Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori, IRCCS IRST, Meldola, Italy.
Dermatology. 2013;226 Suppl 1:13-7. doi: 10.1159/000348863. Epub 2013 May 29.
To analyze routine clinical management of atypical melanocytic lesions through monitoring or surgery in Italian hospitals.
A nationwide survey of clinical practices was conducted.
Digital monitoring is performed in most Italian hospitals and is preferred over excision for single atypical melanocytic lesions in 82% of hospitals. For multiple atypical lesions, 60% of high-volume hospitals prefer digital monitoring to surgical excision (40%). There is a statistically significant difference between high- and low-volume hospitals (60 vs. 39%; p = 0.003). Digital monitoring is performed at mean intervals of 4/5 months for both types of lesions.
We show an asymmetric relation between application of the method and practical impact based on available clinical evidence. Although digital monitoring provides better characterization of the evolution of melanocytic lesions, our results indicate that the advantages and limitations of this method require further investigation.
分析意大利医院通过监测或手术对非典型黑素细胞病变的常规临床管理。
进行了一项全国性的临床实践调查。
数字监测在大多数意大利医院中进行，82%的医院更喜欢对单个非典型黑素细胞病变进行切除，而不是数字监测。对于多发性非典型病变，60%的高容量医院更喜欢数字监测而不是手术切除（40%）。高容量医院和低容量医院之间存在统计学显著差异（60 比 39%；p=0.003）。对于这两种病变，数字监测的平均间隔为 4/5 个月。
我们展示了一种基于现有临床证据的方法应用和实际影响之间的不对称关系。尽管数字监测提供了对黑素细胞病变演变的更好特征描述，但我们的结果表明，这种方法的优点和局限性需要进一步研究。
