Variation in the Depth of Excision of Melanoma A Survey of US Physicians
Variation in the Depth of Excision of Melanoma A Survey of US Physicians
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DOI：
10.1001/archdermatol.2010.156
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发表时间：
2010-09-01
影响因子：
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通讯作者：
Halpern, Allan
中科院分区：
文献类型：
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作者：
DeFazio, Jennifer L.;Marghoob, Ashfaq A.;Halpern, Allan
目的：为了评估目前的做法和建议，美国医生关于切除深度的黑色素瘤的不同组织学厚度。设计：2页，13个问题的调查深度切除的做法，治疗黑色素瘤的发展和分布。设置：私人和学术设置。参与者：共有1184名美国医生（1000名皮肤科医生和184名黑色素瘤专家）接受了调查。184黑色素瘤专家，包括皮肤科医生，肿瘤学家，和外科医生在色素病变clinics.Main结果措施：切除深度的做法报告的黑色素瘤的不同组织学厚度和治疗医生组的比较。结果制成表格，并使用描述性频率来描述人口统计学和调查results.Results：最终的研究分析包括498完成的调查。总体应答率为45%（1097人中的498人[1184名应答者-87名不死亡者]）。专家的应答率为63%（183人中的115人[184名总应答者-1名不合格]），非专家皮肤科医生的应答率为43%（892人中的383人[1000名总应答者- 108名不合格]）。专科医生比非专科皮肤科医生更有可能在城市环境中执业（78%比46%）（P
Objective: To assess current practices and recommendations of US physicians regarding depth of excision for melanomas of varying histologic thicknesses.Design: A 2-page, 13-question survey of depth of excision practices for the treatment of melanoma was developed and distributed.Setting: Both private and academic settings.Participants: A total of 1184 US physicians (1000 dermatologists and 184 melanoma specialists) were sent the survey. The 184 melanoma specialists included dermatologists, oncologists, and surgeons working in pigmented lesion clinics.Main Outcome Measures: Depth of excision practices reported for melanomas of varying histologic thicknesses and comparison of treating physician groups. Results were tabulated, and descriptive frequencies were used to describe demographics and survey responses.Results: The final study analysis included 498 completed surveys. The overall response rate was 45% (498 of 1097 [1184 total respondents-87 ineligibles]). The response rate for the specialists was 63% (115 of 183 [184 total respondents-1 ineligible]), and for nonspecialist dermatologists it was 43% (383 of 892 [1000 total respondents- 108 ineligibles]). Specialists were more likely to practice in an urban setting than were nonspecialist dermatologists (78% vs 46%) (P