Guía de atención integral con evaluación económica para la prevención, el diagnóstico, el tratamiento y el seguimiento del cáncer de piel no melanoma: carcinoma escamocelular

Objective: To generate recommendations for the prevention, diagnosis, treatment and follow-up for the non-melanoma skin cancer basal cell carcinoma, with the aim of providing support for the health professionals in the different services in charge of its attention, looking to guarantee integral, homogeneous attention, with quality, equity and efficiency for the patients with this pathology; as well as generating follow-up indicators to the guide’s recommendation in accordance with the national context. Materials and methods: The Guide Development Group was formed by an interdisciplinary group of professionals and patient representatives. Reach, objectives, questions, and outcomes for the guide were defined. A guide search about handling basal cell carcinoma was performed, but none of the guides found was found to be adaptable, therefore writing a guide de novo was decided. A literature search was performed, including systematic reviews-meta-analyses, clinical trials, cohort studies, and case-control studies in the Medline (via Pubmed and Ovid), Embase and Central (via Ovid) databases. The methodological quality of the selected articles was evaluated. Subsequently, evidence tables were made through the GRADEpro® 3.6 software and recommendations were generated under the GRADE technology through experts’ consensus. Results: Primary prevention, secondary prevention, treatment (surgical and non-surgical) as well as basal cell carcinoma follow-up recommendations are presented. Additionally, several general questions are presented which serve the reader to be contextualized in the subject of clinical practice guides, but which do not generate recommendations. Conclusions: It is considered that the recommendations relating to prevention are a priority in the guide’s implementation process. Four auditing indicators for the clinical practice guide are presented relating to prevention, diagnosis, and treatment.