STUDY ONLINE FIRST Clinical and Sociodemographic Characteristics Associated With Thick Melanomas A Population-Based, Case-Case Study in France Florent Grange, MD, PhD; Coralie Barbe, MD; Francois Aubin, MD, PhD; Dan Lipsker, MD, PhD; Florence Granel-Brocard, MD; Michel Velten, MD, PhD; Sophie Dalac, MD; Franc ¸ois Truchetet, MD; Catherine Michel, MD; Audrey Mitschler, MD; Gwendoline Arnoult, MSc; Antoine Buemi, MD; Ste ´phane Dalle, MD, PhD; Philippe Bernard, MD, PhD; Anne-Sophie Woronoff, MD Objective: To identify clinical and sociodemographic Results: Among 898 melanomas, 149 (16.6%) were factors associated with very thick melanoma (VTM) (Bres- VTMs. Very thick melanomas were more often diag- low thickness, 3 mm) in France. nosed in a general-practice setting than thinner melano- mas. The rate of immediate clinical recognition by der- Author Affil Design: Retrospective, population-based, case-case study matologists was lower for VTMs than for thinner Dermatologi using a survey of cancer registries and questionnaires to melanomas. In a multivariate logistic regression analy- Robert Debre practitioners. sis, factors associated with VTM were the nodular and (Drs Grange acrolentiginous types; the head and neck and lower limb Unite ´ d’Aide Setting: Five regions covering 19.2% of the French ter- locations; older age; male sex; and being single, sepa- Ho
JAMA Dermatology – American Medical Association
Published: Dec 1, 2012
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