The dermatology work force: A focus on urban versus rural wait times

Uhlenhake, Elizabeth E.; Brodell, Robert T.; Mostow, Eliot N.

doi:10.1016/j.jaad.2008.09.008

Cited by 66 publications

(28 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There are fewer dermatologists per capita in rural areas compared to urban areas, although wait time to be seen by a dermatologist was not statistically different between urban and rural areas (Uhlenhake E, Brodell R, Mostow E, 2009). Our regression model controlled for this issue but this does not eliminate the potential bias completely.…”

Section: Discussionmentioning

confidence: 99%

Eczema Prevalence in the United States: Data from the 2003 National Survey of Children's Health

Shaw

Currie

Koudelka

et al. 2011

Journal of Investigative Dermatology

652

430

View full text Add to dashboard Cite

Using the 2003 National Survey of Children’s Health (NSCH) sponsored by the federal Maternal and Child Health Bureau, we calculated prevalence estimates of eczema nationally and for each state among a nationally representative sample of 102,353 children 17 years of age and under. Our objective was to determine the national prevalence of eczema/atopic dermatitis in the United States pediatric population and to further examine geographic and demographic associations previously reported in other countries. Overall, 10.7% of children were reported to have a diagnosis of eczema in the last 12 months. Prevalence ranged from 8.7% to 18.1% between states and districts, with the highest prevalence reported in many of the East Coast states, as well as Nevada, Utah, and Idaho. After adjusting for confounders, metropolitan living was found to be a significant factor in predicting a higher disease prevalence with an OR of 1.67 (95% confidence interval of 1.19-2.35, p=0.008). Black race (OR 1.70, p=0.005) and education level in the household greater than high school (OR 1.61, p=0.004) were also significantly associated with a higher prevalence of eczema. The wide range of prevalence suggests social or environmental factors may influence disease expression.

show abstract

Section: Discussionmentioning

confidence: 99%

Eczema Prevalence in the United States: Data from the 2003 National Survey of Children's Health

Shaw

Currie

Koudelka

et al. 2011

Journal of Investigative Dermatology

652

430

View full text Add to dashboard Cite

show abstract

“…3 The current shortage of US dermatologists 4,5 has heightened the need to involve other medical professionals in skin cancer management. Primary care physicians (PCPs), including family physicians (FPs), regularly see patients with skin concerns who are not being followed by or do not have access to dermatologists.…”

mentioning

confidence: 99%

A Clinical Aid for Detecting Skin Cancer: The Triage Amalgamated Dermoscopic Algorithm (TADA)

Rogers

Marino

Dusza

et al. 2016

The Journal of the American Board of Family Medicine

View full text Add to dashboard Cite

Purpose Family physicians (FPs) frequently evaluate skin lesions but may not have the necessary training to accurately and confidently identify lesions that require skin biopsy or specialist referral. We evaluated the diagnostic performance of a new, simplified dermoscopy algorithm for skin cancer detection. Methods In this cross-sectional, observation study, attendees of a dermoscopy course evaluated 50 polarized dermoscopy images of skin lesions (27 malignant and 23 benign) using the Triage Amalgamated Dermoscopic Algorithm (TADA). The dermoscopic criteria of TADA include architectural disorder (ie, disorganized or asymmetric distribution of colors and/or structures), starburst pattern, blue-black or gray color, white structures, negative network, ulcer, and vessels. The study occurred after 1 day of basic dermoscopy training. Clinical information related to palpation (ie, firm, dimpling) was provided when relevant. Results Of 200 course attendees, 120 (60%) participated in the study. Participants included 64 (53.3%) dermatologists and 41 (34.2%) primary care physicians, 19 (46.3%) of whom were FPs. Fifty-two (43%) individuals had no previous dermoscopy training. Overall, the sensitivity and specificity of TADA for malignant skin lesions was 94.8% and 72.3%, respectively. Previous dermoscopy training and years of dermoscopy experience were not associated with diagnostic sensitivity (P = .13 and P = .05, respectively) or specificity (P = .36 and P = .21, respectively). Specialty type was not associated with sensitivity (P = .37) but dermatologists had a higher specificity than nondermatologists (79% v. 72%, P = .008). Conclusions After basic instruction, TADA may be a useful dermoscopy algorithm for FPs who examine skin lesions as it has a high sensitivity for detecting skin cancer.

show abstract

“…Other factors are related to the opportunity to consult a dermatologist rather than a general practitioner [4]. However, various authors have reported difficulties in obtaining an appointment with a dermatologist [12,[14][15][16][17]]. …”

Section: Introductionmentioning

confidence: 99%

Use of Smartphones for Early Detection of Melanoma: Systematic Review (Preprint)

Rat¹,

Hild²,

Sérandour³

et al. 2017

Preprint

View full text Add to dashboard Cite

show abstract

The dermatology work force: A focus on urban versus rural wait times

Cited by 66 publications

References 14 publications

Eczema Prevalence in the United States: Data from the 2003 National Survey of Children's Health

Eczema Prevalence in the United States: Data from the 2003 National Survey of Children's Health

A Clinical Aid for Detecting Skin Cancer: The Triage Amalgamated Dermoscopic Algorithm (TADA)

Use of Smartphones for Early Detection of Melanoma: Systematic Review (Preprint)

Contact Info

Product

Resources

About