1999
DOI: 10.1001/archderm.135.3.339
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Thickness and Delay in Diagnosis of Melanoma

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Cited by 6 publications
(4 citation statements)
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References 6 publications
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“…The institution of a primary prevention program in West Scotland in 1985 lead to an increase in the number of thin melanomas excised, with a reduction in mortality observed after 1990. The subsequent decade confirmed a durable benefit among females, but older male mortality rates rose between 1990 and 2000 39–41. Those findings are corroborated by reports from Swedish prevention programs with initial education of physicians and nurses followed by public education, showing a decreased mortality rate among females 45.…”
Section: Discussionsupporting
confidence: 61%
See 1 more Smart Citation
“…The institution of a primary prevention program in West Scotland in 1985 lead to an increase in the number of thin melanomas excised, with a reduction in mortality observed after 1990. The subsequent decade confirmed a durable benefit among females, but older male mortality rates rose between 1990 and 2000 39–41. Those findings are corroborated by reports from Swedish prevention programs with initial education of physicians and nurses followed by public education, showing a decreased mortality rate among females 45.…”
Section: Discussionsupporting
confidence: 61%
“…Skin cancer screening by physicians commonly occurs opportunistically rather than at regular intervals; however, screening with coincidental detection by a physician resulted in the detection of thinner melanomas compared with the melanomas that were self‐ detected 37. During a visit, physicians may provide skin cancer prevention counseling or education, although this occurs in fewer than half of the visits for high‐risk patients 38–42. In one study, 63% of patients with melanoma were seen by a physician in the year prior to diagnosis, but only 20% of patients were given a cutaneous examination by the physician 43…”
Section: Discussionmentioning
confidence: 99%
“…Besides the number of prior removals, we note several aspects of the initial provider evaluation that relate to this delay, including the initial diagnostic impression and type of procedures performed at this evaluation. Some have speculated about the role of medical providers in prolonged delay (Cassileth et al, 1988;Dunkley and Morris, 1991;Blum et al, 1999;MacKie, 1999;Richard et al, 1999). Many of the clinicians that treat BCC and SCC in their practices have little formal training in dermatology (only 60% of skin cancer treatments are provided by dermatologists) (Joseph et al, 2001).…”
Section: Discussionmentioning
confidence: 99%
“…These data suggest that the inherent biologic aggressiveness of a tumor could determine prognosis. 29 In contrast to SSMs, NMs are most often symmetric and can have a diameter less than 5 mm. 22 Bergenmar et al 22 observed that NMs smaller than 2 mm thick were smaller in diameter compared with SSMs smaller than 2 mm thick (P Ͻ.05) and that NMs were more frequently new lesions (P Ͻ .05) compared with SSMs of similar thickness that more often had developed from preexisting nevi.…”
Section: Commentmentioning
confidence: 99%