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两次皮肤癌筛查活动的结果及随访数据。

Outcomes and Follow-Up Data From Two Skin Cancer Screening Events.

作者信息

Young Jade N, Krishnamurthy Nithya, Chang Annie, Poplausky Dina, Gulati Nicholas, Ungar Jonathan

机构信息

Dermatology, Icahn School of Medicine at Mount Sinai, New York, USA.

出版信息

Cureus. 2023 Aug 22;15(8):e43938. doi: 10.7759/cureus.43938. eCollection 2023 Aug.

DOI:10.7759/cureus.43938
PMID:37746437
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10513346/
Abstract

This study investigated the outcomes and follow-up behaviors of participants from two free skin cancer screening events in the United States. This survey, with 296 participants and a 31% response rate, gathered information on participant demographics, personal history of skin cancer, knowledge of skin screening practices, and follow-up behaviors. There was a high follow-up rate of 92.3% among individuals recommended for further dermatological consultation, but a low (22%) concordance rate between the preliminary diagnoses from the screening and patient-recalled diagnoses. Additionally, about one-sixth of participants identified limited access to care as a motivation for participating in the screening. The study emphasizes the need to improve awareness about the limitations of free screenings, enhance participant education, and ensure equitable access to skin cancer screening. Future research should focus on factors influencing follow-up behaviors and the development of targeted interventions to increase awareness and access to skin cancer screening.

摘要

本研究调查了美国两次免费皮肤癌筛查活动参与者的结果及后续行为。这项调查有296名参与者,回复率为31%,收集了有关参与者人口统计学、皮肤癌个人病史、皮肤筛查实践知识以及后续行为的信息。在被推荐进行进一步皮肤科会诊的个体中,随访率高达92.3%,但筛查的初步诊断与患者回忆的诊断之间的一致性率较低(22%)。此外,约六分之一的参与者认为获得医疗服务的机会有限是参与筛查的一个动机。该研究强调需要提高对免费筛查局限性的认识,加强对参与者的教育,并确保公平获得皮肤癌筛查。未来的研究应关注影响后续行为的因素以及制定有针对性的干预措施,以提高对皮肤癌筛查的认识和获得机会。

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本文引用的文献

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Non-Melanoma Skin Cancer and Vitamin D: The "Lost Sunlight" Paradox and the Oxidative Stress Explanation.非黑色素瘤皮肤癌与维生素D:“阳光缺失”悖论及氧化应激解释
Antioxidants (Basel). 2023 May 17;12(5):1107. doi: 10.3390/antiox12051107.
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Screening for Skin Cancer: US Preventive Services Task Force Recommendation Statement.皮肤癌筛查:美国预防服务工作组建议声明
JAMA. 2023 Apr 18;329(15):1290-1295. doi: 10.1001/jama.2023.4342.
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Skin Cancer Education Interventions for Primary Care Providers: A Scoping Review.皮肤癌初级保健提供者教育干预措施:范围综述。
J Gen Intern Med. 2022 Jul;37(9):2267-2279. doi: 10.1007/s11606-022-07501-9. Epub 2022 Jun 16.
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An Exploration of the Use and Impact of Preventive Measures on Skin Cancer.预防措施对皮肤癌的应用及影响探究
Healthcare (Basel). 2022 Apr 15;10(4):743. doi: 10.3390/healthcare10040743.
5
Clinical Outcomes of Free, Public Skin Cancer Screening Events, Rhode Island, 2015-2019.2015-2019 年,罗得岛免费公共皮肤癌筛查活动的临床结果。
R I Med J (2013). 2021 Aug 2;104(6):22-27.
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Number needed to screen for presumptive screening diagnoses among first-time SPOTme screening participants (1992-2010).首次参加SPOTme筛查的参与者(1992 - 2010年)中进行推定筛查诊断所需的筛查人数。
J Am Acad Dermatol. 2020 Jan;82(1):233-234. doi: 10.1016/j.jaad.2019.06.027. Epub 2019 Jun 19.
7
Factors associated with suspected nonmelanoma skin cancers, dysplastic nevus, and cutaneous melanoma among first-time SpotMe screening program participants during 2009-2010.2009-2010 年首次参加 SpotMe 筛查计划的参与者中,与可疑非黑素瘤皮肤癌、发育不良痣和皮肤黑素瘤相关的因素。
J Am Acad Dermatol. 2023 Jan;88(1):60-70. doi: 10.1016/j.jaad.2018.12.010. Epub 2018 Dec 11.
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Comprehensive outreach, prevention education, and skin cancer screening for Utah ski resorts.为犹他州滑雪胜地提供全面的外展服务、预防教育和皮肤癌筛查。
Dermatol Online J. 2018 Feb 15;24(2):13030/qt8d82g9vk.
9
Commentary: American Academy of Dermatology free skin cancer screening: 30 years of value.评论:美国皮肤科协会的免费皮肤癌筛查:30年的价值。
J Am Acad Dermatol. 2017 Jan;76(1):181-182. doi: 10.1016/j.jaad.2016.08.045.
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J Am Assoc Nurse Pract. 2015 Sep;27(9):501-6. doi: 10.1002/2327-6924.12216. Epub 2015 Feb 26.