Reports by Patients and Dermatologists of Skin Cancer Preventive Services Provided in Dermatology Offices

Breslow depth of cutaneous melanoma: Impact of factors related to surveillance of the skin, including prior skin biopsies and family history of melanoma

“…57,[74][75][76] Debate also continues regarding potential impediments to the routine performance of TBSE on dermatology patients. 77,78 Some clinicians have argued that patients are unwilling to be fully examined because of embarrassment or reluctance to get undressed. 79,80 However, several studies have found that less than 5% of dermatology clinic patients or screening participants (N = 3001) objected to a TBSE, 35,[81][82][83][84] and explaining the purpose of a complete examination has been shown to alleviate patient concerns.…”

“…As skin cancer screening is often not a high priority for primary care physicians, who have limited time as well as a relative lack of experience, skill, and confidence in the diagnosis of pigmented lesions, it is clear that dermatologists must play a central role in the management of patients at risk for the development of subsequent visit), this is an unattainable goal in many busy offices. 78,79 The absence of realistic guidelines regarding provision of TBSEs has contributed to a lack of consensus and inconsistent practices among dermatologists. The disappointing trends seen in this study, with neither the well-established risk factor of a family history of melanoma nor being under dermatologic care (as evidenced by the performance of a skin biopsy within the previous 1-5 years) predicting thinner melanomas, highlight the need to establish criteria defining the subset of patients for whom appropriate management requires periodic TBSEs.…”

Patient awareness and sun protection behaviour following excision of basal cell carcinoma

“…However, research has shown that the prevalence of such counselling is variable. 8,9 UV light remains the main avoidable risk factor for all skin cancers. 10 Exposure to UV radiation is principally to the hands, forearms and face, the regions are where BCC development is most common.…”

Behavioral and Community Interventions to Prevent Skin Cancer

“…15 By contrast, Australian physicians do so much more often. 17,18 The use of nonphysician providers for skin cancer prevention and detection in primary care settings is both common and necessary. 17,18 The use of nonphysician providers for skin cancer prevention and detection in primary care settings is both common and necessary.…”