Who removes pigmented skin lesions?

Marks, Robin; Jolley, Damien; McCormack, Chris; Dorevitch, A.P.

doi:10.1016/s0190-9622(97)80324-6

Cited by 71 publications

(66 citation statements)

References 9 publications

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“…We had a lower response rate among controls in Besan9on (55.6%) and Turin (63.6%) although still similar to those in other population-based case-control studies (Engel et al, 1988;Green et al, 1988;Hogan et al, 1989;Marks et al, 1989;Hunter et al, 1990;Vitasa et al, 1990). However, the interview setting was similar for cases and controls (at home or outpatient clinics), thus minimising possible sources of bias.…”

supporting

confidence: 89%

The multicentre south European study 'Helios'. I: Skin characteristics and sunburns in basal cell and squamous cell carcinomas of the skin

Zanetti

Rosso²,

Martínez³

et al. 1996

Br J Cancer

173

130

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SummaryThe aim of this study was to investigate constitutional and environmental determinants of nonmelanocytic skin cancer among different populations from south Europe. Between 1989 and 1993 we interviewed incident cases and a random population sample of controls from five centres where a cancer registry was operating, whereas we selected a sample of hospital-based cases and controls from three other centres. Controls were stratified according to the age and sex distribution of cases. In all, 1549 cases of basal cell carcinoma (BCC), 228 of squamous cell carcinoma (SCC) and 1795 controls were interviewed. Both cancers affected primarily sun-exposed sites such as face, head and neck, but the prevalence of BCC on the trunk was higher than for SCC. Pigmentary traits such as hair and eye colour as well as tendency to sunburn were strong and independent indicators of risk for both BCC and SCC. In SCC, adjusted odds ratios (ORs) ranged from 1.6 for fair hair colour to 12.5 for red hair. Light-blonde hair entailed a risk of about 2 for BCC. Pale eye colour was associated with a risk of 1.8 for SCC and 1.4 for BCC. Subjects who always burn and never tan showed an adjusted OR of 2.7 for BCC and 2.0 for SCC. A history of sunburns and a young age at first sunburn were associated with an increased risk for BCC only (OR 1.7). Pigmentary traits and sun sensitivity of the skin confirmed their role as risk indicators. The effect of sunburns, as an indicator of both exposure and sun sensitivity of the skin, is less clear. Nevertheless, its association with BCC suggests, by analogy with melanoma, a relationship with intense sun exposure. Converseley, SCC would require prolonged exposure to sunlight.

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supporting

confidence: 89%

The multicentre south European study 'Helios'. I: Skin characteristics and sunburns in basal cell and squamous cell carcinomas of the skin

Zanetti

Rosso²,

Martínez³

et al. 1996

Br J Cancer

173

130

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“…However, although there is no ideal NNT, available reports have suggested that the NNT varies according to different physician practices. For example, in mainstream general practice the reported NNT ranges from about 20 to 40, [5][6][7][8][9] whereas the NNT reported in skin cancer clinics has ranged from 19 to 28, 5,8 and dermatologists have the lowest reported NNT ranging from 4 to 12. 7,10 These rates need to be interpreted with caution as the data and methods used to calculate the NNT vary across these reports.…”

Section: CImentioning

confidence: 99%

How good are skin cancer clinics at melanoma detection? Number needed to treat variability across a national clinic group in Australia

Hansen¹,

Wilkinson²,

Hansen³

et al. 2009

Journal of the American Academy of Dermatology

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“…The clinical training for recognition of malignant melanoma that dermatology residents receive, aside from learning by examples of malignant melanoma in the clinic and in slide sets includes the same ABCD rule that the general public is taught. Conventional educational programs can improve diagnostic accuracy, but some discriminations such as melanoma versus dysplastic nevi remain difficult (6).…”

mentioning

confidence: 99%