Quality of Life Following Sentinel Node Biopsy for Primary Cutaneous Melanoma: Health Economic Implications.
Identifieur interne : 000303 ( PubMed/Corpus ); précédent : 000302; suivant : 000304Quality of Life Following Sentinel Node Biopsy for Primary Cutaneous Melanoma: Health Economic Implications.
Auteurs : Rachael L. Morton ; Anh Tran ; Johan Yusof Vessey ; Nick Rowbotham ; Julie Winstanley ; Kerwin Shannon ; Andrew J. Spillane ; Jonathan Stretch ; John F. Thompson ; Robyn P-M SawSource :
- Annals of surgical oncology [ 1534-4681 ] ; 2017.
Abstract
Sentinel node biopsy (SNB) is commonly performed in contemporary melanoma management, however there is a paucity of long-term quality of life (QoL) estimates required for economic evaluation of this treatment.
DOI: 10.1245/s10434-017-5842-2
PubMed: 28321690
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Quality of Life Following Sentinel Node Biopsy for Primary Cutaneous Melanoma: Health Economic Implications.</title><author><name sortKey="Morton, Rachael L" sort="Morton, Rachael L" uniqKey="Morton R" first="Rachael L" last="Morton">Rachael L. Morton</name><affiliation><nlm:affiliation>NHMRC Clinical Trials Centre, Sydney Medical School, The University of Sydney, Camperdown, NSW, Australia. rachael.morton@sydney.edu.au.</nlm:affiliation></affiliation></author><author><name sortKey="Tran, Anh" sort="Tran, Anh" uniqKey="Tran A" first="Anh" last="Tran">Anh Tran</name><affiliation><nlm:affiliation>NHMRC Clinical Trials Centre, Sydney Medical School, The University of Sydney, Camperdown, NSW, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Vessey, Johan Yusof" sort="Vessey, Johan Yusof" uniqKey="Vessey J" first="Johan Yusof" last="Vessey">Johan Yusof Vessey</name><affiliation><nlm:affiliation>Graduate Program, Sydney Medical School, The University of Sydney, Sydney, NSW, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Rowbotham, Nick" sort="Rowbotham, Nick" uniqKey="Rowbotham N" first="Nick" last="Rowbotham">Nick Rowbotham</name><affiliation><nlm:affiliation>NHMRC Clinical Trials Centre, Sydney Medical School, The University of Sydney, Camperdown, NSW, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Winstanley, Julie" sort="Winstanley, Julie" uniqKey="Winstanley J" first="Julie" last="Winstanley">Julie Winstanley</name><affiliation><nlm:affiliation>Patricia Ritchie Centre, The Mater Hospital, University of Sydney, Sydney, NSW, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Shannon, Kerwin" sort="Shannon, Kerwin" uniqKey="Shannon K" first="Kerwin" last="Shannon">Kerwin Shannon</name><affiliation><nlm:affiliation>Division of Surgery, Royal Prince Alfred Hospital, Sydney, NSW, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Spillane, Andrew J" sort="Spillane, Andrew J" uniqKey="Spillane A" first="Andrew J" last="Spillane">Andrew J. Spillane</name><affiliation><nlm:affiliation>Discipline of Surgery, The University of Sydney, Sydney, NSW, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Stretch, Jonathan" sort="Stretch, Jonathan" uniqKey="Stretch J" first="Jonathan" last="Stretch">Jonathan Stretch</name><affiliation><nlm:affiliation>Division of Surgery, Royal Prince Alfred Hospital, Sydney, NSW, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Thompson, John F" sort="Thompson, John F" uniqKey="Thompson J" first="John F" last="Thompson">John F. Thompson</name><affiliation><nlm:affiliation>Division of Surgery, Royal Prince Alfred Hospital, Sydney, NSW, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Saw, Robyn P M" sort="Saw, Robyn P M" uniqKey="Saw R" first="Robyn P-M" last="Saw">Robyn P-M Saw</name><affiliation><nlm:affiliation>Division of Surgery, Royal Prince Alfred Hospital, Sydney, NSW, Australia.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28321690</idno><idno type="pmid">28321690</idno><idno type="doi">10.1245/s10434-017-5842-2</idno><idno type="wicri:Area/PubMed/Corpus">000303</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000303</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Quality of Life Following Sentinel Node Biopsy for Primary Cutaneous Melanoma: Health Economic Implications.</title><author><name sortKey="Morton, Rachael L" sort="Morton, Rachael L" uniqKey="Morton R" first="Rachael L" last="Morton">Rachael L. Morton</name><affiliation><nlm:affiliation>NHMRC Clinical Trials Centre, Sydney Medical School, The University of Sydney, Camperdown, NSW, Australia. rachael.morton@sydney.edu.au.