Center for Chronic Disease Outcomes Research, Minneapolis Department of Veterans Affairs Medical Center, Minneapolis, Minnesota, USA.
J Am Acad Dermatol. 2010 Sep;63(3):412-9, 419.e1-2. doi: 10.1016/j.jaad.2009.09.050. Epub 2010 Jul 8.
Although dermatoscopy is widely used in Europe and Australia, little is known about dermatoscopy use by US dermatologists.
We sought to estimate the prevalence of dermatoscopy use by US dermatologists and examine associations with practice characteristics.
We conducted a cross-sectional survey of all US fellows of the American Academy of Dermatology.
Of 8501 eligible recipients, 3238 (38.1%) surveys were completed and returned. Of respondents, 48% used dermatoscopy (n = 1555). Dermatoscopy use was associated with the following characteristics: age younger than 50 years (P < .0001), female sex (P = .0001), practice location in the Northeast (P < .0001), involvement in resident teaching (P < .0001), and dermatoscopy training (P < .0001). The main reasons for not using dermatoscopy included: lack of training (39.7%), lack of interest (32.5%), time required for dermatoscopic examination (27.6%), and belief dermatoscopy would not affect clinical decisions (15.2%).
Low response rate and potential response bias were limitations.
Approximately half of respondents used dermatoscopy in their practice. Not surprisingly, dermatoscopy users were more likely to be younger, involved in resident teaching, or have training in dermatoscopy.
尽管皮肤镜检查在欧洲和澳大利亚得到广泛应用，但美国皮肤科医生对皮肤镜检查的使用情况知之甚少。
我们旨在评估美国皮肤科医生使用皮肤镜检查的情况，并研究其与实践特征的关联。
我们对所有美国皮肤科医师学院的美国研究员进行了横断面调查。
在 8501 名合格的受访者中，有 3238 名（38.1%）完成并返回了调查。在回答者中，有 48%（1555 名）使用了皮肤镜检查。皮肤镜检查的使用与以下特征相关：年龄小于 50 岁（P <.0001），女性（P =.0001），东北部的执业地点（P <.0001），参与住院医师教学（P <.0001）和皮肤镜检查培训（P <.0001）。不使用皮肤镜检查的主要原因包括：缺乏培训（39.7%），缺乏兴趣（32.5%），皮肤镜检查所需时间（27.6%），以及认为皮肤镜检查不会影响临床决策（15.2%）。
低应答率和潜在的应答偏倚是局限性。
大约一半的受访者在其实践中使用了皮肤镜检查。毫不奇怪，皮肤镜检查的使用者更有可能年龄较小，参与住院医师教学或接受过皮肤镜检查培训。
