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

Abstract:

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.

journal_name

Ups J Med Sci

authors

Valachis A,Mauri D,Karampoiki V,Polyzos NP,Cortinovis I,Koukourakis G,Zacharias G,Xilomenos A,Tsappi M,Casazza G

doi

10.1080/03009730802579620

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

32-40

issue

1

eissn

0300-9734

issn

2000-1967

pii

908460006

journal_volume

114

pub_type

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