کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3205020 1587527 2015 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Delivering value in dermatology: Insights from skin cancer detection in routine clinical visits
ترجمه فارسی عنوان
ارزش گذاری در پوست: بررسی بینش از تشخیص سرطان پوست در مراجعات بالینی منظم
کلمات کلیدی
کارسینوم سلول بازال، سرطان پوست غیر ملانوم، بهبود کیفیت، غربالگری، بروز سرطان پوست، سرطان سلولی فلسی، ارزش در ارائه مراقبت های بهداشتی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی امراض پوستی
چکیده انگلیسی

BackgroundThere are increasing demands to demonstrate and report on outcomes in dermatology. Skin cancer diagnosis through skin examination has been well studied, and is promising as a value-delivering intervention.ObjectiveThis study seeks to identify the rate of skin cancer diagnosis during routine visits to a large tertiary dermatology clinic.MethodsMedical records of patients presenting for routine dermatologic care at Massachusetts General Hospital between March 28 and September 28, 2012, were retrospectively reviewed. All patients given a diagnosis of nonmelanoma skin cancer (NMSC) confirmed on biopsy specimen were identified. Billing data were used to identify the total number of patients evaluated during the study period.ResultsNMSC was diagnosed in 1266 skin biopsy specimens from 1047 (7.0%) of the 14,829 patients who presented for routine care. In all, 55% of patients with NMSC were men (mean age 70 years). Chief symptoms of patients with NMSC included general dermatologic concerns (37%), routine cancer screening (43%), and specific lesion(s) of concern (19%).LimitationsRetrospective design and restriction to a single institution may limit the generalizability of our findings.ConclusionThe incidence of NMSC in routine dermatology is high; these findings validate the value of care provided by dermatologists and highlight the likely increasing need for their diagnostic skills as the population ages in the United States.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of the American Academy of Dermatology - Volume 72, Issue 2, February 2015, Pages 310–313
نویسندگان
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