Dermoscopy use in UK primary care: a survey of GPs with a special interest in dermatology
| Autor: | L.C. Jurascheck, Merel M. Pannebakker, Jon Emery, M. Utukuri, Owain T. Jones, Fiona M Walter |
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| Přispěvatelé: | Jones, Owain [0000-0003-2783-9431], Walter, Fiona [0000-0002-7191-6476], Apollo - University of Cambridge Repository |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Teledermatology medicine.medical_specialty Skin Neoplasms Original Articles and Short Reports Oncology education MEDLINE Dermoscopy Dermatology Computer-assisted web interviewing Primary care 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine General Practitioners Surveys and Questionnaires medicine Humans 030212 general & internal medicine Practice Patterns Physicians' Melanoma Dermatoscopy medicine.diagnostic_test Primary Health Care business.industry Special Interest Group Middle Aged medicine.disease United Kingdom Infectious Diseases Global Positioning System Original Article Female Skin cancer business |
| Zdroj: | Journal of the European Academy of Dermatology and Venereology |
| ISSN: | 1468-3083 0926-9959 |
| Popis: | Background Melanoma accounts for 90% of skin cancer mortality and typically presents in primary care, where it can be challenging to distinguish from benign lesions. Dermoscopy is a tool for skin visualization that is routinely used for melanoma diagnosis in secondary care. However, the role of dermoscopy in primary care remains unclear. Objectives To determine views on, and use of, dermoscopy by dermatology-interested general practitioners (GPs). Methods An online questionnaire was emailed to the UK Primary Care Dermatology Society members in February 2018, and responses collected over the following 4 weeks. Results A total of 205 responses were analysed. Most respondents were GPs (94%), aged over 50 (53%), had a postgraduate dermatological qualification (67%) and used dermoscopy regularly when reviewing pigmented skin lesions (97%). Dermoscopy use was commoner amongst GPs who had worked longer in primary care and had experience of secondary care dermatology. Most had undertaken training in dermoscopy (91%), although one-fifth (20%) had not updated their training in over 5 years. Most of those who had received only 1 day of face-to-face training reported feeling confident using a dermatoscope. Few respondents (11%) reported access to teledermatology or teledermoscopy for urgent or routine referrals. Conclusions UK GPs with a special interest in dermatology are routinely using dermoscopy in the primary care setting. More research is needed to establish optimal approaches to training and updating GP dermoscopy skills. When dermoscopy has been shown to be safe, effective, acceptable and cost-effective in this setting, more GPs may also be able to gain and maintain the skills to implement dermoscopy into routine primary care. Technological advances, including incorporation of artificial intelligence (AI) and algorithms to guide GPs, could also contribute to widening use of dermoscopy among GPs. |
| Databáze: | OpenAIRE |
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