{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T18:35:56Z","timestamp":1785522956880,"version":"3.56.0"},"reference-count":24,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T00:00:00Z","timestamp":1679875200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Sentinel node biopsy (SNB) has evolved from offering staging and prognostication to a procedure that guides therapeutic management. The aim was to evaluate the rate of SNB for patients with high\u2010risk melanoma and assess factors that may have impacted on the procedure being performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data of patients with primary invasive cutaneous melanoma from 01 January 2009 to 31 December 2019 were obtained from the Queensland Oncology Repository. High\u2010risk melanoma was defined as \u22650.8\u2009mm thick or\u2009&lt;\u20090.8\u2009mm with ulceration present (AJCC eighth edition pT1<jats:sub>b<\/jats:sub>\u2013pT<jats:sub>4<\/jats:sub>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>14\u2009006 (33.8%) of 41\u2009412 patients diagnosed with cutaneous invasive melanoma were in the high\u2010risk group. 2923(20.9%) patients had SNB, with the rate increasing from 14.2% (2009) to 36.8% (2019) (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.002), and an increasing proportion being performed in public hospitals over the 11\u2009year period (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.02). Older age (OR0.96 (0.959\u20130.964) (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001)), female (OR0.91 (0.830\u20130.998) (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.03)), head and neck primary (OR0.38 (0.33\u20130.45) (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001)), and pT<jats:sub>1b<\/jats:sub> (OR0.22 (0.19\u20130.25) (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001)) were factors associated with SNB not being performed. Travel out of the Hospital and Health Services of residence for SNB occurred in 26.2%. Although the travel rate decreased from 24.7% (2009) to 23.0% (2019) (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.04), the absolute number increased due to the increase in SNB rate. Those most likely to travel were younger, from remote areas, or from affluent backgrounds.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In this first Australian population\u2010based study, there was an increased adherence to SNB guideline, although overall SLNB rates remain low, with nearly 2\/3 of eligible cases not having the procedure in 2019. Although travel rates decreased marginally, the overall number increased. This study highlights the crucial need to further improve access to SNB for melanoma surgery for the Queensland population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.18372","type":"journal-article","created":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T17:23:21Z","timestamp":1679937801000},"page":"2172-2179","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Trends and patterns of care of sentinel node biopsy in cutaneous melanoma: a <scp>population\u2010based<\/scp> study in <scp>Queensland<\/scp>"],"prefix":"10.1111","volume":"93","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5029-0569","authenticated-orcid":false,"given":"Jessica","family":"Wong","sequence":"first","affiliation":[{"name":"Queensland Melanoma Project Princess Alexandra Hospital  Brisbane Australia"},{"name":"Academy of Surgery The University of Queensland, Medical School  Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Moore","sequence":"additional","affiliation":[{"name":"Cancer Alliance Queensland Princess Alexandra Hospital  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H. Peter","family":"Soyer","sequence":"additional","affiliation":[{"name":"Frazer Institute, Dermatology Research Centre The University of Queensland  Brisbane Queensland Australia"},{"name":"Department of Dermatology Princess Alexandra Hospital  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Mar","sequence":"additional","affiliation":[{"name":"Victorian Melanoma Service Alfred Health  Melbourne Queensland Australia"},{"name":"School of Public Health and Preventive Medicine Monash University  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8333-8685","authenticated-orcid":false,"given":"B. Mark","family":"Smithers","sequence":"additional","affiliation":[{"name":"Queensland Melanoma Project Princess Alexandra Hospital  Brisbane Australia"},{"name":"Academy of Surgery The University of Queensland, Medical School  Herston Queensland Australia"},{"name":"Cancer Alliance Queensland Princess Alexandra Hospital  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,3,27]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Cancer Council.Melanoma. Available from URL:https:\/\/www.cancer.org.au\/cancer-information\/types-of-cancer\/melanoma."},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.31141"},{"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":"10.1056\/NEJMoa060992"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1910836"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1904059"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.17051"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajd.12662"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-017-5890-7"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.24013"},{"key":"e_1_2_8_12_1","unstructured":"Queensland Health.Hospital and Health Service maps: Queensland Government.2022. Available from URL:https:\/\/www.health.qld.gov.au\/maps."},{"key":"e_1_2_8_13_1","unstructured":"Australian Bureau of Statistics.Statistical Area Level 2.2022. Available from URL:https:\/\/www.abs.gov.au\/statistics\/standards\/australian\u2010statistical\u2010geography\u2010standard\u2010asgs\u2010edition\u20103\/jul2021\u2010jun2026\/main\u2010structure\u2010and\u2010greater\u2010capital\u2010city\u2010statistical\u2010areas\/statistical\u2010area\u2010level\u20102."},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-014-3764-9"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-019-07783-0"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.3747\/co.26.5123"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.31128\/AJGP-10-19-5138"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-99950-1"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.26565"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1709030"},{"key":"e_1_2_8_21_1","unstructured":"US Food and Drug Administration.FDA grants regular approval to nivolumab for adjuvant treatment of melanoma.2017. Available from URL:https:\/\/www.fda.gov\/drugs\/resources-information-approved-drugs\/fda-grants-regular-approval-nivolumab-adjuvant-treatment-melanoma."},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1802357"},{"key":"e_1_2_8_23_1","unstructured":"Department of Health and Aged Care.Government strengthens support for melanoma patients with breakthrough treatment expanded on PBS.2020. Available from URL:https:\/\/www.health.gov.au\/ministers\/the\u2010hon\u2010greg\u2010hunt\u2010mp\/media\/government\u2010strengthens\u2010support\u2010for\u2010melanoma\u2010patients\u2010with\u2010breakthrough\u2010treatment\u2010expanded\u2010on\u2010pbs."},{"key":"e_1_2_8_24_1","unstructured":"Queensland Government Statistician's Office.Queensland regions compared Census 2016.2022. Available from URL:https:\/\/www.qgso.qld.gov.au\/issues\/3246\/qld-regions-compared-census-2016.pdf."},{"key":"e_1_2_8_25_1","unstructured":"Department of Health. The health of QueenslandersReport of the Chief Health Officer Queensland 2020.2020. 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