Department of Dermatology, University of Minnesota Medical Center, Minneapolis, MN, USA.
University Hospitals Cleveland Medical Center, 11100 Euclid Ave., Cleveland, OH, 44106, USA.
Arch Dermatol Res. 2021 Aug;313(6):505-507. doi: 10.1007/s00403-020-02080-3. Epub 2020 May 12.
In-office skin exams are recommended at least annually for patients who are diagnosed with a basal cell carcinoma or squamous cell carcinoma, but it is unknown what proportion of these patients are receiving skin exams. There are a multitude of reasons why patients have difficulty getting skin exams.
To assess the proportion of patients at our institution who received a skin exam in the 12 months following removal of a basal cell carcinoma or squamous cell carcinoma by Mohs micrographic surgery and to assess the barriers to care that patients faced in receiving a skin exam.
We conducted an IRB-approved online patient survey.
161 survey respondents said they were able to get a skin exam and 14 said they were not. Patients who did not receive a skin exam agreed significantly more often with the following barriers to care: patient's own schedule, dermatologists' availability, and not knowing a skin exam was recommended (p < 0.005). Patients who did not receive a skin exam said that a reminder text/email/phone call would make them more likely to receive a skin exam.
Patients identify their own schedule, the provider's schedule, and not knowing that a skin exam is recommended as factors making it more difficult for them to receive a skin exam. It is likely that further emphasis about the importance of skin exams, written instructions, or text/email/phone call reminders would make patients who have been previously diagnosed with basal cell carcinoma or squamous cell carcinoma more likely to receive skin exams.
对于被诊断患有基底细胞癌或鳞状细胞癌的患者，建议至少每年进行一次门诊皮肤检查，但目前尚不清楚有多少患者接受了皮肤检查。患者难以进行皮肤检查的原因有很多。
评估在我们机构中，通过 Mohs 显微外科手术切除基底细胞癌或鳞状细胞癌后，有多少患者在 12 个月内接受了皮肤检查，并评估患者在接受皮肤检查时面临的护理障碍。
我们进行了一项经 IRB 批准的在线患者调查。
161 名调查受访者表示他们能够进行皮肤检查，而 14 名受访者表示他们无法进行皮肤检查。未接受皮肤检查的患者更同意以下护理障碍：患者自己的日程安排、皮肤科医生的可用性以及不知道推荐进行皮肤检查（p<0.005）。未接受皮肤检查的患者表示，提醒短信/电子邮件/电话更有可能促使他们进行皮肤检查。
患者认为自己的日程安排、提供者的日程安排以及不知道推荐进行皮肤检查是使他们更难以接受皮肤检查的因素。很可能进一步强调皮肤检查的重要性、书面说明或短信/电子邮件/电话提醒会使之前被诊断患有基底细胞癌或鳞状细胞癌的患者更有可能接受皮肤检查。
