Patient-reported frequency of acral surface inspection during skin examination in white and ethnic minority patients - 16/07/14
Abstract |
Background |
Acral lentiginous melanomas compose a higher proportion of melanomas and have a higher mortality in ethnic minorities than in whites. Early detection by acral surface inspection during skin examinations may lead to improved acral lentiginous melanoma outcomes.
Objective |
This study compared patient-reported frequencies of acral skin examinations in ethnic and white populations.
Methods |
Written surveys were collected from 1040 dermatology clinic patients.
Results |
More whites reported performing self-skin examinations than ethnic minorities (P < .01), but there was no difference in the rates of hand (P = .7) or foot (P = .87) inspection during self-skin examination between whites and ethnic minorities. More whites (77.5%) than ethnic minorities (38.9%) reported having undergone a full-body skin examination (FBSE) from a health care provider (P < .01). During their most recent FBSE by a health care provider, more whites than ethnic minorities reported having their hands examined (P = .02), but there was no difference in reported hand inspection (P = .06) at any previous FBSE or foot inspection at any (P = .07) or the most recent (P = .59) FBSE between whites and ethnic minorities.
Limitations |
Single-center study using a new unvalidated survey is a limitation.
Conclusion |
Whites were found to more frequently report self-skin examination and FBSE than ethnic minorities, but significant differences in reported acral examinations were not detected.
Le texte complet de cet article est disponible en PDF.Key words : acral lentiginous melanoma, ethnic skin, patient survey, plantar surface inspection, skin examination, skin of color
Abbreviations used : ALM, FBSE, HCP, SSE, USPSTF
Plan
Funding sources: None. |
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Conflicts of interest: None declared. |
Vol 71 - N° 2
P. 249-255 - août 2014 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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