesions were excised prior to the interruption of services (

conclusionsDiagnostic delays of cutaneous SCCs associated with reduced patient access to clinical and diagnostic services are associated with a 4.7-times increased risk of more severe invasion, a three-times increased risk of positive surgical margins, and a significant impact on surgical management, compared to the pre-pandemic period. Comparable patient cohort characteristics and time to surgery remained unchanged.

Indexed as

COVID-19cutaneous squamous cell carcinomasdelayed diagnosisskin cancersurgery

Identifiers

PMID38672551
PMCPMC11048546
OpenAlexW4394754485

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 Socratic graph.