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Outcomes of skin cancer excision in frail patients : a retrospective cohort study
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Chicco, M., Borsky, K., Goodall, R., Harrison, C. and Rodrigues, Jeremy N. (2023) Outcomes of skin cancer excision in frail patients : a retrospective cohort study. Journal of plastic, reconstructive & aesthetic surgery : JPRAS, 84 . pp. 32-36. doi:10.1016/j.bjps.2023.05.016 ISSN 1878-0539.
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Official URL: https://doi.org/10.1016/j.bjps.2023.05.016
Abstract
Non-melanoma skin cancer (NMSC) is the most common cancer type and incidence increases with age. As a consequence, an increasing number of frail patients are being referred for consideration of skin cancer surgery. However, some of these patients may not live long enough to experience benefit from surgery, while being at risk of postoperative complications. To investigate the treatment burden of surgical excision of skin cancers in frail individuals. We conducted a single-center retrospective cohort study analyzing outcomes of skin cancer excision in frail versus non-frail patients. Eighty-eight patients were included. The complication rate was higher in frail versus non-frail patients: 12 (27.9%) versus 9 (18.8%), with 5 unplanned postoperative hospital attendances leading to 3 hospital admissions in the frail cohort. Nine patients in the frail group (21%) died within 6 months of their procedure versus no deaths in the non-frail group (p < 0.001 Fisher's Exact test), with no deaths attributed to skin cancer. Treatment-related complications and mortality are common in frail patients after surgical excision of skin lesions clinically suspicious for skin cancer. Careful consideration should be given, and patients should be adequately counseled about treatment risks and alternative management options, including active surveillance, in particular, if the lesions are expected to remain asymptomatic. [Abstract copyright: Copyright © 2023 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.]
Item Type: | Journal Article | |||||||||
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Subjects: | R Medicine > RC Internal medicine > RC0254 Neoplasms. Tumors. Oncology (including Cancer) | |||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | |||||||||
SWORD Depositor: | Library Publications Router | |||||||||
Library of Congress Subject Headings (LCSH): | Skin -- Cancer, Melanoma, Quality of life, Skin -- Cancer -- Treatment, Cancer -- Surgery, Outcome assessment (Medical care) | |||||||||
Journal or Publication Title: | Journal of plastic, reconstructive & aesthetic surgery : JPRAS | |||||||||
Publisher: | British Association of Plastic, Reconstructive and Aesthetic Surgeons | |||||||||
ISSN: | 1878-0539 | |||||||||
Official Date: | September 2023 | |||||||||
Dates: |
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Volume: | 84 | |||||||||
Page Range: | pp. 32-36 | |||||||||
DOI: | 10.1016/j.bjps.2023.05.016 | |||||||||
Status: | Peer Reviewed | |||||||||
Publication Status: | Published | |||||||||
Access rights to Published version: | Restricted or Subscription Access | |||||||||
Copyright Holders: | © 2023 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. | |||||||||
Date of first compliant deposit: | 27 September 2023 | |||||||||
RIOXX Funder/Project Grant: |
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