Development of a core outcome set for basal cell carcinoma

Daniel I Schlessinger, Kelly A Reynolds, McKenzie A Dirr, Sarah A Ibrahim, Arianna F Yanes, Jake M Lazaroff, Victoria Godinez-Puig, Brian R Chen, Anastasia O Kurta, Jill K Cotseones, Sarah G Chiren, Karina C Furlan, Sanjana Iyengar, Ramona Behshad, Danielle M DeHoratius, Pablo Denes, Aaron M Drucker, Leonard M Dzubow, Jeremy R Etzkorn, Catherine A HarwoodJohn Y S Kim, Naomi Lawrence, Erica H Lee, Gary S Lissner, Ashfaq A Marghoob, Rubeta N Matin, Adam R Mattox, Bharat B Mittal, J Regan Thomas, Xiaolong Alan Zhou, David Zloty, Jochen Schmitt, Jamie J Kirkham, April W Armstrong, Nicole Basset-Seguin, Elizabeth M Billingsley, Jeremy S Bordeaux, Jerry Brewer, Marc Brown, Mariah Brown, Scott A B Collins, Maria Concetta Fargnoli, Sergio Jobim De Azevedo, Reinhard Dummer, Alexander Eggermont, Glenn D Goldman, Merete Haedersdal, Elizabeth Hale, Allison Hanlon, Kelly L Harms, Conway C Huang, Eva A Hurst, Gino K In, Nicole Kelleners-Smeets, Meenal Kheterpal, Barry Leshin, Michel Mcdonald, Stanley J Miller, Alexander Miller, Eliot N Mostow, Myrto Trakatelli, Kishwer S Nehal, Desiree Ratner, Howard Rogers, Kavita Y Sarin, Seaver L Soon, Thomas Stasko, Paul A Storrs, Luca Tagliaferri, Allison T Vidimos, Sandra L Wong, Siegrid S Yu, Iris Zalaudek, Nathalie C Zeitouni, John A Zitelli, Emily Poon, Joseph F Sobanko, Todd V Cartee, Ian A Maher, Murad Alam*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

BACKGROUND: There is variation in the outcomes reported in clinical studies of basal cell carcinoma (BCC). This can prevent effective meta-analyses to answer important clinical questions.

OBJECTIVE: To identify a recommended minimum set of core outcomes for BCC clinical trials.

METHODS: Patient and professional Delphi process to cull a long-list, culminating in a consensus meeting. To be provisionally accepted, outcomes needed to be deemed 'important' (score: 7-9, of maximum of 9) by 70% of each stakeholder group.

RESULTS: 235 candidate outcomes identified via a systematic literature review and survey of key stakeholders were reduced to 74 that were rated by 100 health care professionals and patients in two Delphi rounds. 27 outcomes were provisionally accepted. The final core set of 5 agreed-upon outcomes after the consensus meeting was: complete response; persistent or serious adverse events; recurrence-free survival; quality of life; and patient satisfaction, including with cosmetic outcome.

LIMITATIONS: English-speaking patients and professionals rated outcomes extracted from English-language studies.

CONCLUSIONS: A core outcome set (COS) for basal cell carcinoma has been developed. Use of relevant measures may improve the utility of clinical research and the quality of therapeutic guidance available to clinicians.

Original languageEnglish
Pages (from-to)573-581
Number of pages9
JournalJournal of the American Academy of Dermatology
Volume87
Issue number3
Early online date9 May 2022
DOIs
Publication statusPublished - Sept 2022

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