</nlm:affiliation></affiliation></author><author><name sortKey="Tran, Anh" sort="Tran, Anh" uniqKey="Tran A" first="Anh" last="Tran">Anh Tran</name><affiliation><nlm:affiliation>NHMRC Clinical Trials Centre, Sydney Medical School, The University of Sydney, Camperdown, NSW, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Vessey, Johan Yusof" sort="Vessey, Johan Yusof" uniqKey="Vessey J" first="Johan Yusof" last="Vessey">Johan Yusof Vessey</name><affiliation><nlm:affiliation>Graduate Program, Sydney Medical School, The University of Sydney, Sydney, NSW, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Rowbotham, Nick" sort="Rowbotham, Nick" uniqKey="Rowbotham N" first="Nick" last="Rowbotham">Nick Rowbotham</name><affiliation><nlm:affiliation>NHMRC Clinical Trials Centre, Sydney Medical School, The University of Sydney, Camperdown, NSW, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Winstanley, Julie" sort="Winstanley, Julie" uniqKey="Winstanley J" first="Julie" last="Winstanley">Julie Winstanley</name><affiliation><nlm:affiliation>Patricia Ritchie Centre, The Mater Hospital, University of Sydney, Sydney, NSW, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Shannon, Kerwin" sort="Shannon, Kerwin" uniqKey="Shannon K" first="Kerwin" last="Shannon">Kerwin Shannon</name><affiliation><nlm:affiliation>Division of Surgery, Royal Prince Alfred Hospital, Sydney, NSW, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Spillane, Andrew J" sort="Spillane, Andrew J" uniqKey="Spillane A" first="Andrew J" last="Spillane">Andrew J. Spillane</name><affiliation><nlm:affiliation>Discipline of Surgery, The University of Sydney, Sydney, NSW, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Stretch, Jonathan" sort="Stretch, Jonathan" uniqKey="Stretch J" first="Jonathan" last="Stretch">Jonathan Stretch</name><affiliation><nlm:affiliation>Division of Surgery, Royal Prince Alfred Hospital, Sydney, NSW, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Thompson, John F" sort="Thompson, John F" uniqKey="Thompson J" first="John F" last="Thompson">John F. Thompson</name><affiliation><nlm:affiliation>Division of Surgery, Royal Prince Alfred Hospital, Sydney, NSW, Australia.</nlm:affiliation></affiliation></author><author><name sortKey="Saw, Robyn P M" sort="Saw, Robyn P M" uniqKey="Saw R" first="Robyn P-M" last="Saw">Robyn P-M Saw</name><affiliation><nlm:affiliation>Division of Surgery, Royal Prince Alfred Hospital, Sydney, NSW, Australia.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Annals of surgical oncology</title><idno type="eISSN">1534-4681</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Sentinel node biopsy (SNB) is commonly performed in contemporary melanoma management, however there is a paucity of long-term quality of life (QoL) estimates required for economic evaluation of this treatment.</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">28321690</PMID><DateCreated><Year>2017</Year><Month>03</Month><Day>21</Day></DateCreated><DateRevised><Year>2017</Year><Month>06</Month><Day>30</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1534-4681</ISSN><JournalIssue CitedMedium="Internet"><Volume>24</Volume><Issue>8</Issue><PubDate><Year>2017</Year><Month>Aug</Month></PubDate></JournalIssue><Title>Annals of surgical oncology</Title><ISOAbbreviation>Ann. Surg. Oncol.</ISOAbbreviation></Journal><ArticleTitle>Quality of Life Following Sentinel Node Biopsy for Primary Cutaneous Melanoma: Health Economic Implications.</ArticleTitle><Pagination><MedlinePgn>2071-2079</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1245/s10434-017-5842-2</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Sentinel node biopsy (SNB) is commonly performed in contemporary melanoma management, however there is a paucity of long-term quality of life (QoL) estimates required for economic evaluation of this treatment.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A single-center, prospective, cross-sectional study of adults with American Joint Committee on Cancer stage I/II/IIIA melanoma of the limbs, trunk, or neck who had undergone wide excision and SNB, but not complete regional node dissection, was undertaken. Limb volume was measured using perometry, with lymphedema defined as a ≥10% volume increase in the ipsilateral limb compared with the contralateral limb. The Functional Assessment of Cancer Therapy-Breast (FACT-B) questionnaire measured QoL. Associations between patient and treatment characteristics were assessed using linear regression.