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Factors Associated With the Number of Lesions Excised for Each Skin Cancer

Factors Associated With the Number of Lesions Excised for Each Skin Cancer STUDY Factors Associated With the Number of Lesions Excised for Each Skin Cancer A Study of Primary Care Physicians in Queensland, Australia Peter D. Baade, PhD; Philippa H. Youl, MPH; Monika Janda, PhD; David C. Whiteman, PhD; Christopher B. Del Mar, MD; Joanne F. Aitken, PhD Objective: To assess physician, patient, and skin le- lesions only) and NNE for 1 nonmelanoma skin cancer sion characteristics that affect the number of benign skin (nonpigmented lesions only). lesions excised by primary care physicians for each skin cancer. Results: The NNE for nonpigmented lesions (n=8139) was 1.5 (95% confidence interval, 1.4-1.6) and for pig- Design: Prospective study collecting clinical, patient, and mented lesions (n=2977) was 19.6 (16.2-22.9). The NNE histopathologic details of excisions or biopsies of skin estimates were up to 8 times lower if the physician thought lesions by random samples of primary care physicians. the lesion was likely to be malignant and up to 2.5 times higher if there was strong patient pressure to excise. The Setting: Southeast Queensland involving traditional fam- NNE estimates varied by other physician-, patient-, and ily medicine physicians (n=104; response rate,53.9%) lesion-related variables. and family medicine physicians working in 27 primary care skin cancer clinics http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Dermatology American Medical Association

Factors Associated With the Number of Lesions Excised for Each Skin Cancer

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Publisher
American Medical Association
Copyright
Copyright 2008 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6068
eISSN
2168-6084
DOI
10.1001/archderm.144.11.1468
pmid
19015421
Publisher site
See Article on Publisher Site

Abstract

STUDY Factors Associated With the Number of Lesions Excised for Each Skin Cancer A Study of Primary Care Physicians in Queensland, Australia Peter D. Baade, PhD; Philippa H. Youl, MPH; Monika Janda, PhD; David C. Whiteman, PhD; Christopher B. Del Mar, MD; Joanne F. Aitken, PhD Objective: To assess physician, patient, and skin le- lesions only) and NNE for 1 nonmelanoma skin cancer sion characteristics that affect the number of benign skin (nonpigmented lesions only). lesions excised by primary care physicians for each skin cancer. Results: The NNE for nonpigmented lesions (n=8139) was 1.5 (95% confidence interval, 1.4-1.6) and for pig- Design: Prospective study collecting clinical, patient, and mented lesions (n=2977) was 19.6 (16.2-22.9). The NNE histopathologic details of excisions or biopsies of skin estimates were up to 8 times lower if the physician thought lesions by random samples of primary care physicians. the lesion was likely to be malignant and up to 2.5 times higher if there was strong patient pressure to excise. The Setting: Southeast Queensland involving traditional fam- NNE estimates varied by other physician-, patient-, and ily medicine physicians (n=104; response rate,53.9%) lesion-related variables. and family medicine physicians working in 27 primary care skin cancer clinics

Journal

JAMA DermatologyAmerican Medical Association

Published: Nov 1, 2008

References