{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T18:54:24Z","timestamp":1787424864056,"version":"build-2736575974"},"reference-count":17,"publisher":"CSIRO Publishing","issue":"3","license":[{"start":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T00:00:00Z","timestamp":1747785600000},"content-version":"vor","delay-in-days":756,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,9,27]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Melanoma is a serious type of skin cancer with a high burden in New Zealand. MelNet Quality Statements (2021) guide the timeliness of investigations and management for melanoma patients, who might experience long delays waiting for treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To assess compliance of melanoma diagnosis and treatment timeliness with the MelNet Quality Statements at Waikato Hospital and in primary care for melanoma and melanoma in situ (MIS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This is a retrospective clinical audit of patients referred via the Suspected Skin Cancer (SSC) teledermatology pathway between June 2020 and June 2022, and histologically confirmed as having melanoma or MIS. Time intervals between elements of service were analysed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>For 43 melanomas and 105 MIS, compliance with MelNet Quality Statements across all melanoma services was poor, except for teledermatology response rates (100% compliance). From referral to first cancer treatment (Statement 2.1.1), compliance was 50% in general practice and 7.7% in Waikato Hospital. From teledermatologist response to biopsy (Statement 2.1.3), compliance was 65.2% in general practice and 7.7% in hospital plastics department. Histopathological reporting delays were also identified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Long delays for melanoma care in hospital likely reflect system failures (such as inadequate funding and human resources) and the increasing burden of skin cancer. In contrast, primary care provided quicker diagnostic biopsies and surgical treatments for melanoma.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/hc23013","type":"journal-article","created":{"date-parts":[[2023,4,26]],"date-time":"2023-04-26T00:31:50Z","timestamp":1682469110000},"page":"267-273","source":"Crossref","is-referenced-by-count":4,"title":["Timeliness of diagnosis and treatment of cutaneous melanoma with dermatology, general practice, plastics surgery collaboration \u2013 are we meeting standards?"],"prefix":"10.1071","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2016-389X","authenticated-orcid":true,"given":"Haein","family":"Na","sequence":"first","affiliation":[{"name":"ATe Whatu Ora Waitemat\u0101, 124 Shakespeare Road, Takapuna, Auckland 0620, New Zealand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9461-2790","authenticated-orcid":true,"given":"Amanda","family":"Oakley","sequence":"additional","affiliation":[{"name":"BTe Whatu Ora Waikato, 183 Pembroke Street, Hamilton 3204, New Zealand."},{"name":"CFaculty of Medicine and Health Sciences, The University of Auckland, Auckland, New Zealand."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"67","published-online":{"date-parts":[[2023,4,26]]},"reference":[{"issue":"5","key":"2025111817153207300_R1","doi-asserted-by":"publisher","first-page":"495","DOI":"10.1001\/jamadermatol.2022.0160","article-title":"Global burden of cutaneous melanoma in 2020 and projections to 2040.","volume":"158","author":"Arnold","year":"2022","journal-title":"JAMA Dermatol"},{"key":"2025111817153207300_R2"},{"issue":"22","key":"2025111817153207300_R3","doi-asserted-by":"publisher","DOI":"10.3390\/cancers13225828","article-title":"Remote skin cancer diagnosis: adding images to electronic referrals is more efficient than waitlisting for a nurse-led Imaging Clinic.","volume":"13","author":"Jones","year":"2021","journal-title":"Cancers"},{"key":"2025111817153207300_R4"},{"key":"2025111817153207300_R5"},{"issue":"1462","key":"2025111817153207300_R6","first-page":"54","article-title":"Cutaneous melanoma: an audit of management timeliness against New Zealand guidelines.","volume":"130","author":"Brian","year":"2017","journal-title":"N Z Med J"},{"key":"2025111817153207300_R7"},{"key":"2025111817153207300_R8"},{"issue":"5","key":"2025111817153207300_R9","doi-asserted-by":"publisher","first-page":"1101","DOI":"10.1016\/j.bjps.2020.11.014","article-title":"Achieving 62-day targets in the management of skin cancer: lessons learned and future directions for the post-COVID era.","volume":"74","author":"Kiely","year":"2021","journal-title":"J Plast Reconstr Aesthetic Surg"},{"issue":"1509","key":"2025111817153207300_R10","first-page":"17","article-title":"Quality assessment of a large primary GP skin cancer service in Auckland, New Zealand.","volume":"133","author":"Wen","year":"2020","journal-title":"N Z Med J"},{"issue":"1","key":"2025111817153207300_R11","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1046\/j.1365-2133.2002.04815.x","article-title":"The time from diagnostic excision biopsy to wide local excision for primary cutaneous malignant melanoma may not affect patient survival.","volume":"147","author":"Mckenna","year":"2002","journal-title":"Br J Dermatol"},{"issue":"1","key":"2025111817153207300_R12","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1016\/j.jaad.2017.08.039","article-title":"Determination of the impact of melanoma surgical timing on survival using the National Cancer Database.","volume":"78","author":"Conic","year":"2018","journal-title":"J Am Acad 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Dermatol"},{"issue":"1","key":"2025111817153207300_R16","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1111\/j.1440-0960.2011.00836.x","article-title":"Better, sooner, more convenient: a successful teledermoscopy service.","volume":"53","author":"Lim","year":"2011","journal-title":"Australas J Dermatol"},{"issue":"7","key":"2025111817153207300_R17","doi-asserted-by":"publisher","first-page":"644","DOI":"10.1001\/jamadermatol.2017.0204","article-title":"Creation of an internal teledermatology store-and-forward system in an existing electronic health record.","volume":"153","author":"Carter","year":"2017","journal-title":"JAMA Dermatol"}],"container-title":["The Journal of Primary Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/hc\/article-pdf\/15\/3\/267%20\/220590\/hc23013.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/hc\/article-pdf\/15\/3\/267%20\/220590\/hc23013.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T22:15:39Z","timestamp":1763504139000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/hc\/article\/15\/3\/267%20\/34322\/Timeliness-of-diagnosis-and-treatment-of-cutaneous"}},"subtitle":[],"editor":[{"given":"Tim","family":"Stokes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2023,4,26]]},"references-count":17,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023,4,26]]},"published-print":{"date-parts":[[2023,9,27]]}},"URL":"https:\/\/doi.org\/10.1071\/hc23013","relation":{},"ISSN":["1172-6156"],"issn-type":[{"value":"1172-6156","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,26]]}}}