Frequently Asked Questions
Q1: I have submitted my completed proforma - when will I receive my acknowledgment letter?
A1: You will receive an acknowledgment letter after the deadline, and once we have checked and verified your data and personal details.
Q2: Why is the data collection method different from previous BAD national audits?
A2: Previous national audits involved retrospective data collection for just 3 patients and Survey Monkey is a convenient web-based platform for such data entry. However, members are encouraged to collect their data prospectively for this audit, and for 10 patients. Therefore, a downloadable Excel-based proforma was felt to be a more appropriate tool.
Q3: Can I use the proforma as a continuous data collection tool for my personal, surgical practice?
A3: Members are encouraged to use the proforma to actively collect their data and maintain a record of surgical activity and outcome.
Q4: Does the pre-operative clinical diagnosis determine eligibility for inclusion in this audit, or subsequent histologically confirmed diagnosis?
A4: Eligibility for inclusion is determined by pre-operative clinical diagnosis; there should then be no incomplete excisions based on mistaken clinical diagnosis.
Q5: In the proforma, the options for the histology column include "melanoma" and "benign lesions" - are patients with suspected NMSC pre-operatively but with confirmed melanoma (or benign) histologically to be included?
Q6: In the proforma, the margins for clearance were very specific; at my hospital they are only specified as being ">1 mm" if clear and no more - what do I do?
A6: Please use the comments column to indicate this.
Q7: What does non-melanoma skin cancer refer to for this audit?
A7: Non-melanoma skin cancer refers to invasive tumours only, e.g. BCC and SCC, and excludes Bowen’s disease and actinic keratosis.
Q8: The clinician carrying out the surgery is not necessarily the clinician who made the initial pre-operative diagnosis - who should fill in the proforma?
A8: This audit is for 10 sequential lesions personally excised and can be used as a record for personal excision quality. This may limit uptake amongst consultants, but will increase uptake from non-consultants, skin surgery nurses and trainees who we hope to get involved as they are a big part of service delivery especially so in larger centres.
Q9: What are the audit standards on which this national audit is based?
A9: The audit standards are an amalgamation of BAD quantitative (auditable) standards for both major kinds of NMSC and are derived from BAD clinical guidelines for the management of BCC and SCC.
Q10: What is this audit for and what does the BAD hope to achieve with this national audit?
A10: Firstly, this audit is to enable members to participate in a national audit with BAD assistance. Secondly, it is to determine the appetite amongst the membership for collecting their own skin cancer data. Thirdly, we hope to provide a snapshot of the complexity of surgery and case mix of patients operated upon by BAD members. In the longer term, the BAD will be considering on providing a portal for members to undertake data collection with a view to establishing a personal log to contribute to appraisals.
Q11: Can I enter my 10 sets of patient data as a mix of prospective and retrospective cases?
A11: Yes you can - please indicate this in the appropriate column.
Q12: I wanted to enter free texts in relevant fields but an error message came up - what do I do?
A12: MANY of the columns in the spreadsheet proforma have pre-loaded dropdown options for you to choose from - please use these instead of entering free texts.
Q13. Can plastic surgeons contribute to this audit as the excisions are also done by them at my hospital?
A13. Yes they can - please select the appropriate clinician grade from the dropdown options.
Q14: Is it necessary to enter in patients' initials or unit numbers?
A14: Columns C and D with patient initials and unit number are optional for ease of local collation. Before submitting the completed proforma, they should be deleted from the spread sheet.