Smith E S, Feldman S R, Fleischer A B, Leshin B, McMichael A
Westwood-Squibb Center for Dermatology Research, Department of Dermatology, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157-1071, USA.
Dermatol Surg. 1998 Sep;24(9):981-5.
Actinic keratoses and skin cancer constitute a major public health problem for predisposed individuals.
The purpose of this paper is to determine the characteristics of office-based visits for actinic keratoses and skin cancer in the United States.
The National Ambulatory Medical Care Survey provided data on office-based physician visits for actinic keratoses and skin cancer in 1993 and 1994.
There were 3.7 million visits per year for actinic keratoses, 3.1 million visits per year for nonmelanoma skin cancer (NMSC), and 430,000 visits per year for melanoma. Excisions and destructions of lesions accounted for 90%, 67%, and 62% of procedures for actinic keratoses, NMSC, and melanoma, respectively. Dermatologists (683), plastic surgeons (37), and general and family physicians (11) managed more visits per physician per year than other specialists.
Dermatologists have significantly more experience managing skin cancer than do other physicians.
光化性角化病和皮肤癌是易患人群面临的主要公共卫生问题。
本文旨在确定美国门诊治疗光化性角化病和皮肤癌的特点。
国家门诊医疗调查提供了1993年和1994年门诊医生治疗光化性角化病和皮肤癌的数据。
每年因光化性角化病就诊370万次，每年因非黑素瘤皮肤癌（NMSC）就诊310万次，每年因黑素瘤就诊43万次。病变切除和破坏分别占光化性角化病、NMSC和黑素瘤治疗程序的90%、67%和62%。皮肤科医生（683名）、整形外科医生（37名）以及普通和家庭医生（11名）每年每位医生处理的就诊次数比其他专科医生更多。
皮肤科医生在治疗皮肤癌方面比其他医生有更丰富的经验。
