初级保健医生进行黑色素瘤筛查实践的时间趋势：一项元回归分析。

Time-trend of melanoma screening practice by primary care physicians: a meta-regression analysis.

作者信息

Valachis Antonis, Mauri Davide, Karampoiki Vassiliki, Polyzos Nikolaos P, Cortinovis Ivan, Koukourakis Georgios, Zacharias Georgios, Xilomenos Apostolos, Tsappi Maria, Casazza Giovanni

机构信息

PACMeR (Panhellenic Association for Continual Medical Research), Athens, Greece.

出版信息

Ups J Med Sci. 2009;114(1):32-40. doi: 10.1080/03009730802579620.

DOI:10.1080/03009730802579620

PMID:19242870

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2852745/

Abstract

OBJECTIVE

To assess whether the proportion of primary care physicians implementing full body skin examination (FBSE) to screen for melanoma changed over time.

METHODS

Meta-regression analyses of available data.

DATA SOURCES

MEDLINE, ISI, Cochrane Central Register of Controlled Trials.

RESULTS

Fifteen studies surveying 10,336 physicians were included in the analyses. Overall, 15%-82% of them reported to perform FBSE to screen for melanoma. The proportion of physicians using FBSE screening tended to decrease by 1.72% per year (P =0.086). Corresponding annual changes in European, North American, and Australian settings were -0.68% (P =0.494), -2.02% (P =0.044), and +2.59% (P =0.010), respectively. Changes were not influenced by national guide-lines.

CONCLUSIONS

Considering the increasing incidence of melanoma and other skin malignancies, as well as their relative potential consequences, the FBSE implementation time-trend we retrieved should be considered a worrisome phenomenon.

摘要

目的

评估实施全身皮肤检查（FBSE）以筛查黑色素瘤的基层医疗医生比例是否随时间变化。

方法

对现有数据进行Meta回归分析。

数据来源

MEDLINE、ISI、Cochrane对照试验中央注册库。

结果

分析纳入了15项对10336名医生的调查研究。总体而言，15%至82%的医生报告进行FBSE以筛查黑色素瘤。使用FBSE筛查的医生比例每年倾向于下降1.72%（P =0.086）。在欧洲、北美和澳大利亚的相应年度变化分别为-0.68%（P =0.494）、-2.02%（P =0.044）和+2.59%（P =0.010）。这些变化不受国家指南的影响。