Izvorni znanstveni članak
Impact of a Community Intervention for Early Skin Cancer Diagnosis Implementing Teledermatology
José Francisco Millán-Cayetano
orcid.org/0000-0003-2481-7800
; Dermatology Department, Hospital Costa del Sol. Marbella, Málaga, Spain
Rosa Herrera-Ibarra
; La Lobilla Primary Care Centre, Costa del Sol Healthcare District. Marbella, Málaga, Spain
Francisco Rivas-Ruiz
; Research Unit, Hospital Costa del Sol. Marbella, Málaga, Spain
Pilar García-Serrato
; La Lobilla Primary Care Centre, Costa del Sol Healthcare District. Marbella, Málaga, Spain
Pablo García-Montero
; Dermatology Department, Hospital Costa del Sol. Marbella, Málaga, Spain
Nuria Blázquez-Sánchez
; Dermatology Department, Hospital Costa del Sol. Marbella, Málaga, Spain
Francisco Pozo-Muñoz
; Costa del Sol Healthcare District, Hospital Costa del Sol. Marbella, Málaga, Spain
Magdalena de Troya-Martín
; Dermatology Department, Hospital Costa del Sol. Marbella, Málaga, Spain
Sažetak
The principal cause of skin cancer is sun exposure. In areas
with high sun exposure levels, early diagnosis and sun protection education strategies must be developed. Aim of the study was to evaluate
the impact of an early skin cancer diagnosis intervention implementing teledermatology. Transversal descriptive study on a population in
the Western Costa del Sol. Primary care physicians were instructed on
skin cancer diagnosis. They recruited consecutive at-risk patients and
held four workshops for early skin cancer diagnosis and education on
sun protection. The resulting variables on participants’ satisfaction and
intention to change were collected. 393 patients were recruited. The
mean age was 52.9 years, and 65.4% were women. Suspicious lesions
were detected in 24.1% of participants, and 11.7% were attended to
via teledermatology. Of these, 65.2% were evaluated in person at the
Dermatology Department. Fourteen basal cell carcinomas, 5 squamous cell carcinomas, and 2 melanomas were diagnosed. Regarding
patient satisfaction, 67.7% found all aspects of the workshops of interest, 41.7% found the skin check-up of interest, and 26.4% found sun
and skin cancer prevention information of interest. Of the patients attended to via teledermatology, 100% stated it was good or very good
and 100% would consult again via this method. The intervention was
successful in terms of participation, skin cancer diagnosis, and satisfaction, especially compared with other international campaigns. Therefore, although the data cannot be extrapolated to all environments,
this initiative may be used as the basis for the development of future
interventions.
Ključne riječi
skin cancer, melanoma, early detection of cancer, public health, telemedicine
Hrčak ID:
281274
URI
Datum izdavanja:
16.7.2020.
Posjeta: 705 *