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The aim of this study is to conduct a retrospective quality audit of sentinel lymph nodal biopsy (SLNB) practices from 2007 to 2019 of a high\u2010volume melanoma surgeon. Primary outcome was false negative rate (FNR). Secondary outcomes were sentinel node (SN) identification and removal rate, and complication rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A database was maintained, containing <jats:italic>n<\/jats:italic>\u00a0=\u00a0553 consecutive SLNB's for cutaneous melanoma from 31 August 2007 to 31 August 2019. Patient characteristics and details of the primary lesion, sentinel lymph node biopsy, recurrence and complications were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>SN's were successfully identified in 444 (99.6%) out of 446 patients with an FNR of 9.1%. Positive SN's were identified in 70 (12.7%) SLNB's. Complications occurred in 76 out of 553 (13.7%) SLNB's. A review of internationally published literature reveals an SN identification rate of 94.4\u201399.5% with an FNR of 4.0\u201337.5%. SLNB is the best staging tool for melanoma and gives potential access to adjuvant systemic treatment if &gt;1\u2009mm deposits are found. It is a day\u2010stay procedure with a low\u2010complication rate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>SLNB is a safe and reliable procedure utilized for cutaneous melanoma. We propose our data should be used alongside international SN series to establish Quality Performance Indicators to improve melanoma management.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.16914","type":"journal-article","created":{"date-parts":[[2021,5,7]],"date-time":"2021-05-07T14:44:08Z","timestamp":1620398648000},"page":"2644-2649","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Proposed quality performance indicators of sentinel lymph node biopsy for cutaneous melanoma"],"prefix":"10.1111","volume":"91","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2724-5310","authenticated-orcid":false,"given":"Daniel","family":"Wen","sequence":"first","affiliation":[{"name":"Faculty of Medical and Health Sciences University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard C.W.","family":"Martin","sequence":"additional","affiliation":[{"name":"Department of Cutaneous Oncology North Shore Hospital, Waitemat\u0101 District Health Board  Auckland New Zealand"},{"name":"Melanoma Unit  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,5,6]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.15510"},{"key":"e_1_2_8_3_1","first-page":"563","volume-title":"AJCC Cancer Staging Manual","author":"Gershenwald J","year":"2016"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21409"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2019.06.020"},{"key":"e_1_2_8_6_1","first-page":"1","volume-title":"Clinical Practice Guidelines for the Management of Melanoma in Australia and New Zealand","author":"Australian Cancer Network Melanoma Guidelines Revision Working Party","year":"2008"},{"key":"e_1_2_8_7_1","first-page":"1","volume-title":"Standards of Service Provision for Melanoma Patients in New Zealand \u2010 Provisional","author":"National Melanoma Tumour Standards Working Group","year":"2013"},{"key":"e_1_2_8_8_1","unstructured":"Cancer Council Australia Clinical Guidelines Network.Clinical Practice Guidelines for the Diagnosis and Management of Melanoma.2020. 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