Mind the Gap: A Questionnaire on the Distance between Diagnostic Advances and Clinical Practice in Skin Cancer Treatment
- PMID: 38256415
- PMCID: PMC10819365
- DOI: 10.3390/medicina60010155
Mind the Gap: A Questionnaire on the Distance between Diagnostic Advances and Clinical Practice in Skin Cancer Treatment
Abstract
Background and Objectives: Significant progress has been made in skin cancer diagnosis, with a surge in available technologies in recent years. Despite this, the practical application and integration of these technologies in dermatology and plastic surgery remain uneven. Materials and Methods: A comprehensive 20-question survey was designed and distributed using online survey administration software (Google Forms, 2018, Google, Mountain View, CA, USA) from June 2023 to September 2023. The survey aimed to assess the knowledge and utilization of dermatologic diagnostic advancements among plastic surgeons in various European countries. Results: Data were obtained from 29 plastic surgeons across nine European countries, revealing a notable gap between diagnostic technologies and their routine use in surgical practice. The gap for some technologies was both cognitive and applicative; for electrical impedance spectroscopy (EIS) and multispectral imaging, only 6.9% of the sample knew of the technologies and no surgeons in the sample used them. In the case of other technologies, such as high-frequency ultrasound (HFUS), 72.4% of the sample knew about them but only 34.5% used them, highlighting a more significant application problem. Conclusions: Spotlighting this discrepancy provides a valuable foundation for initiating collaborative efforts between units and facilitating knowledge exchange among diverse specialists. This, in turn, contributes to advancing clinical practice by integrating the innovative opportunities presented by ongoing research.
Keywords: Europe; dermato-oncology; dermatology; plastic; search engine; software; surgeons; surgery; surveys and questionnaires.
Conflict of interest statement
The authors declare no conflicts of interest.
Figures





Similar articles
-
The evolving field of Dermato-oncology and the role of dermatologists: Position Paper of the EADO, EADV and Task Forces, EDF, IDS, EBDV-UEMS and EORTC Cutaneous Lymphoma Task Force.J Eur Acad Dermatol Venereol. 2020 Oct;34(10):2183-2197. doi: 10.1111/jdv.16849. Epub 2020 Aug 24. J Eur Acad Dermatol Venereol. 2020. PMID: 32840022 Review.
-
How Can We Improve Education of Breast Surgeons Across Europe?Chirurgia (Bucur). 2017 Jul-Aug;112(4):365-366. doi: 10.21614/chirurgia.112.4.365. Chirurgia (Bucur). 2017. PMID: 28862111 Review.
-
ESPRAS Survey: National and European Societies for Plastic Surgeons.Handchir Mikrochir Plast Chir. 2024 Apr;56(2):156-165. doi: 10.1055/a-2250-2800. Epub 2024 Mar 7. Handchir Mikrochir Plast Chir. 2024. PMID: 38452796 English.
-
A Review of Noninvasive Techniques for Skin Cancer Detection in Dermatology.Am J Clin Dermatol. 2020 Aug;21(4):513-524. doi: 10.1007/s40257-020-00517-z. Am J Clin Dermatol. 2020. PMID: 32383142 Review.
-
The future of Cochrane Neonatal.Early Hum Dev. 2020 Nov;150:105191. doi: 10.1016/j.earlhumdev.2020.105191. Epub 2020 Sep 12. Early Hum Dev. 2020. PMID: 33036834
Cited by
-
Cutaneous Oncology: Strategies for Melanoma Prevention, Diagnosis, and Therapy.Cancer Control. 2024 Jan-Dec;31:10732748241274978. doi: 10.1177/10732748241274978. Cancer Control. 2024. PMID: 39133519 Free PMC article. Review.
-
Squamous Cell Carcinoma of the Thumb: Misdiagnosis and Consequences.J Clin Med. 2025 Jun 30;14(13):4640. doi: 10.3390/jcm14134640. J Clin Med. 2025. PMID: 40649014 Free PMC article.
-
Huriez Syndrome and SCC Risk: A Narrative Review Highlighting Surgical Challenges and Oncologic Considerations.J Clin Med. 2025 Jul 23;14(15):5214. doi: 10.3390/jcm14155214. J Clin Med. 2025. PMID: 40806836 Free PMC article. Review.
References
-
- WHO Cancer Today, International Agency for Research on Cancer. [(accessed on 25 September 2023)]. Available online: https://gco.iarc.fr/today/online-analysis-table?v=2020&mode=cancer&mode_....
-
- ECIS—European Cancer Information System. [(accessed on 12 September 2023)]. Available online: https://ecis.jrc.ec.europa.eu/explorer.php?$0-0$1-All$2-All$4-1,2$3-27$6....
-
- American Cancer Society . Facts & Figures 2023. American Cancer Society; Atlanta, GA, USA: 2023. [(accessed on 13 September 2023)]. Available online: https://www.cancer.org/cancer/types/melanoma-skin-cancer/about/key-stati....
-
- Malvehy J., Hauschild A., Curiel-Lewandrowski C., Mohr P., Hofmann-Wellenhof R., Motley R., Berking C., Grossman D., Paoli J., Loquai C., et al. Clinical performance of the Nevisense system in cutaneous melanoma detection: An international, multicentre, prospective and blinded clinical trial on efficacy and safety. Br. J. Dermatol. 2014;171:1099–1107. doi: 10.1111/bjd.13121. - DOI - PMC - PubMed
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
Miscellaneous