Geller A C, Koh H K, Miller D R, Clapp R W, Mercer M B, Lew R A
Department of Dermatology, Boston University Schools of Medicine, MA.
J Gen Intern Med. 1992 Mar-Apr;7(2):154-7. doi: 10.1007/BF02598004.
To determine whether persons with melanoma were integrated into the health care system prior to diagnosis.
Population-based survey by mailed questionnaire.
PATIENTS/PARTICIPANTS: 216 persons with malignant melanoma diagnosed in Massachusetts in 1986.
Of the 216 cases, 87% stated that they had regular physicians, 63% had seen those physicians in the year prior to diagnosis, but only 20% had regular dermatologists. Overall, only 24% had examined their own skin prior to diagnosis and 20% reported physician skin examinations.
Persons diagnosed with melanoma reported extensive contact with regular physicians in the year prior to diagnosis. However, most of these persons neither received skin examinations nor examined their own skin during that time. While additional study is necessary to confirm these findings, the authors suggest that physicians caring for patients at risk for melanoma integrate melanoma screening into routine care.
确定黑色素瘤患者在诊断前是否已融入医疗保健系统。
通过邮寄问卷进行基于人群的调查。
患者/参与者：1986年在马萨诸塞州诊断出的216例恶性黑色素瘤患者。
在这216例病例中，87%表示他们有固定的医生，63%在诊断前一年看过这些医生，但只有20%有固定的皮肤科医生。总体而言，只有24%在诊断前检查过自己的皮肤，20%报告有医生进行过皮肤检查。
被诊断为黑色素瘤的患者报告在诊断前一年与固定医生有广泛接触。然而，这些人中大多数在那段时间既没有接受皮肤检查，也没有自行检查皮肤。虽然需要进一步研究来证实这些发现，但作者建议，为有黑色素瘤风险的患者提供护理的医生应将黑色素瘤筛查纳入常规护理。