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Among 694 patients (median time from SNB of 37 months), 14 (2%) had objectively measured lymphedema (i.e. an increase in limb volume of ≥10%). Of 687 stage I/II patients with complete QoL data, the mean weighted QoL was 0.745 (standard deviation 0.04) on a 0-1 scale (i.e. death to full health). In multivariable analysis, weighted QoL was 0.0004 higher for each year of increasing age (p = 0.001); 0.011 lower for females (p = 0.001), 0.018 lower following post-SNB limb trauma (p = 0.002); 0.252 lower for patients who perceived a large increase in limb size (p = 0.015); and 0.027 lower with self-reported difficulty in walking, running, or climbing stairs (p = 0.043).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Our data suggest that very few patients treated at our institution had lymphedema in the long-term following SNB, with weighted QoL strongly associated with perceived rather than actual changes in limb size.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Morton</LastName><ForeName>Rachael L</ForeName><Initials>RL</Initials><AffiliationInfo><Affiliation>NHMRC Clinical Trials Centre, Sydney Medical School, The University of Sydney, Camperdown, NSW, Australia. rachael.morton@sydney.edu.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tran</LastName><ForeName>Anh</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>NHMRC Clinical Trials Centre, Sydney Medical School, The University of Sydney, Camperdown, NSW, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vessey</LastName><ForeName>Johan Yusof</ForeName><Initials>JY</Initials><AffiliationInfo><Affiliation>Graduate Program, Sydney Medical School, The University of Sydney, Sydney, NSW, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rowbotham</LastName><ForeName>Nick</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>NHMRC Clinical Trials Centre, Sydney Medical School, The University of Sydney, Camperdown, NSW, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Winstanley</LastName><ForeName>Julie</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Patricia Ritchie Centre, The Mater Hospital, University of Sydney, Sydney, NSW, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shannon</LastName><ForeName>Kerwin</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Division of Surgery, Royal Prince Alfred Hospital, Sydney, NSW, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Discipline of Surgery, The University of Sydney, Sydney, NSW, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Melanoma Institute Australia, The University of Sydney, Sydney, NSW, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Spillane</LastName><ForeName>Andrew J</ForeName><Initials>AJ</Initials><AffiliationInfo><Affiliation>Discipline of Surgery, The University of Sydney, Sydney, NSW, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Melanoma Institute Australia, The University of Sydney, Sydney, NSW, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stretch</LastName><ForeName>Jonathan</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Division of Surgery, Royal Prince Alfred Hospital, Sydney, NSW, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Discipline of Surgery, The University of Sydney, Sydney, NSW, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Melanoma Institute Australia, The University of Sydney, Sydney, NSW, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Thompson</LastName><ForeName>John F</ForeName><Initials>JF</Initials><AffiliationInfo><Affiliation>Division of Surgery, Royal Prince Alfred Hospital, Sydney, NSW, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Discipline of Surgery, The University of Sydney, Sydney, NSW, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Melanoma Institute Australia, The University of Sydney, Sydney, NSW, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Saw</LastName><ForeName>Robyn P-M</ForeName><Initials>RP</Initials><AffiliationInfo><Affiliation>Division of Surgery, Royal Prince Alfred Hospital, Sydney, NSW, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Discipline of Surgery, The University of Sydney, Sydney, NSW, Australia.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Melanoma Institute Australia, The University of Sydney, Sydney, NSW, Australia.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>03</Month><Day>20</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Ann Surg Oncol</MedlineTA><NlmUniqueID>9420840</NlmUniqueID><ISSNLinking>1068-9265</ISSNLinking></MedlineJournalInfo></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>12</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>3</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>3</Month><Day>23</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>3</Month><Day>22</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28321690</ArticleId><ArticleId IdType="doi">10.1245/s10434-017-5842-2</ArticleId><ArticleId 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