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英国皮肤镜使用趋势:2003年和2012年调查结果

Trends in dermoscopy use in the UK: results from surveys in 2003 and 2012.

作者信息

Butler Thomas D, Matin Rubeta N, Affleck Andrew G, Fleming Colin J, Bowling Jonathan C

机构信息

Department of Dermatology, Churchill Hospital, Headington, Oxford, United Kingdom.

Department of Dermatology, Ninewells Hospital & Medical School, Dundee, United Kingdom.

出版信息

Dermatol Pract Concept. 2015 Apr 30;5(2):29-38. doi: 10.5826/dpc.0502a04. eCollection 2015 Apr.

Abstract

BACKGROUND

Dermoscopy is a useful tool to aid diagnosis of pigmented and non-pigmented skin lesions, as well as many other dermatological conditions. Use of dermoscopy is increasing worldwide, but to date, there are no reported data on attitudes of dermatologists in the United Kingdom (UK) towards dermoscopy.

OBJECTIVE

To determine current attitudes of UK dermatologists towards dermoscopy and assess how these attitudes have changed over the last decade.

METHODS

In October 2012, an online survey was sent to members of British Association of Dermatologists over a 12-week period. Data were subsequently compared with data from a similar UK nationwide paper questionnaire distributed to members in 2003.

RESULTS

The 2003 survey collected 292 responses (uptake 42%), and in 2012 there were 209 responses (22%), predominantly from consultants and registrars. In 2012, 86% respondents reported increased use of dermoscopy over the previous decade with 98.5% of respondents reporting regular clinical use of dermoscopy, compared with 54% in 2003. Overall, 81% respondents in 2012 had received dermoscopy training, mainly from UK-based courses (62% of respondents) but increasingly via Internet-based resources (30% vs. 7% in 2003). However, 39% respondents lacked confidence when making a diagnosis based on their interpretation of dermoscopy findings.

CONCLUSIONS

Over the last decade, use of dermoscopy has increased amongst UK dermatologists and the majority of respondents now employ dermoscopy in daily clinical practice. However, the use of dermoscopy in the dermatology community overall is not known and for those individuals there is a continued need for education.

摘要

背景

皮肤镜检查是辅助诊断色素性和非色素性皮肤病变以及许多其他皮肤病的有用工具。皮肤镜检查在全球的使用正在增加,但迄今为止,尚无关于英国皮肤科医生对皮肤镜检查态度的报告数据。

目的

确定英国皮肤科医生目前对皮肤镜检查的态度,并评估这些态度在过去十年中是如何变化的。

方法

2012年10月,在12周内对英国皮肤科医生协会成员进行了一项在线调查。随后将数据与2003年分发给成员的类似英国全国性纸质问卷的数据进行了比较。

结果

2003年的调查收集了292份回复(回收率42%),2012年有209份回复(22%),主要来自顾问医生和住院医生。2012年,86%的受访者报告在过去十年中皮肤镜检查的使用有所增加,98.5%的受访者报告在临床中经常使用皮肤镜检查,而2003年这一比例为54%。总体而言,2012年81%的受访者接受过皮肤镜检查培训,主要来自英国的课程(62%的受访者),但越来越多地通过基于互联网的资源(2003年为7%,2012年为30%)。然而,39%的受访者在根据皮肤镜检查结果进行诊断时缺乏信心。

结论

在过去十年中,英国皮肤科医生对皮肤镜检查的使用有所增加,现在大多数受访者在日常临床实践中使用皮肤镜检查。然而,整个皮肤科领域对皮肤镜检查的使用情况尚不清楚,对于这些人来说,持续的教育需求仍然存在。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5b1/4462896/91429f6c23c9/dp0502a04g007.jpg

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