Rampen F H, Berretty P J, Van Huystee B E, Kiemeney L A, Nijs C H
Department of Dermatology, Sint Anna Hospital, Oss, The Netherlands.
J Am Acad Dermatol. 1993 Sep;29(3):423-7. doi: 10.1016/0190-9622(93)70205-8.
Whether persons who come for skin cancer/melanoma screening are those at highest risk for the disease remains a debatable issue.
Our purpose was to evaluate the appropriateness of self-selection of persons attending screening clinics.
We studied the frequency of malignant and/or premalignant clinical diagnoses according to certain demographic characteristics as a measure of selective attendance among 2463 persons screened in the regions of Arnhem and Eindhoven in 1990.
The referral rates for tentative malignant and/or premalignant diagnoses were more or less similar in men (11.8%) and women (9.6%); in persons with symptoms (11.6%) and those who were symptom free (9.3%); in attendants from the towns in which the screenings were held (11.4%) and those coming from distant communities (9.0%); and in persons who attended for specific skin lesions (10.7%) and those who opted for general skin examination (8.8%). The referral rate was 9.2% in persons younger than 70 years of age against 18.5% in those 70 years of age or older (p < 0.001). Most presumptive melanoma diagnoses (15 of 22) were recorded in persons 50 years of age or older.
Our findings suggest that participants of free skin cancer/melanoma screening clinics, on average, are unable to estimate their own risk profile properly.
前来进行皮肤癌/黑色素瘤筛查的人群是否为该疾病的最高风险人群仍是一个有争议的问题。
我们的目的是评估参加筛查诊所的人员自我选择的适宜性。
我们根据某些人口统计学特征研究了恶性和/或癌前临床诊断的频率，以此作为1990年在阿纳姆和埃因霍温地区接受筛查的2463人中选择性就诊的一项衡量指标。
初步恶性和/或癌前诊断的转诊率在男性（11.8%）和女性（9.6%）中大致相似；有症状者（11.6%）和无症状者（9.3%）中大致相似；在筛查所在城镇的就诊者（11.4%）和来自远处社区的就诊者（9.0%）中大致相似；因特定皮肤病变就诊者（10.7%）和选择进行全身皮肤检查者（8.8%）中大致相似。70岁以下人群的转诊率为9.2%，而70岁及以上人群为18.5%（p<0.001）。大多数疑似黑色素瘤诊断（22例中的15例）记录在50岁及以上人群中。
我们的研究结果表明，免费皮肤癌/黑色素瘤筛查诊所的参与者平均而言无法正确估计自己的风险状况。
