Clinical Practice Guideline on Melanoma From the Spanish Academy of Dermatology and Venereology (AEDV)
Actas Dermosifiliogr (Engl Ed). 2021 Feb;112(2):142-152.
doi: 10.1016/j.ad.2020.07.003.
Epub 2020 Jul 25.
[Article in
English,
Spanish]
Authors
R Botella-Estrada
1
, A Boada-García
2
, C Carrera-Álvarez
3
, M Fernández-Figueras
4
, M González-Cao
5
, D Moreno-Ramírez
6
, E Nagore
7
, L Ríos-Buceta
8
, J L Rodríguez-Peralto
9
, E Samaniego-González
10
, A Tejera-Vaquerizo
11
, F Vílchez-Márquez
12
, M A Descalzo-Gallego
13
, I García-Doval
13
Affiliations
- 1 Servicio de Dermatología, Hospital Universitario La Fe, Valencia, España; Departamento de Medicina, Universitat de València, Valencia, España. Electronic address: rbotellaes@gmail.com.
- 2 Servicio de Dermatología, Hospital Universitario Germans Trias i Pujol, Badalona, Barcelona, España.
- 3 Servicio de Dermatología, Hospital Clínic, Barcelona, España.
- 4 Área de Anatomía Patológica, Hospital Universitario General de Cataluña-Quirón Salud, Barcelona, España.
- 5 Translational Cancer Research Unit, Instituto Oncológico Dr. Rosell, Hospital Universitario Dexeus, Barcelona, España.
- 6 Servicio de Dermatología, Hospital Universitario Virgen Macarena, Sevilla, España.
- 7 Servicio de Dermatología, Instituto Valenciano de Oncología, Valencia, España.
- 8 Servicio de Dermatología, Hospital Universitario Ramón y Cajal, Madrid, España.
- 9 Servicio de Anatomía Patológica, Hospital Universitario 12 de Octubre, Madrid, España.
- 10 Servicio de Dermatología, Complejo Asistencial Universitario de León, León, España.
- 11 Instituto Dermatológico GlobalDerm, Palma del Río, Córdoba, España.
- 12 Servicio de Dermatología, Hospital Universitario Virgen de las Nieves, Granada, España.
- 13 Unidad de Investigación, Fundación Piel Sana, Academia Española de Dermatología y Venereología, Madrid, España.
Abstract
Specialist approaches to the diagnosis and treatment of melanoma have undergone many changes. This guideline aims to provide Spanish dermatologists with evidence-based information for resolving the most common doubts that arise in clinical practice. Members of the Spanish Oncologic Dermatology and Surgery Group (GEDOC) with experience treating melanoma were invited to participate in drafting the guideline. The group developed a new guideline on the basis of existing ones, using the ADAPTE collaboration process, first summarizing the care process and posing relevant clinical questions, then selecting guidelines with the best scores according to the AGREE II (Appraisal of Guidelines for Research and Evaluation) tool. Finally, the group searched the selected guidelines for answers to the clinical questions, drafted recommendations, and sent them for external review. The guideline is structured around 21 clinical questions chosen for their relevance to issues that make clinical decisions about the management of melanoma difficult. Evidence from existing guidelines was used to answer the questions. A limitation of this guide derives from the scarce evidence available for answering some questions. Moreover, some areas are changing rapidly, so recommendations must be updated often. The present guideline offers answers to clinical questions about the routine management of melanoma in clinical practice and provides dermatologists with a reference to guide decisions, taking into consideration the resources available and patient preferences.
Keywords:
Diagnosis; Diagnóstico; Guía de práctica clínica; Melanoma; Practice guideline; Terapéutica; Therapeutics.
Copyright © 2020 AEDV. Publicado por Elsevier España, S.L.U. All rights reserved.
MeSH terms
-
Antineoplastic Agents / therapeutic use
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Biopsy
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Combined Modality Therapy
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Disease Management
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Evidence-Based Medicine
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Humans
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Hutchinson's Melanotic Freckle / therapy
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Melanoma / genetics
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Melanoma / therapy*
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Molecular Diagnostic Techniques
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Neoplasm Metastasis
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Neoplasm Staging
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Sentinel Lymph Node Biopsy
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Skin Neoplasms / genetics
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Skin Neoplasms / therapy*