Time-trend of melanoma screening practice by primary care physicians: A meta-regression analysis

Autor:	Georgios V. Koukourakis, Georgios Zacharias, Antonis Valachis, Ivan Cortinovis, Giovanni Casazza, Apostolos Xilomenos, Davide Mauri, Vassiliki Karampoiki, Nikolaos P. Polyzos, Maria Tsappi
Přispěvatelé:	Surgical clinical sciences, Faculty of Medicine and Pharmacy
Jazyk:	angličtina
Rok vydání:	2009
Předmět:	medicine.medical_specialty Pathology MEDLINE primary care physician Global Health skin cancer screening Internal medicine Global health medicine Humans Mass Screening Meta-regression Practice Patterns Physicians' Melanoma Mass screening business.industry Incidence (epidemiology) skin examination Primary care physician Physicians Family General Medicine medicine.disease Meta-analysis Regression Analysis Original Article business
Zdroj:	Upsala Journal of Medical Sciences
ISSN:	2000-1967 0300-9734
Popis:	OBJECTIVE: To assess whether the proportion of primary care physicians implementing full body skin examination (FBSE) to screen for melanoma changed over time. METHODS: Meta-regression analyses of available data. DATA SOURCES: MEDLINE, ISI, Cochrane Central Register of Controlled Trials. RESULTS: Fifteen studies surveying 10,336 physicians were included in the analyses. Overall, 15%-82% of them reported to perform FBSE to screen for melanoma. The proportion of physicians using FBSE screening tended to decrease by 1.72% per year (P =0.086). Corresponding annual changes in European, North American, and Australian settings were -0.68% (P =0.494), -2.02% (P =0.044), and +2.59% (P =0.010), respectively. Changes were not influenced by national guide-lines. CONCLUSIONS: Considering the increasing incidence of melanoma and other skin malignancies, as well as their relative potential consequences, the FBSE implementation time-trend we retrieved should be considered a worrisome phenomenon.
Databáze:	OpenAIRE
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