Assessing Skin Biopsy Rates for Histologic Findings Indicative of Nonpathological Cutaneous Disease
| Autor: | Suzanna Lewis, Molly Marous, Morgan Barr, Matthew R. Schaeffer, Ian A. Maher, Michael Nodzenski, April W. Armstrong, Simon Yoo, Abigail Waldman, Robert P. Dellavalle, Murad Alam, James A. Solomon, Joseph F. Sobanko, Michael Oswalt, Jodi K. Duke, Emily Poon, Brigitte Sledge, Emir Veledar, Julie Glener, Todd V. Cartee |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Biopsy Dermatology Disease Skin Diseases 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine medicine Humans Practice Patterns Physicians' Pathological Ohio Retrospective Studies integumentary system medicine.diagnostic_test Practice patterns business.industry Histology Retrospective cohort study General Medicine medicine.disease Multicenter study 030220 oncology & carcinogenesis Skin biopsy Florida Surgery Female Skin cancer business |
| Zdroj: | Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]. 45(5) |
| ISSN: | 1524-4725 |
| Popis: | Recent increase in skin biopsies has been attributed to an epidemic of skin cancer. This may be avoidable, with potential savings.To determine whether the increase in skin biopsies is attributable to increasing frequency of biopsies associated with histology lacking pathological cutaneous disease. Pathological cutaneous disease was defined as (1) a malignancy, precancerous lesion, or lesion of uncertain behavior; or (2) disease symptomatic or associated with adverse quality of life impact.Retrospective cohort study, 2006 to 2013 of dermatology practice serving Florida and Ohio. Data were a consecutive sample of skin biopsies for diagnosis of dermatologic disease.A total of 267,706 biopsies by an average of 52 providers per month from January 06 to December 13 were analyzed. Number of biopsies per visit increased 2% per year (RR: 1.02, CI: 1.00-1.04). Likelihood of biopsy associated with histology indicative of nonpathological cutaneous disease did not increase over time (OR: 0.99, CI: 0.95-1.03, p = .6302).Rates of biopsies associated with nonpathological cutaneous disease is not increasing. Overall biopsy rates per visit have gradually increased; this seems attributable to greater rates of detection of pathological dermatologic disease. |
| Databáze: | OpenAIRE |
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