Criterion |
Inclusion |
Exclusion |
Study design |
For diagnostic and staging reviews
|
< 5 melanoma cases (diagnosis reviews)
< 10 participants (staging reviews)
Studies developing new criteria for diagnosis unless a separate 'test set' of images were used to evaluate the criteria (mainly digital dermoscopy)
Studies using 'normal' skin as controls
Letters, editorials, comment papers, narrative reviews
Insufficient data to construct a 2×2 table
|
Target condition |
|
|
Population |
For diagnostic reviews
Adults with a skin lesion suspicious for melanoma, BCC, or cSCC (other terms include PSL/naevi, melanocytic, keratinocyte, etc.)
Adults at high risk of developing melanoma skin cancer, BCC, or cSCC
For staging reviews
|
|
Index tests |
For diagnosis
Visual inspection/clinical examination
Dermoscopy/dermatoscopy
Teledermoscpoy
Smartphone/mobile phone applications
Digital dermoscopy/artificial intelligence
Confocal microscopy
Ocular coherence tomography
Exfoliative cytology
High‐frequency ultrasound
Canine odour detection
DNA expression analysis/gene chip analysis
Other
For staging
Any test combination and in any order Any test positivity threshold Any variation in testing procedure (e.g. radioisotope used) |
Sentinel lymph biopsy for therapeutic rather than staging purposes
Tests to determine melanoma thickness
Tests to determine surgical margins/lesion borders
Tests to improve histopathology diagnose
LND
|
Reference standard |
For diagnostic studies
Histopathology of the excised lesion
Clinical follow‐up of non‐excised/benign appearing lesions with later histopathology if suspicious
Expert diagnosis (studies should not be included if expert diagnosis is the sole reference standard)
For studies of imaging tests for staging
Histopathology (via LND or SLMB)
Clinical/radiological follow‐up
A combination of the above
For studies of SLNB accuracy for staging
LND of both SLN+ and SLn participants to identify all diseased nodes
LND of SLN+ participants and follow‐up of SLN participants to identify a subsequent nodal recurrence in a previously investigated nodal basin
|
For diagnostic studies
Exclude if any disease positive participants have diagnosis unconfirmed by histology
Exclude if > 50% of disease‐negative participants have diagnosis confirmed by expert opinion with no histology or follow‐up
Exclude studies of referral accuracy, i.e. comparing referral decision with expert diagnosis, unless evaluations of teledermatology or mobile phone applications
|
BCC: basal cell carcinoma; cSCC: cutaneous squamous cell carcinoma; CT: computed tomography; FNAC: fine needle aspiration cytology; lND: lymph node dissection; MRI: magnetic resonance imaging; PET: positron emission tomography; PET‐CT: positron emission tomography computed tomography; RCT: randomised controlled trial; SCC: squamous cell carcinoma; SLN+: positive sentinel lymph node; SLn: negative sentinel lymph node; SLNB: sentinel lymph node biopsy. |