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Titolo:
VOLUNTEER MELANOMA SCREENINGS - FOLLOW-UP, COMPLIANCE, AND OUTCOME
Autore:
DEROOIJ MJM; RAMPEN FHJ; SCHOUTEN LJ; NEUMANN HAM;
Indirizzi:
UNIV NIJMEGEN HOSP,DEPT DERMATOL,POB 9101 NL-6500 HB NIJMEGEN NETHERLANDS ST ANNA HOSP,DEPT DERMATOL OSS NETHERLANDS IKL,CTR COMPREHENS CANC MAASTRICHT NETHERLANDS IKO NIJMEGEN NETHERLANDS UNIV HOSP,DEPT DERMATOL MAASTRICHT NETHERLANDS
Titolo Testata:
Dermatologic surgery
fascicolo: 3, volume: 23, anno: 1997,
pagine: 197 - 201
SICI:
1076-0512(1997)23:3<197:VMS-FC>2.0.ZU;2-A
Fonte:
ISI
Lingua:
ENG
Soggetto:
SKIN-CANCER;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
16
Recensione:
Indirizzi per estratti:
Citazione:
M.J.M. Derooij et al., "VOLUNTEER MELANOMA SCREENINGS - FOLLOW-UP, COMPLIANCE, AND OUTCOME", Dermatologic surgery, 23(3), 1997, pp. 197-201

Abstract

BACKGROUND. Follow-up information on free melanoma screening clinics is not readily available. OBJECTIVE AND METHODS. We studied the follow-up, compliance, and outcome of positive screenees after a screening campaign for melanoma in the Netherlands. RESULTS. Of the 4146 participants, 486 (11.7%) had a suspicious premalignant or malignant lesion warranting referral to his or her general physician indicating the proposed line of management. Participants with borderline lesions were not referred. Referral of borderline cases should have resulted in a considerable increase of the number of positive screenees (18.1%). All positive screenees but two gave permission for follow-up. Only 18 screenees (3.7%) were lost during follow-up. Moreover, one screenee with a presumed basal cell carcinoma and six screenees suspicions of having a premalignant lesion decided not to seek medical attention despite several reminders. The positive predictive value for melanoma was 17.2%, andfor nonmelanoma skin cancers was 42.9%. CONCLUSION. A selective referral policy may reduce the generated costs of melanoma screenings substantially Adequate follow-up of positive screenees is mandatory in order to determine the ultimate yield and usefulness of such campaigns. (C) 1997 by the American Society for Dermatologic Surgery, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 21/09/20 alle ore 10:55:54