Abstract:
BACKGROUND:Cutaneous squamous cell carcinoma (SCC) is the second most frequent skin cancer among Caucasians. Advanced cases determine significant tissue destruction and they can metastasize. OBJECTIVES:To evaluate the role of GPs in timely diagnosis of SCC, examining the probability of delay before the diagnosis and treatment of SCC among patients having first seen a GP compared to patients having accessed directly a dermatologist. METHODS:We included a stratified sample of 308 SCC patients treated at a referral center in Italy. Medical records were reviewed and combined with patient interviews. RESULTS:Multivariable analysis has shown that patients who have first seen a GP have a significantly lower likelihood of long patient delay [odds ratio (OR) = 0.45; 95% confidence interval (95% CI) 0.21-0.94; P = 0.04) compared to patients having accessed directly a dermatologist. Treatment delay was not associated with the specialization of the first doctor seen for the lesion (OR = 0.52; 95% CI 0.15-1.84; P = 0.31). CONCLUSION:Our findings highlight the potential role of the GP in facilitating rapid access to appropriate health care.
journal_name
Fam Practjournal_title
Family practiceauthors
Renzi C,Mastroeni S,Mannooranparampil TJ,Passarelli F,Pasquini Pdoi
10.1093/fampra/cmq103subject
Has Abstractpub_date
2011-06-01 00:00:00pages
277-9issue
3eissn
0263-2136issn
1460-2229pii
cmq103journal_volume
28pub_type
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