Time to Diagnosis of Melanoma: Same Trend in Different Continents

Blum, Andreas; Ingvar, Christian; Avramidis, Michelle; Kannen, Andreas von; Menzies, Scott W.; Olsson, Håkan; Rezze, Gisele Gargantini; Wennberg, Ann‐Marie; Westerhoff, Karin

doi:10.2310/7750.2007.00023

Cited by 18 publications

(15 citation statements)

References 20 publications

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“…Among the first 47 recruited patients we compared the telephone interviews with data collected during the dermatological visit regarding the date of first noticing the lesion and ofthe first visit, finding very good agreement (91.2%; k = 0.81 and 85.1 %; k = 0.69, respectively). In addition to the index SCC, 30.0% of participants also reported a past skin cancer (basal cell carcinoma 15 …”

Section: Sociodemographic and Clinical Characteristics Ofthe Study Samentioning

confidence: 97%

“…Thus, understanding determinants of delay could help prevent advanced cases, with benefits for the individual and the healthcare system at large. Several studies have examined factors associated with diagnostic delay of melanoma (10)(11)(12)(13)(14)(15)(16)(17). However, despite the increasing incidence and associated costs, very limited data are available on SCC ( 18).…”

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confidence: 99%

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Delay in Diagnosis and Treatment of Squamous Cell Carcinoma of the Skin

et al. 2010

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Advanced squamous cell carcinomas (SCC) of the skin can cause significant tissue destruction and may metastasize. Understanding the determinants of patient delay could help prevent advanced presentation. The purpose of the present study was to examine patient- and healthcare-related factors associated with delay before the detection and treatment of SCC. A sample of 308 patients with SCC treated at a dermatological referral centre in Italy were interviewed. Clinical data were obtained from the medical records. The highest quartile patients reported > 9 months delay between noticing the lesion and the first medical visit (defined as long patient delay). Multivariate analysis showed that SCC arising on pre-existing chronic lesions were associated with long patient delay (odds ratio = 3.17; 95% confidence interval 1.1-9.3). Controlling for confounders, the first physician's advice to remove the lesion immediately was associated with a shorter treatment delay (p < 0.001). In conclusion, our work emphasizes the importance of seeing a doctor about any change in a pre-existing lesion, particularly in light of the fact that SCC on chronic lesions are at greater risk of metastasis and recurrence.

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Section: Sociodemographic and Clinical Characteristics Ofthe Study Samentioning

confidence: 97%

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confidence: 99%

Delay in Diagnosis and Treatment of Squamous Cell Carcinoma of the Skin

et al. 2010

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“…8 Most authors believe that this is because a subgroup of citizens are relatively unresponsive to prevention campaigns and continue to be diagnosed with thick lesions. [13][14][15][16][17] Other authors postulate that delayed diagnosis in these patients is correlated with faster progression due to the different biological behaviour of certain melanomas. [13][14][15][16][17] The present study analyses the epidemiological data of the population of cutaneous melanoma patients seen by our Department in the period 1985-2009.…”

Section: Introductionmentioning

confidence: 99%

A single centre melanoma thickness trend (1985–2009) in relation to skin areas accessible and non‐accessible to self‐inspection

Rubegni¹,

Rossi²,

Nami³

et al. 2011

Aust J Dermatology

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“…One reason for delayed diagnosis relates to patients' care-seeking patterns for suspected MM [5]. A review of the literature concerning patient delay highlights health beliefs, low sense of severity, and susceptibility related to melanoma as reasons for delayed care seeking.…”

Section: Introductionmentioning

confidence: 99%

Health-Care Delay in Malignant Melanoma: Various Pathways to Diagnosis and Treatment

Hajdarević

Hörnsten

Sundbom

et al. 2014

Dermatology Research and Practice

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We aimed to describe and compare patients diagnosed with malignant melanoma (MM), depending on their initial contact with care and with regard to age, sex, and MM type and thickness, and to explore pathways and time intervals (lead times) between clinics from the initial contact to diagnosis and treatment. The sample from northern Sweden was identified via the Swedish melanoma register. Data regarding pathways in health care were retrieved from patient records. In our unselected population of 71 people diagnosed with skin melanoma of SSM and NM types, 75% of patients were primarily treated by primary health-care centres (PHCs). The time interval (delay) from primary excision until registration of the histopathological assessment in the medical records was significantly longer in PHCs than in hospital-based and dermatological clinics (Derm). Thicker tumors were more common in the PHC group. Older patients waited longer times for wide excision. Most MM are excised rapidly at PHCs, but some patients may not be diagnosed and treated in time. Delay of registration of results from histopathological assessments within PHCs seems to be an important issue for future improvement. Exploring shortcomings in MM patients' clinical pathways is important to improve the quality of care and patient safety.

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Time to Diagnosis of Melanoma: Same Trend in Different Continents

Cited by 18 publications

References 20 publications

Delay in Diagnosis and Treatment of Squamous Cell Carcinoma of the Skin

Delay in Diagnosis and Treatment of Squamous Cell Carcinoma of the Skin

A single centre melanoma thickness trend (1985–2009) in relation to skin areas accessible and non‐accessible to self‐inspection

Health-Care Delay in Malignant Melanoma: Various Pathways to Diagnosis and Treatment

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