Arouch Bar, Elboim-Gabyzon Michal
Department of Physical Therapy, School of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.
Clalit Health Services, Holon Branch, Holon, Israel.
Front Med (Lausanne). 2024 Aug 6;11:1436206. doi: 10.3389/fmed.2024.1436206. eCollection 2024.
Skin melanoma is the most severe form of skin cancer. Recent years have seen an increase in melanoma incidence. Melanomas often appear on the back, a hidden area, leading to late diagnoses. Physical therapists, who frequently treat patients with lower back pain, could play a crucial role in early melanoma detection.
An anonymous online survey was conducted among 254 Israeli physical therapists to assess their perspectives on melanoma detection, their knowledge in identifying suspicious lesions, and their referral patterns. The survey included sections on demographics, professional perspectives, melanoma knowledge, personal or family experiences with melanoma, and referral frequency for dermatological evaluation.
The survey revealed that 75.2% of physical therapists viewed melanoma detection as part of their professional duties, yet 59.1% reported insufficient knowledge in identifying suspicious lesions. Despite this, 94.1% expressed a desire to improve their knowledge. However, only 44.1% actively referred patients with suspicious lesions to dermatologists. There was a significant positive correlation between professional experience and referral rates (-value < 0.001), indicating that more experienced therapists were more likely to refer patients.
The study highlights the critical need for incorporating melanoma detection training into physical therapy education and professional development. Enhancing physical therapists' knowledge and skills in this area could improve early detection and patient outcomes. Despite the potential role of physical therapists in melanoma detection, current training programs lack emphasis on this aspect, underscoring the importance of revising educational curricula to include skin cancer detection techniques.
The findings suggest that while physical therapists recognize their role in melanoma detection, there is a significant knowledge gap. Addressing this through targeted education and training could enhance early detection efforts and improve patient care.
皮肤黑色素瘤是最严重的皮肤癌形式。近年来黑色素瘤发病率呈上升趋势。黑色素瘤常出现在背部等隐蔽部位,导致诊断延迟。经常治疗下背痛患者的物理治疗师在黑色素瘤早期检测中可能发挥关键作用。
对254名以色列物理治疗师进行了一项匿名在线调查,以评估他们对黑色素瘤检测的看法、识别可疑病变的知识以及他们的转诊模式。调查包括人口统计学、专业观点、黑色素瘤知识、个人或家族黑色素瘤经历以及皮肤科评估转诊频率等部分。
调查显示,75.2%的物理治疗师认为黑色素瘤检测是其工作职责的一部分,但59.1%的人报告在识别可疑病变方面知识不足。尽管如此,94.1%的人表示希望提高自己的知识水平。然而,只有44.1%的人会主动将有可疑病变的患者转诊给皮肤科医生。专业经验与转诊率之间存在显著正相关(-值<0.001),这表明经验更丰富的治疗师更有可能转诊患者。
该研究强调了将黑色素瘤检测培训纳入物理治疗教育和专业发展的迫切需求。提高物理治疗师在这方面的知识和技能可以改善早期检测和患者预后。尽管物理治疗师在黑色素瘤检测中可能发挥作用,但目前的培训项目缺乏对这方面的重视,这凸显了修订教育课程以纳入皮肤癌检测技术的重要性。
研究结果表明,虽然物理治疗师认识到自己在黑色素瘤检测中的作用,但存在显著的知识差距。通过有针对性的教育和培训来解决这一问题可以加强早期检测工作并改善患者护理。