Bowles Tawnya L, Sweeney Carol, Snyder John, Gygi Jesse, Bott Brad, Wray Daniel, Yeatman Timothy J, Sause William T
Intermountain Healthcare, Salt Lake City, UT 84107, USA.
Department of Internal Medicine, Division of Epidemiology, School of Medicine, University of Utah, Salt Lake City, UT 84132, USA.
Melanoma Manag. 2021 Mar 4;8(2):MMT56. doi: 10.2217/mmt-2020-0023.
To analyze trends in Utah melanoma diagnosis and study the impact of rurality.
PATIENTS & METHODS: State-wide melanoma incidence was calculated using Surveillance, Epidemiology, and End Results data (2005-2013). A subset of 5199 patients treated in an integrated healthcare system was further stratified for urban or rural residence.
Early-stage tumors accounted for most of the increase in melanoma incidence over time. Age-adjusted melanoma incidence rate was higher in rural counties (46.7 vs 39.4). Anatomic site and stage did not differ between rural and urban patients. Rural patients were more commonly diagnosed by a local primary care provider.
Rurality had an impact on melanoma diagnosis in the specialty and location of the diagnosing provider.
分析犹他州黑色素瘤诊断趋势，并研究农村地区的影响。
利用监测、流行病学和最终结果数据（2005 - 2013年）计算全州黑色素瘤发病率。在一个综合医疗系统中接受治疗的5199名患者的子集，进一步按城市或农村居住地进行分层。
随着时间的推移，早期肿瘤占黑色素瘤发病率增加的大部分。农村县的年龄调整后黑色素瘤发病率较高（46.7对39.4）。农村和城市患者的解剖部位和分期无差异。农村患者更常由当地初级保健提供者诊断。
农村地区对黑色素瘤诊断在诊断提供者的专业和地点方面有影响。
