Tyagi Abhilasha, Miller Kimberly, Cockburn Myles
Keck School of Medicine of USC, Los Angeles, CA 90089, USA.
J Skin Cancer. 2012;2012:437502. doi: 10.1155/2012/437502. Epub 2012 Dec 13.
The key to improved prognosis for melanoma is early detection and diagnosis, achieved by skin surveillance and secondary prevention (screening). However, adherence to screening guidelines is low, with population-based estimates of approximately 26% for physician-based skin cancer screening and 20-25% for skin self-examination. The recent proliferation of melanoma detection "e-Health" tools, digital resources that facilitate screening in patients often outside of the clinical setting, may offer new strategies to promote adherence and expand the proportion and range of individuals performing skin self-examination. The purpose of this paper is to catalog and categorize melanoma screening e-Health tools to aid in the determination of their efficacy and potential for adoption. The availability and accessibility of such tools, their costs, target audience, and, where possible, information on their efficacy, will be discussed with potential benefits and limitations considered. While e-Health tools targeting melanoma screening are widely available, little has been done to formally evaluate their efficacy and ability to aid in overcoming screening barriers. Future research needs to formally evaluate the potential role of e-Health tools in melanoma prevention.
黑色素瘤预后改善的关键在于早期发现和诊断，这可通过皮肤监测和二级预防（筛查）来实现。然而，对筛查指南的依从性较低，基于人群的估计显示，基于医生的皮肤癌筛查依从率约为26%，皮肤自我检查的依从率为20 - 25%。最近，黑色素瘤检测“电子健康”工具激增，这些数字资源通常在临床环境之外方便患者进行筛查，可能会提供新的策略来提高依从性，并扩大进行皮肤自我检查的个体比例和范围。本文的目的是对黑色素瘤筛查电子健康工具进行编目和分类，以帮助确定其功效和采用潜力。将讨论此类工具的可用性、可及性、成本、目标受众，并在可能的情况下讨论其功效信息，同时考虑潜在的益处和局限性。虽然针对黑色素瘤筛查的电子健康工具广泛可用，但在正式评估其功效以及帮助克服筛查障碍的能力方面做得很少。未来的研究需要正式评估电子健康工具在黑色素瘤预防中的潜在作用。
