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["雀斑巴士”活动;是一种不健康的现象还是一次明智的尝试?]

[The 'freckle bus' campaign; an unhealthy phenomenon or a sensible experiment?].

作者信息

Krol A D, van der Rhee H J, Dieleman M, Welvaart K

机构信息

Integraal Kankercentrum, Leiden.

出版信息

Ned Tijdschr Geneeskd. 1990 Oct 20;134(42):2047-50.

PMID:2234178
Abstract

In the summer of 1989 a screening campaign for skin cancer was organized in four seaside resorts of The Netherlands using a mobile examination room. On 4 consecutive Saturdays 3069 individuals were examined. A total of 65 individuals with a suspected lesion were found. Histological reports were obtained on 46 suspected lesions and showed: 6 melanomas (all with a thickness less than 1 mm), 2 squamous cell carcinomas, 23 basal cell carcinomas, 5 dysplastic naevi and 10 benign skin lesions. The positive predictive value of the clinical examination appeared to be 83%. Much publicity was given to the campaign by the (inter)national media. The effects of this publicity were measured by a questionnaire sent to the general practitioners (856) and dermatologists (25) in the region, of whom 44% and 84%, respectively, responded. It appeared that during and after the campaign there had been an increase in the number of consultations for skin lesions, and an increase in the diagnoses of malignant lesions.

摘要

1989年夏天,荷兰在四个海滨度假胜地利用移动检查室组织了一场皮肤癌筛查活动。在连续四个星期六,共有3069人接受了检查。总共发现了65名有可疑病变的人。对46个可疑病变进行了组织学报告,结果显示:6例黑色素瘤(均厚度小于1毫米)、2例鳞状细胞癌、23例基底细胞癌、5例发育异常痣和10例良性皮肤病变。临床检查的阳性预测值似乎为83%。(国际)媒体对该活动进行了大量报道。通过向该地区的全科医生(856名)和皮肤科医生(25名)发送问卷来衡量这种宣传的效果,他们的回复率分别为44%和84%。结果显示,在活动期间和之后,皮肤病变的咨询数量有所增加,恶性病变的诊断数量也有所增加。

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[The 'freckle bus'; an unhealthy phenomenon or a sober-minded experiment?].["雀斑巴士”:一种不良现象还是一次清醒的尝试?]
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