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Analysis of institutional authors

López-Estebaranz J.l.Author

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February 21, 2025
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Risk Factors and Rate of Recurrence after Mohs Surgery in Basal Cell and Squamous Cell Carcinomas: A Nationwide Prospective Cohort (REGESMOHS, Spanish Registry of Mohs Surgery)

Publicated to:Acta Dermato-Venereologica. 101 (11): - 2021-11-01 101(11), DOI: 10.2340/ACTADV.V101.544

Authors: Tomás-Velázquez A; Sanmartin-Jiménez O; Garcés JR; Rodríguez-Prieto MA; Ruiz-Salas V; Eusebio-Murillo ED; Miñano-Medrano R; Escutia-Muñoz B; Flórez-Menéndez Á; Artola-Igarza JL; Alfaro-Rubio A; Gil P; Delgadojiménez Y; Sánchez-Schmidt JM; Allende-Markixana I; Alonso-Pacheco ML; García-Bracamonte B; Cueva-Dobao PDL; Navarro-Tejedor R; Ciudad-Blanco C; Carnero-González L; Vázquez-Veiga H; Cano-Martínez N; Vilarrasa-Rull E; Sánchez-Sambucety P; López-Estebaranz JL; Botella-Estrada R; González-Sixto B; Martorell-Calatayud A; Morales-Gordillo V; Toll-Abelló A; Ocerin-Guerra I; Mayor-Arenal M; Suárez-Fernández R; Sainz-Gaspar L; Descalzo MA; Garciadoval I; Redondo P

Affiliations

Clínica Universidad de Navarra - Author
Complejo Asistencial Universitario de León - Author
Complejo Hospitalario Universitario de Guadalajara - Author
Complejo Hospitalario Universitario de Santiago - Author
Complexo Hospitalario Universitario de Pontevedra - Author
Fundación Piel Sana Academia Española de Dermatología y Venereología - Author
Fundación Piel Sana Academia Española de Dermatología y Venereología; Complejo Hospitalario Universitario de Vigo - Author
Hospital de Galdakao - Author
Hospital de La Santa Creu I Sant Pau; Centro Medico Teknon - Author
Hospital del Mar - Author
Hospital General Universitario Gregorio Marañón - Author
Hospital General Universitario Gregorio Marañón; Hospital La Zarzuela - Author
Hospital Manises - Author
Hospital Universitari I Politècnic la Fe - Author
Hospital Universitario 12 de octubre - Author
Hospital Universitario Araba - Author
Hospital Universitario de la Princesa - Author
Hospital Universitario Fundación Alcorcón - Author
Hospital Universitario Infanta Leonor - Author
Hospital Universitario Infanta Leonor; Hospital La Zarzuela - Author
Hospital Universitario La Paz - Author
Hospital Universitario Quirónsalud - Author
Hospital Universitario Quirónsalud; Hospital Universitario de la Princesa - Author
Instituto Valenciano de Oncologia - Author
Osakidetza, Cruces University Hospital - Author
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Abstract

Randomized studies to assess the efficacy of Mohs micrographic surgery in basal cell and squamous cell carcinomas are limited by methodological and ethical issues and a lack of long follow-up periods. This study presents the “real-life” results of a nationwide 7-years cohort on basal cell carcinoma and squamous cell carcinoma treated with Mohs micrographic surgery. A prospective cohort was conducted in 22 Spanish centres (from July 2013 to February 2020) and a multivariate analysis, including characteristics of patients, tumours, surgeries and follow-up, was performed. A total of 4,402 patients followed up for 12,111 patientyears for basal cell carcinoma, and 371 patients with 915 patient-years of follow-up for squamous cell carcinoma were recruited. Risk factors for recurrence included age, non-primary tumours and more stages or unfinished surgeries for both tumours, and immunosuppression for squamous cell carcinoma. Incidence rates of recurrence were 1.3 per 100 person-years for basal cell carcinoma (95% confidence interval 1.1– 1.5) and 4.5 for squamous cell carcinoma (95% confidence interval 3.3–6.1), being constant over time (0–5 years). In conclusion, follow-up strategies should be equally intense for at least the first 5 years, with special attention paid to squamous cell carcinoma (especially in immunosuppressed patients), elderly patients, non-primary tumours, and those procedures requiring more stages, or unfinished surgeries.

Keywords

Basal cell carcinomaMohs surgeryRecurrenceRisk factorsSquamous cell carcinoma

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Acta Dermato-Venereologica due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2021, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category Dermatology.

From a relative perspective, and based on the normalized impact indicator calculated from World Citations from Scopus Elsevier, it yields a value for the Field-Weighted Citation Impact from the Scopus agency: 1.14, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: ESI Nov 14, 2024)

This information is reinforced by other indicators of the same type, which, although dynamic over time and dependent on the set of average global citations at the time of their calculation, consistently position the work at some point among the top 50% most cited in its field:

  • Field Citation Ratio (FCR) from Dimensions: 6.11 (source consulted: Dimensions Oct 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-10-09, the following number of citations:

  • Scopus: 10

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-10-09:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 31.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 29 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 3.25.
  • The number of mentions on the social network Facebook: 1 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.

Leadership analysis of institutional authors

This work has been carried out with international collaboration, specifically with researchers from: Mexico.