Victorian Melanoma Service, Alfred Health, Melbourne, Victoria, Australia.
School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
Australas J Dermatol. 2021 Aug;62(3):300-309. doi: 10.1111/ajd.13595. Epub 2021 Apr 16.
BACKGROUND/OBJECTIVE: Diagnostic tools such as dermoscopy, sequential digital dermoscopy imaging (SDDI), total body photography (TBP) and automated diagnostic tools are available to assist in early melanoma diagnosis. The use, accessibility and barriers of dermoscopy have been well studied; however, there are few similar studies regarding SDDI, TBP and automated diagnostic tools. We aim to understand the use of these diagnostic aids amongst Australian general practitioners (GPs) and dermatologists.
Between June 2019 and January 2020, GPs and dermatologists across Australia were invited to participate in an online survey. Surveys were distributed through GP and dermatology organisations.
A total of 227 survey responses were received, 175 from GPs and 52 from dermatologists. Amongst GPs, 44.6% worked in a skin cancer clinic. Dermoscopy was used at least occasionally by 98.9% of all GPs. SDDI was used by 93.6% of skin cancer GPs, 80.8% of dermatologists and 45.3% of generalist GPs. TBP was used or recommended by 77.1% of generalist GPs, 82.3% of skin cancer GPs and 86.5% of dermatologists. The most common barriers to the use of TBP were cost, limited accessibility, poor patient compliance, and time required for both patients and doctors. Very few clinicians reported using automated diagnostic tools. There was an interest in future diagnostic aids for melanoma in 88% of GPs and dermatologists.
Dermoscopy, SDDI and TBP were commonly used by responding Australian skin cancer GPs and dermatologists in this survey. Automated diagnostic tools were not reported to be used routinely. Several barriers were identified for use of TBP.
背景/目的：皮肤镜、连续数字皮肤镜成像（SDDI）、全身摄影（TBP）和自动诊断工具等诊断工具可用于协助早期黑色素瘤诊断。皮肤镜的使用、可及性和障碍已得到充分研究；然而，关于 SDDI、TBP 和自动诊断工具的类似研究很少。我们旨在了解澳大利亚全科医生（GP）和皮肤科医生对这些诊断辅助工具的使用情况。
2019 年 6 月至 2020 年 1 月期间，邀请澳大利亚各地的全科医生和皮肤科医生参与在线调查。通过 GP 和皮肤科组织分发调查。
共收到 227 份调查回复，其中 175 份来自全科医生，52 份来自皮肤科医生。在全科医生中，44.6%在皮肤癌诊所工作。所有全科医生中，98.9%至少偶尔使用皮肤镜。SDDI 被 93.6%的皮肤癌全科医生、80.8%的皮肤科医生和 45.3%的全科医生使用。TBP 被 77.1%的全科医生、82.3%的皮肤癌全科医生和 86.5%的皮肤科医生使用或推荐。使用 TBP 的最常见障碍是成本、可及性有限、患者依从性差以及患者和医生所需的时间。很少有临床医生报告使用自动诊断工具。88%的全科医生和皮肤科医生对未来的黑色素瘤诊断辅助工具表示感兴趣。
在这项调查中，参与的澳大利亚皮肤癌全科医生和皮肤科医生普遍使用皮肤镜、SDDI 和 TBP。未报告常规使用自动诊断工具。确定了使用 TBP 的几个障碍。
