Skin Lesions

Introduction

Skin Lesions

General instructions:

Use this tool for patients where an elective/arranged procedure is indicated, the patient wishes it and all non-surgical options have been explored.

Scoring is based on the clinician’s considered view of the patient’s history, examination, investigations and the clinician’s experience in treating like patients.

Special cases

Automatic Priority

An appropriate priority score reflecting the clinically appropriate timeframe for treatment will be automatically assigned for the following cases.

  • Biopsy proven or high clinical suspicion
  • Tumour greater than 2cm in greatest dimension or tumour any size with 2 or more high risk features

Prioritisation

Impact on life
Impact of the lesion on the patient's ability to engage in and enjoy activities which are important to the individual patient (or carer).
Likelihood of deterioration
One or more categories of Impact on life deterioration if surgery delayed more than 5 months.
Likelihood of benefit
Likelihood of achievement of maximal: (a) Reversal of Impact on life, or (b) Reduction in deterioration.
Risk of complications
  • (e.g. Smoking > 20/day, BMI > 40, MI in last 6 months, Cardiac or respiratory failure.)
Avoidable developmental or psycho-social consequence of delaying surgery
Age
Consequence
Avoidable developmental or psycho-social consequence if surgery is delayed.
Surgical window of opportunity
Potential effect if surgery delayed more than 4 months.
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