Patient comfort and expectations for total body skin examinations: A cross-sectional study

Connors, Trissa McClatchey; Reddy, Pooja; Weiss, Emma; Kohn, Jaden R.; Liu, Melinda; Dao, Harry

doi:10.1016/j.jaad.2018.11.046

Cited by 4 publications

(3 citation statements)

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“…There is some evidence that patients may appreciate chaperone use; in a breast examination study, most patients reported that being offered a chaperone was respectful, and those who accepted chaperones indicated feeling more relaxed, supported, and safe. Among dermatology patients undergoing full-body skin examinations conducted by opposite-sex physicians, patient comfort was not negatively impacted by the presence of a chaperone . While further research is needed to understand chaperone demand from a dermatology patient perspective, in 1 study, up to 32% of patients preferred a same-sex clinician for sensitive examinations, suggesting a possible parallel preference regarding chaperones in this group of patients.…”

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confidence: 75%

“…Among dermatology patients undergoing full-body skin examinations conducted by opposite-sex physicians, patient comfort was not negatively impacted by the presence of a chaperone. 3 While further research is needed to understand chaperone demand from a dermatology patient perspective, in 1 study, 3 up to 32% of patients preferred a same-sex clinician for sensitive examinations, suggesting a possible parallel preference regarding chaperones in this group of patients. Beyond fullbody skin examinations, chaperoning may also be germane to other sensitive dermatologic examinations, including focused anogenital examinations.…”

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confidence: 92%

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Effective Use of Medical Chaperones

2023

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confidence: 75%

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confidence: 92%

Effective Use of Medical Chaperones

2023

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“…Previous studies have shown that patients with a high risk of skin cancer benefit most from TBSE [ 5 ]. However, TBSE has some disadvantages and possible impediments, such as the requirement of more time and resources and that patients may be uncomfortable in letting a provider examine perceived private body parts [ 4 , 6 ]. Furthermore, in the literature, there is no consensus guideline on which patients should be examined with TBSE or how it should be performed [ 7 ].…”

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confidence: 99%

Factors for not performing total body skin examinations in primary care in association with teledermoscopy

2023

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Purpose To investigate factors related to omitted total body skin examination (TBSE) in skin cancer diagnostics while managing patients using teledermoscopy (TDS) in Swedish primary care. Methods 4,987 TDS referrals from primary care centers were analyzed to identify factors associated with failing to perform TBSE. Data collected included age, gender of patient and physician, and reason for a visit. Logistic regression was used to test the association between the variables and risk of failing to complete a TBSE. Results The risk for omitted TBSE is higher in older patients, females, patients whose primary reason for seeking care was not specifically for a complete skin check, and with female physician. Patients > 80 years had more than four times increased risk of not undergoing TBSE compared to the youngest (< 30 y). The strongest correlation to omitting TBSE was with other reasons for primary care visits than “skin check”. Male gender of the patient and being examined by male physicians decreased the risk of omitted TBSE by 20% and 30%, respectively. There was no evidence of interaction between the gender of the patient and the physician. Conclusion Since TDS reduces the opportunities to have a TBSE by dermatologists, the standard management of patients with suspicious skin lesions in primary care must be revised and evidence-based. TBSE is strongly recommended for patients with increased risk of skin cancer, for example old persons with fair skin and a history of skin cancer, when managing them with TDS.

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The Genital Examination in Dermatologic Practice

Cocks¹

2021

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• Dermatologists should offer a genital examination to all patients who present for a routine total-body skin examination. • It is critical to educate patients about the importance of examining the genital skin by discussing that skin diseases can arise in all areas of the body including the genital area. Encouraging genital self-examination also is helpful. • If a patient declines, the dermatologist should strive to ensure that another provider is examining the genital skin.

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Patient comfort and expectations for total body skin examinations: A cross-sectional study

Cited by 4 publications

References 4 publications

Effective Use of Medical Chaperones

Effective Use of Medical Chaperones

Factors for not performing total body skin examinations in primary care in association with teledermoscopy

The Genital Examination in Dermatologic Practice

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