{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:45:11Z","timestamp":1753875911260,"version":"3.41.2"},"reference-count":0,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2024,1,25]],"date-time":"2024-01-25T00:00:00Z","timestamp":1706140800000},"content-version":"vor","delay-in-days":24,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Welsh Clinical Academic Training Fellowship"},{"DOI":"10.13039\/100011696","name":"The Scar Free Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011696","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012068","name":"Health and Care Research Wales","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012068","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The 2022 National Institute for Health and Care Excellence melanoma guideline update made significant changes to follow-up. The aim of this study was to assess the impact these changes will have on a national melanoma cohort over a 5-year follow-up interval.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Anonymized, individual-level, population-scale, linkable primary and secondary care National Health Service data for an 18-year interval (2000\u20132018) in Wales, UK were analysed. These data were used to predict the number of patients over a 10-year interval (2020\u20132030) that would be diagnosed with melanoma. Follow-up schedules for the 2015 and 2022 National Institute for Health and Care Excellence melanoma guidelines were then used to calculate the number of clinician-led appointments, the number of radiological investigations, and the total healthcare cost between 2025 and 2030, corresponding to a 5-year patient follow-up interval, for those with stage IA\u2013IIC melanoma.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Between 2025 and 2030 it is predicted that implementation of the 2022 guidelines would lead to 21 122 (range 19 194\u201323 083) fewer clinician-led appointments for patients with stage IA\u2013IIC melanoma. However, there would be a significant increase in the number of radiological investigations (7812; range 7444\u20138189). These changes would lead to a \u20ac2.74 million (\u20ac1.87 million\u2013\u20ac3.61 million) reduction in the total cost of follow-up over the interval 2025\u20132030.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Melanoma follow-up guideline changes will result in a substantial reduction in the number of clinical follow-up appointments, but a significant additional burden to radiological services. The overall cost of follow-up at a national level will be reduced.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/bjs\/znad402","type":"journal-article","created":{"date-parts":[[2024,1,25]],"date-time":"2024-01-25T17:11:25Z","timestamp":1706202685000},"source":"Crossref","is-referenced-by-count":0,"title":["Service implications of the revised 2022 National Institute for Health and Care Excellence (NICE) follow-up guidelines for stage IA\u2013IIC melanoma"],"prefix":"10.1093","volume":"111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5176-7741","authenticated-orcid":false,"given":"Thomas D","family":"Dobbs","sequence":"first","affiliation":[{"name":"Reconstructive Surgery and Regenerative Medicine Research Centre, Institute of Life Sciences, Swansea University Medical School , Swansea , UK"},{"name":"Welsh Centre for Burns and Plastic Surgery, Morriston Hospital , Swansea , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathew","family":"Jovic","sequence":"additional","affiliation":[{"name":"Reconstructive Surgery and Regenerative Medicine Research Centre, Institute of Life Sciences, Swansea University Medical School , Swansea , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nattawan","family":"Ekakkaravichit","sequence":"additional","affiliation":[{"name":"St George\u2019s University School of Medicine , St George's University, St George , Grenada {C}%3C!%2D%2D%7C%7CrmComment%7C%7C%3C~show%20%5BAQ%20ID%3DAQ3%5D~%3E%2D%2D%3E"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9917-3432","authenticated-orcid":false,"given":"Stephen R","family":"Ali","sequence":"additional","affiliation":[{"name":"Reconstructive Surgery and Regenerative Medicine Research Centre, Institute of Life Sciences, Swansea University Medical School , Swansea , UK"},{"name":"Welsh Centre for Burns and Plastic Surgery, Morriston Hospital , Swansea , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7944-8347","authenticated-orcid":false,"given":"John A G","family":"Gibson","sequence":"additional","affiliation":[{"name":"Reconstructive Surgery and Regenerative Medicine Research Centre, Institute of Life Sciences, Swansea University Medical School , Swansea , UK"},{"name":"Welsh Centre for Burns and Plastic Surgery, Morriston Hospital , Swansea , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4609-1430","authenticated-orcid":false,"given":"Nader","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Reconstructive Surgery and Regenerative Medicine Research Centre, Institute of Life Sciences, Swansea University Medical School , Swansea , UK"},{"name":"Welsh Centre for Burns and Plastic Surgery, Morriston Hospital , Swansea , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah","family":"Hemington-Gorse","sequence":"additional","affiliation":[{"name":"Welsh Centre for Burns and Plastic Surgery, Morriston Hospital , Swansea , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3922-2079","authenticated-orcid":false,"given":"Iain S","family":"Whitaker","sequence":"additional","affiliation":[{"name":"Reconstructive Surgery and Regenerative Medicine Research Centre, Institute of Life Sciences, Swansea University Medical School , Swansea , UK"},{"name":"Welsh Centre for Burns and Plastic Surgery, Morriston Hospital , Swansea , UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,1,25]]},"container-title":["British Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/111\/1\/znad402\/56419507\/znad402.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/111\/1\/znad402\/56419507\/znad402.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T08:09:23Z","timestamp":1706688563000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/doi\/10.1093\/bjs\/znad402\/7589514"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,1,25]]},"published-print":{"date-parts":[[2024,1,3]]}},"URL":"https:\/\/doi.org\/10.1093\/bjs\/znad402","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"type":"print","value":"0007-1323"},{"type":"electronic","value":"1365-2168"}],"subject":[],"published-other":{"date-parts":[[2024,1]]},"published":{"date-parts":[[2024,1]]},"article-number":"znad402"}}