Personal and Clinical Skin Cancer Prevention Practices of US Women Physicians

Saraiya, Mona; Frank, Erica; Elon, Lisa; Baldwin, Grant T.; McAlpine, Barbara E.

doi:10.1001/archderm.136.5.633

Cited by 25 publications

(28 citation statements)

References 47 publications

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“…Similar to the current study, nearly two thirds of Australian family physicians believe in the value of the skin cancer examination despite national guidelines opposing formal skin cancer screening. 23 The rates of nonphysician skin cancer examinations in this study were far lower than the rates of 22% to 29% for physician assistants and nurse practitioners found by Oliveria et al 24 In a survey of 3032 female nondermatologists and 95 dermatologists in 1994, Saraiya et al 25 found that 27% of nondermatologists counseled their typical patients on sunscreen or screened them for skin cancer at least once a year. They also found higher patient screening and counseling rates among physicians who reported having had a personal skin cancer examination.…”

Section: Other Studiescontrasting

confidence: 51%

See 1 more Smart Citation

Overcoming Obstacles to Skin Cancer Examinations and Prevention Counseling for High-Risk Patients: Results of a National Survey of Primary Care Physicians

Geller¹,

O’Riordan²,

Oliveria³

et al. 2004

The Journal of the American Board of Family Medicine

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Objective: Primary care physicians are in a unique position to perform skin cancer examinations and provide prevention counseling, given that approximately 40% of office visits to physicians in the United States are to a family practitioner or internist. Compared with family or self-detection, physician detection is associated with an increased probability of detecting thinner melanomas. However, little research has attempted to identify the major obstacles to performing a skin cancer examination and recommending prevention practices.Methods: In the spring of 2002, we surveyed primary care physicians from all 50 states, including family medicine physicians, internists, and general practitioners sampled from the American Medical Association's Medical Marketing Services' database. There were 4 primary outcome variables related to early detection and prevention practices for average-risk patients and patients with risk factors: performing a full-body skin examination; recommending regular skin self-examination; and recommending sun protection practices and avoidance of tanning booths for patients younger than age 35.Results: We received surveys from 380 (60%) of 632 eligible physicians. Nearly 60% of physicians routinely performed full-body examinations with their high-risk patients. In the regression analysis of factors influencing physician examination of high-risk patients, lack of time was the strongest barrier [odds ratio (OR) 0.3 (95% confidence interval (CI) 0.2 to 0.6)]. Physicians using the most information sources [OR 2.5 (95% CI 1.3 to 4.8)] were the most likely to examine their high-risk patients. Physicians whose patients requested a skin examination were more likely to examine their patients compared with physicians whose patients did not request such an examination (P < .01).Conclusions: Concerted public and professional education efforts must be made to provide resources that help physicians efficiently weave skin cancer examinations and prevention counseling into routine practice while also motivating high-risk patients to request full-body examinations and counseling. ( Incidence and mortality rates for melanoma are rising faster than those for nearly all other cancers.

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Section: Other Studiescontrasting

confidence: 51%

“…They also found higher patient screening and counseling rates among physicians who reported having had a personal skin cancer examination. 25 …”

Section: Other Studiesmentioning

confidence: 99%

Overcoming Obstacles to Skin Cancer Examinations and Prevention Counseling for High-Risk Patients: Results of a National Survey of Primary Care Physicians

Geller¹,

O’Riordan²,

Oliveria³

et al. 2004

The Journal of the American Board of Family Medicine

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“…A recent study on melanoma patients [18] showed that 72.2% had been advised by a physician to avoid the sun and 81% to use sunscreens, and the adoption of sun protection was strongly associated with counseling by a physician. However, counseling is often less than ideal: a survey among US physicians showed that two thirds of dermatologists counseled or screened their typical patient at every visit, while nondermatologists reported lower percentages [24]; similar findings were reported in a study among American primary care physicians [25]. …”

Section: Discussionmentioning

confidence: 75%

“…Due to the nature of the subject matter, it is particularly complicated to perform studies using objective evaluations. Thus, the vast majority of studies in this field rely on patient [5, 15, 18, 21] or physician reports [19, 24]. The few studies on similar topics which evaluated the reliability of self-reported information found a high reproducibility [10].…”

Section: Discussionmentioning

confidence: 99%

Skin Cancer Knowledge and Preventive Behaviors among Patients with a Recent History of Cutaneous Squamous Cell Carcinoma

et al. 2008

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Aims: To evaluate skin cancer knowledge and preventive behaviors of patients recently treated for cutaneous squamous cell carcinoma (SCC) and to examine the factors associated with the adoption of preventive behaviors. Methods: Telephone survey on 315 SCC patients treated at a large dermatological hospital in Italy, evaluating skin cancer knowledge, sun protection and skin examination practices as well as medical recommendations received after SCC removal. Results: Skin cancer knowledge was fair/low for 48.9% of the participants. Doctors were the main source of skin cancer information for 24.4% of the patients. Of the patients assessed ≧12 months after SCC removal, 32.7% reported a total skin examination after removal. Of the participants, 41.6% never/rarely used sunscreens. In a multivariate analysis, the likelihood of having complete skin examinations was associated with a doctor’s advice to have an examination (odds ratio, OR = 2.29; 95% confidence interval, CI = 1.2–4.4), a higher knowledge level (OR = 2.05; 95% CI = 1.1–3.8) and past skin examinations (OR = 3.62; 95% CI = 1.9–7.0). Doctor’s recommendations increased the likelihood of adopting preventive behaviors. Conclusions: We found substantial knowledge gaps and limited adoption of skin cancer prevention, highlighting the need for interventions promoting knowledge and preventive behaviors, particularly among higher-risk patients.

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“…Furthermore, a full 60% of 414 surveyed pediatricians lacked formal training on how to counsel patients about sun protection, though the majority felt it was their job to do so. 30 Predictors of physician counseling include primary care practice, 31 good personal health, 29 younger age, 32 female gender, 33,34 and having a sense that counseling is important and efficacious. [35][36][37][38] Documented barriers to sun protection counseling include lack of time, forgetting, lack of training and knowledge, and lack of reimbursement.…”

Section: Discussionmentioning

confidence: 99%