USE OF HEALTH-SERVICES BEFORE THE DIAGNOSIS OF MELANOMA - IMPLICATIONS FOR EARLY DETECTION AND SCREENING

被引：80

作者：

GELLER, AC ^{[1
]}

KOH, HK ^{[1
]}

MILLER, DR ^{[1
]}

CLAPP, RW ^{[1
]}

MERCER, MB ^{[1
]}

LEW, RA ^{[1
]}

机构：

[1] BOSTON UNIV,MED CTR,SCH MED,DEPT DERMATOL,80 E CONCORD ST,BOSTON,MA 02118

来源：

JOURNAL OF GENERAL INTERNAL MEDICINE | 1992年 / 7卷 / 02期

关键词：

MELANOMA; CANCER; DERMATOLOGY; SCREENING; SKIN EXAMINATION;

D O I：

10.1007/BF02598004

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Objective: To determine whether persons with melanoma were integrated into the health care system prior to diagnosis. Design: Population-based survey by mailed questionnaire. Patients/participants: 216 persons with malignant melanoma diagnosed in Massachusetts in 1986. Main results: Of the 216 cases, 87% stated that they had regular physicians, 63% had seen those physicians in the year prior to diagnosis, but only 20% had regular dermatologists. Overall, only 24% had examined their own skin prior to diagnosis and 20% reported physician skin examinations. Conclusions: Persons diagnosed with melanoma reported extensive contact with regular physicians in the year prior to diagnosis. However, most of these persons neither received skin examinations nor examined their own skin during that time. While additional study is necessary to confirm these findings, the authors suggest that physicians caring for patients at risk for melanoma integrate melanoma screening into routine care.

引用

页码：154 / 157

页数：4

共 16 条

[1]

Koh H.K., Cutaneous melanoma, N Engl J Med, 325, pp. 171-82, (1991)

[2]

Cancer statistics review, 1973–1987, (1990)

[3]

Sackett D.L., Holland W.W., Controversy in the detection of disease, Lancet, 2, pp. 357-9, (1975)

[4]

Rigel D.S., Rivers J.K., Kopf A.W., Et al., Dysplastic nevi: markers for increased risk for melanoma, Cancer, 63, pp. 386-9, (1989)

[5]

Consumer Awareness Survey, (1987)

[6]

Prout M.N., Heeren T.C., Barber C.E., Et al., Use of health services before diagnosis of head and neck cancer among Boston residents, Am J Prev Med, 6, pp. 77-83, (1990)

[7]

Berwick M., Roush G., Thompson W., Evaluating the efficacy of skin self-exam and other surveillance measures in persons at various levels of risk for cutaneous malignant melanoma: an on-going case-control study, Prog Clin Biol Res, 293, pp. 297-305, (1989)

[8]

U.S. Preventive Services Task Force. Guide to clinical preventive services: an assessment of the effectiveness of 169 interventions, (1989)

[9]

McPhee S.J., Bird J.A., Jenkins C.N.H., Et al., Promoting cancer screening: a randomized, controlled trial of three interventions, Arch Intern Med, 149, pp. 1866-72, (1989)

[10]

McPhee S.J., Bird J.A., Implementation of cancer prevention guidelines in clinical practice, J Gen Intern Med, 5, pp. S116-S122, (1990)

← 1 2 →