Evidence-Based Consensus Recommendations for the Evolving Treatment of Patients with High-Risk and Advanced Cutaneous Squamous Cell Carcinoma

Cutaneous squamous cell carcinoma is the second most common skin cancer in the United States. Currently, there is no standardized management approach for patients with cutaneous squamous cell carcinoma who develop metastatic or locally advanced disease and are not candidates for curative surgery or...

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Autores principales: Guilherme Rabinowits, Michael R. Migden, Todd E. Schlesinger, Robert L. Ferris, Morganna Freeman, Valerie Guild, Shlomo Koyfman, Anna C. Pavlick, Neil Swanson, Gregory T. Wolf, Scott M. Dinehart
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Publicado: Elsevier 2021
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Acceso en línea:https://doaj.org/article/7bfa396119cd430f85368f3066722ea1
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spelling oai:doaj.org-article:7bfa396119cd430f85368f3066722ea12021-11-04T04:44:00ZEvidence-Based Consensus Recommendations for the Evolving Treatment of Patients with High-Risk and Advanced Cutaneous Squamous Cell Carcinoma2667-026710.1016/j.xjidi.2021.100045https://doaj.org/article/7bfa396119cd430f85368f3066722ea12021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2667026721000461https://doaj.org/toc/2667-0267Cutaneous squamous cell carcinoma is the second most common skin cancer in the United States. Currently, there is no standardized management approach for patients with cutaneous squamous cell carcinoma who develop metastatic or locally advanced disease and are not candidates for curative surgery or curative radiation. To address this issue, the Expert Cutaneous Squamous Cell Carcinoma Leadership program convened an expert steering committee to develop evidence-based consensus recommendations on the basis of a large, structured literature review. Consensus was achieved through modified Delphi methodology. The steering committee included five dermatologists, three medical oncologists, two head and neck surgeons, one radiation oncologist, and a patient advocacy group representative. The steering committee aligned on the following clinical topics: diagnosis and identification of patients considered not candidates for surgery; staging systems and risk stratification in cutaneous squamous cell carcinoma; the role of radiation therapy, surgery, and systemic therapy in the management of advanced disease, with a focus on immunotherapy; referral patterns; survivorship care; and inclusion of the patient’s perspective. Consensus was achieved on 34 recommendations addressing 12 key clinical questions. The Expert Cutaneous Squamous Cell Carcinoma Leadership steering committee’s evidence-based consensus recommendations may provide healthcare professionals with practically oriented guidance to help optimize outcomes for patients with advanced cutaneous squamous cell carcinoma.Guilherme RabinowitsMichael R. MigdenTodd E. SchlesingerRobert L. FerrisMorganna FreemanValerie GuildShlomo KoyfmanAnna C. PavlickNeil SwansonGregory T. WolfScott M. DinehartElsevierarticleDermatologyRL1-803ENJID Innovations, Vol 1, Iss 4, Pp 100045- (2021)
institution DOAJ
collection DOAJ
language EN
topic Dermatology
RL1-803
spellingShingle Dermatology
RL1-803
Guilherme Rabinowits
Michael R. Migden
Todd E. Schlesinger
Robert L. Ferris
Morganna Freeman
Valerie Guild
Shlomo Koyfman
Anna C. Pavlick
Neil Swanson
Gregory T. Wolf
Scott M. Dinehart
Evidence-Based Consensus Recommendations for the Evolving Treatment of Patients with High-Risk and Advanced Cutaneous Squamous Cell Carcinoma
description Cutaneous squamous cell carcinoma is the second most common skin cancer in the United States. Currently, there is no standardized management approach for patients with cutaneous squamous cell carcinoma who develop metastatic or locally advanced disease and are not candidates for curative surgery or curative radiation. To address this issue, the Expert Cutaneous Squamous Cell Carcinoma Leadership program convened an expert steering committee to develop evidence-based consensus recommendations on the basis of a large, structured literature review. Consensus was achieved through modified Delphi methodology. The steering committee included five dermatologists, three medical oncologists, two head and neck surgeons, one radiation oncologist, and a patient advocacy group representative. The steering committee aligned on the following clinical topics: diagnosis and identification of patients considered not candidates for surgery; staging systems and risk stratification in cutaneous squamous cell carcinoma; the role of radiation therapy, surgery, and systemic therapy in the management of advanced disease, with a focus on immunotherapy; referral patterns; survivorship care; and inclusion of the patient’s perspective. Consensus was achieved on 34 recommendations addressing 12 key clinical questions. The Expert Cutaneous Squamous Cell Carcinoma Leadership steering committee’s evidence-based consensus recommendations may provide healthcare professionals with practically oriented guidance to help optimize outcomes for patients with advanced cutaneous squamous cell carcinoma.
format article
author Guilherme Rabinowits
Michael R. Migden
Todd E. Schlesinger
Robert L. Ferris
Morganna Freeman
Valerie Guild
Shlomo Koyfman
Anna C. Pavlick
Neil Swanson
Gregory T. Wolf
Scott M. Dinehart
author_facet Guilherme Rabinowits
Michael R. Migden
Todd E. Schlesinger
Robert L. Ferris
Morganna Freeman
Valerie Guild
Shlomo Koyfman
Anna C. Pavlick
Neil Swanson
Gregory T. Wolf
Scott M. Dinehart
author_sort Guilherme Rabinowits
title Evidence-Based Consensus Recommendations for the Evolving Treatment of Patients with High-Risk and Advanced Cutaneous Squamous Cell Carcinoma
title_short Evidence-Based Consensus Recommendations for the Evolving Treatment of Patients with High-Risk and Advanced Cutaneous Squamous Cell Carcinoma
title_full Evidence-Based Consensus Recommendations for the Evolving Treatment of Patients with High-Risk and Advanced Cutaneous Squamous Cell Carcinoma
title_fullStr Evidence-Based Consensus Recommendations for the Evolving Treatment of Patients with High-Risk and Advanced Cutaneous Squamous Cell Carcinoma
title_full_unstemmed Evidence-Based Consensus Recommendations for the Evolving Treatment of Patients with High-Risk and Advanced Cutaneous Squamous Cell Carcinoma
title_sort evidence-based consensus recommendations for the evolving treatment of patients with high-risk and advanced cutaneous squamous cell carcinoma
publisher Elsevier
publishDate 2021
url https://doaj.org/article/7bfa396119cd430f85368f3066722ea1
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