Skin-of-color article representation in dermatology literature 2009-2019: Higher citation counts and opportunities for inclusion

Amuzie, Adaure U.; Jia, Justin L.; Taylor, Susan C.; Lester, Jonathan

doi:10.1016/j.jaad.2021.03.063

Cited by 7 publications

(14 citation statements)

References 4 publications

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“… 51 Recent decades have also seem the implementation of various measures to improve health outcomes and access to healthcare for marginalized groups including increased education around the presentation of common skin conditions in ethnic skin types and a greater inclusion of articles on skin of color. 61 - 63 However, overall inclusion is still low and darker skin types are still underrepresented in mainstream dermatology textbooks and educational materials. 64 , 65 Ultimately, health outcomes for melanoma patients of racial backgrounds need to be revisited with a modern lens in order to better characterize current racial differences in outcomes.…”

Section: Discussionmentioning

confidence: 99%

Racial Differences in the Prognosis and Survival of Cutaneous Melanoma From 1990 to 2020 in North America: A Systematic Review and Meta-Analysis

Lam

Zhu

et al. 2021

J Cutan Med Surg

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Background Factors influencing the difference in the diagnosis and treatment of melanoma in racial minority groups are well-described in the literature and include atypical presentations and socioeconomic factors that impede access to care. Objective To characterize the differences in melanoma survival outcomes between non-Hispanic white patients and ethnic minority patients in North America. Methods We conducted searches of Embase via Ovid and MEDLINE via Ovid of studies published from 1989 to August 5, 2020. We included observational studies in North America which reported crude or effect estimate data on patient survival with cutaneous melanoma stratified by race. Results Forty-four studies met our inclusion criteria and were included in this systematic review. Pooled analysis revealed that black patients were at a significantly increased risk for overall mortality (HR 1.42, 95% CI, 1.25-1.60), as well as for melanoma-specific mortality (HR 1.27, 95% CI, 1.03-1.56). Pooled analyses using a representative study for each database yielded similar trends. Other ethnic minorities were also more likely report lower melanoma-specific survival compared to non-Hispanic white patients. Conclusion Our results support findings that melanoma patients of ethnic minorities, particularly black patients, experience worse health outcomes with regards to mortality. Overall survival and melanoma-specific survival are significantly decreased in black patients compared to non-Hispanic white patients. With the advent of more effective, contemporary treatments such as immunotherapy, our review identifies a gap in the literature investigating present-day or prospective data on melanoma outcomes, in order to characterize how current racial differences compare to findings from previous decades.

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Section: Discussionmentioning

confidence: 99%

Racial Differences in the Prognosis and Survival of Cutaneous Melanoma From 1990 to 2020 in North America: A Systematic Review and Meta-Analysis

Lam

Zhu

et al. 2021

J Cutan Med Surg

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“…Both Amuzie et al 4 and Wilson et al 7 concluded that the higher a journal's impact factor, the lower the number of skin of color articles published. However, skin of color articles published in high-impact journals received a higher number of citations than those in other lowerimpact journals.…”

Section: Practice Pointsmentioning

confidence: 99%

“…However, skin of color articles published in high-impact journals received a higher number of citations than those in other lowerimpact journals. 4 High-impact journals may use Cutis as a model for increasing the number of skin of color articles they publish, which will have a notable impact on increasing skin of color knowledge and educating dermatologists.…”

Section: Practice Pointsmentioning

confidence: 99%

“…If trainees, dermatologists, other specialists, and primary care clinicians are not frequently exposed to patients with darker skin tones and coily hair, the nuances in diagnosing and treating these patients must be learned in alternate ways.To ready the nation's physicians and clinicians to care for the growing diverse population, exposure to more images of dermatologic diseases in those with darker skin tones in journal articles, textbooks, conference lectures, and online dermatology image libraries is necessary to help close the skin of color training and practice gap. 3,4 The following initiatives demonstrate how Cutis has sought to address these educational gaps and remains committed to improving DEI education in dermatology.…”

mentioning

confidence: 99%

“…To ready the nation's physicians and clinicians to care for the growing diverse population, exposure to more images of dermatologic diseases in those with darker skin tones in journal articles, textbooks, conference lectures, and online dermatology image libraries is necessary to help close the skin of color training and practice gap. 3,4 The following initiatives demonstrate how Cutis has sought to address these educational gaps and remains committed to improving DEI education in dermatology.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Increasing Skin of Color Publications in the Dermatology Literature: A Call to Action

Heath¹,

DeLeo²,

Taylor³

2021

Cutis

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Dermatologic conditions in skin of color compared to white patients: similarities, differences, and special considerations

2022

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Skin-of-color article representation in dermatology literature 2009-2019: Higher citation counts and opportunities for inclusion

Cited by 7 publications

References 4 publications

Racial Differences in the Prognosis and Survival of Cutaneous Melanoma From 1990 to 2020 in North America: A Systematic Review and Meta-Analysis

Racial Differences in the Prognosis and Survival of Cutaneous Melanoma From 1990 to 2020 in North America: A Systematic Review and Meta-Analysis

Increasing Skin of Color Publications in the Dermatology Literature: A Call to Action

Dermatologic conditions in skin of color compared to white patients: similarities, differences, and special considerations

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