Are the MIA and MSKCC nomograms useful in selecting patients with melanoma for sentinel lymph node biopsy?

S. Hosein,Harrison Drebin,N. Kurtansky,R. Olofsson Bagge,D. Coit,E. Bartlett,M. Marchetti

Published 2023 in Journal of Surgical Oncology

ABSTRACT

The Melanoma Institute of Australia (MIA) and Memorial Sloan Kettering Cancer Center (MSKCC) nomograms were developed to help guide sentinel lymph node biopsy (SLNB) decisions. Although statistically validated, whether these prediction models provide clinical benefit at National Comprehensive Cancer Network guideline‐endorsed thresholds is unknown. We conducted a net benefit analysis to quantify the clinical utility of these nomograms at risk thresholds of 5%–10% compared to the alternative strategy of biopsying all patients. External validation data for MIA and MSKCC nomograms were extracted from respective published studies.

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