Clinical Assistant Professor of Dermatology (Adjunct), Department of Dermatology, Lewis Katz School of Medicine, Temple University, Philadelphia, PA.
Clinical Associate Professor of Behavioral and Social Sciences, Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI.
R I Med J (2013). 2021 Aug 2;104(6):22-27.
In Rhode Island, malignant melanoma of skin causes about 30 deaths a year. Early detection has been shown to reduce mortality risk.
Dermatology volunteers and public health professionals convened 27 free skin cancer screenings at public beaches in 2015-2019 to raise skin cancer awareness and screen patients for malignancy. Participants with suspicious lesions were referred for follow-up and later telephoned to ascertain outcomes.
Of 2354 people screened, 597 (25%) were referred. 319 of 597 (53%) were later reached by telephone. 196 of 319 (61%) who had kept appointments by the time of the telephone call reported the following diagnoses: 7 malignant melanomas, 32 keratinocyte carcinomas, and 34 actinic keratoses, yielding 3.0 as number needed to biopsy (NNB), and 18.3 as number needed to screen (NNS).
Our results demonstrate the value of convenient skin cancer screening events, suggesting the desirability of additional interventions of this type.
在罗得岛,皮肤恶性黑色素瘤每年导致约 30 人死亡。早期检测已被证明可以降低死亡率。
2015 年至 2019 年,皮肤科志愿者和公共卫生专业人员在公共海滩举办了 27 次免费皮肤癌筛查活动,以提高对皮肤癌的认识并筛查患者是否患有恶性肿瘤。有可疑病变的参与者被转介进行随访,并随后通过电话确定结果。
在接受筛查的 2354 人中,有 597 人(25%)被转介。在这 597 人中,有 319 人(53%)后来通过电话联系上了。在电话联系时,已预约的 319 人中,有 196 人报告了以下诊断结果:7 例恶性黑色素瘤、32 例角化细胞癌和 34 例光化性角化病,活检所需人数(NNB)为 3.0,筛查所需人数(NNS)为 18.3。
我们的结果表明方便的皮肤癌筛查活动具有价值,表明这种类型的额外干预是可取的。