Barcaui Carlos Baptista, Miot Helio Amante
Department of Dermatology, Hospital Universitário Pedro Ernesto, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Department of Dermatology and Radiotherapy, Faculdade de Medicina, Universidade Estadual Paulista, Botucatu, SP, Brazil.
An Bras Dermatol. 2020 Sep-Oct;95(5):602-608. doi: 10.1016/j.abd.2020.04.007. Epub 2020 Jul 15.
Dermoscopy increases the diagnostic accuracy in dermatology. The aspects related to training, usage profile, or perceptions of usefulness of dermoscopy among dermatologists in Brazil have not been described.
To evaluate the profile of the use of dermoscopy and the perception of the impact of the technique on clinical practice.
The Brazilian Society of Dermatology invited all members to complete an online form with 20 items regarding demographic data, dermatological assistance, use of dermoscopy, and perceptions of the impact of the technique on clinical practice. The proportions between the categories were compared by analysis of residuals in contingency tables, and p-values < 0.01 were considered significant.
The answers from 815 associates (9.1% of those invited to participate) were assessed, 84% of whom were female, and 71% of whom were younger than 50 years of age. The use of dermoscopy was reported in the daily practice of 98% of dermatologists: 88% reported using it more than once a day. Polarized light dermoscopy was the most used method (83%) and pattern analysis was the most used algorithm (63%). The diagnosis and follow-up of melanocytic lesions was identified as the main use of the technique, while the benefit for the diagnosis of inflammatory lesions was acknowledged by less than half of the sample (42%).
This was a non-randomized study.
Dermoscopy is incorporated into the clinical practice of almost all Brazilian dermatologists, and it is recognized for increasing diagnostic certainty in different contexts, especially for pigmented lesions.
皮肤镜检查可提高皮肤病学的诊断准确性。巴西皮肤科医生在皮肤镜检查的培训、使用情况或对其有用性的认知方面的相关情况尚未得到描述。
评估皮肤镜检查的使用情况以及对该技术对临床实践影响的认知。
巴西皮肤病学会邀请所有会员填写一份包含20项内容的在线表格，内容涉及人口统计学数据、皮肤科诊疗、皮肤镜检查的使用以及对该技术对临床实践影响的认知。通过列联表残差分析比较各类别之间的比例，p值<0.01被认为具有统计学意义。
对815名会员（占受邀参与人数的9.1%）的回答进行了评估，其中84%为女性，71%年龄小于50岁。98%的皮肤科医生报告在日常实践中使用皮肤镜检查：88%的医生报告每天使用不止一次。偏振光皮肤镜检查是最常用的方法（83%），模式分析是最常用的算法（63%）。黑素细胞性病变的诊断和随访被确定为该技术的主要用途，而不到一半的受访者（42%）认可该技术对炎症性病变诊断的益处。
这是一项非随机研究。
皮肤镜检查已纳入几乎所有巴西皮肤科医生的临床实践，并且在不同情况下，尤其是对色素性病变，它被认为可提高诊断的确定性。
