Evidence-based clinical practice guideline: Reconstruction after skin cancer resection - 08/07/21
, John G. Albertini, MD, Jeremy S. Bordeaux, MD, MPH, Michael W. Chen, MD, Jonathan L. Cook, MD, Caryn Davidson, MS, Katelyn C. Donnelly, MPH, Irfan I. Galaria, MD, MBA, Catherine M. Hannan, MD, Jonathan Kantor, MD, MSCE, Daniel L. Kapp, MD, Naomi Lawrence, MD, Clifford W. Lober, MD, JD, Lauren D. Loeding, MPH, Alexander Miller, MD, Daniel T. Ness, MD, Rogerio I. Neves, MD, PhD, Peter C. Revenaugh, MD, Peter Setabutr, MD, Sunil S. Tholpady, MD, PhD, Travis T. Tollefson, MD, MPH, Marta J. Van Beek, MD, MPH, Paul R. Weiss, MD, Murad Alam, MD, MSCI, MBASummary |
A multi-disciplinary work group involving stakeholders from various backgrounds and societies was convened to develop guidelines for the management of reconstruction after skin cancer resection. The goal was to identify areas of common ground and provide evidence-based recommendations to improve patient care. Given the heterogeneity of reconstructive techniques and clinical scenarios, investigation centered around common elements in the process. In some cases, a distinction was made between treatment options in the office-based setting as opposed to those in the facility setting. A systematic literature review was performed, and an established appraisal process was used to rate the quality of relevant scientific research (Grading of Recommendations Assessment, Development, and Evaluation methodology). Final recommendations are related to concepts concerning the timing of reconstruction, management of anticoagulation, use of antibiotics, methods of pain control, and follow-up assessment. At times, there was insufficient evidence to make high-level recommendations. The literature analysis highlights the need for additional methodologically robust studies in this area, to help guide clinical practice.
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| Disclosure: This clinical practice guideline was funded by the American Society of Plastic Surgeons with support from the American Society for Dermatologic Surgery; no outside commercial funding was received to support the development of this document. Each organization paid travel expenses for members to attend face-to-face meetings. For detailed disclosures for each author, see the Disclosure Appendix at the end of this article. |
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| This article has been co-published with permission in the Plastic and Reconstructive Surgery, Dermatologic Surgery, and the Journal of the American Academy of Dermatology. All rights reserved in respect of American Society of Plastic Surgeons, American Society for Dermatologic Surgery, American Academy of Dermatology, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaiyngology—Head and Neck Surgery, American College of Mohs Surgery, American Society for Mohs Surgery, and American Society of Ophthalmic Plastic and Reconstructive Surgery. |
Vol 85 - N° 2
P. 423-441 - agosto 2021 Ritorno al numero
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