Melanoma reporting to central cancer registries by US dermatologists: An analysis of the persistent. knowledge and practice gap
Melanoma reporting to central cancer registries by US dermatologists: An analysis of the persistent. knowledge and practice gap
复制标题
DOI：
10.1016/j.jaad.2011.05.032
复制
发表时间：
2011-11-01
影响因子：
13.8
通讯作者：
Chen, Suephy C.
中科院分区：
文献类型：
--
作者：
Cartee, Todd V.;Kini, Seema P.;Chen, Suephy C.
背景：每个州都要求诊断医生向其中央癌症登记处报告新的黑色素瘤病例。先前的区域研究和轶事经验表明，很少有皮肤科医生认识到这一义务。这种疏忽可能会导致每年出现大量未报告的黑色素瘤，进而导致美国黑色素瘤统计数据明显低估了该疾病的真实发病率。 目的：我们试图量化不了解黑色素瘤报告要求（知识差距）和不报告黑色素瘤诊断（实践差距）的皮肤科医生的百分比。我们还试图描述报告知识和行为的预测因素。方法：对 2010 年美国皮肤病学会年会皮肤肿瘤学研讨会的与会者进行了一项调查。结果：总共 419 名符合条件的与会者中有 104 人完成了调查（答复率为 26%）。 50% 的受访者认为他们不需要报告黑色素瘤，56% 的受访者没有主动向登记处报告他们的诊断结果。少于 10 年的实践时间与知识差距 (P = .047) 和实践差距 (P = .056) 显着相关。同样，每年诊断出少于 10 例黑色素瘤的皮肤科医生比诊断超过 10 例黑色素瘤的皮肤科医生更有可能存在知识差距 (P = .096) 和实践差距 (P = .087)。 局限性：局限性包括样本量小和响应率低。结论：大多数皮肤科医生没有向癌症登记处报告他们诊断的黑色素瘤，一半的受访者不知道需要诊断医生报告黑色素瘤。 （J Am Acad Dermatol 2011；65：S124-32。）
Background: Every state requires diagnosing physicians to report new cases of melanoma to its central cancer registry. Previous regional studies and anecdotal experience suggest that few dermatologists are cognizant of this obligation. This oversight could result in a large number of unreported melanomas annually and, in turn, US melanoma statistics that markedly underestimate the true incidence of the disease.Objective: We sought to quantify the percentage of dermatologists who are unaware of melanoma reporting requirements (the knowledge gap) and who are not reporting melanoma diagnoses (the practice gap). We also sought to delineate factors predictive of reporting knowledge and behavior.Methods: A survey was administered to attendees of the Cutaneous Oncology Symposium at the 2010 American Academy of Dermatology annual meeting.Results: In all, 104 of 419 eligible attendees completed surveys (response rate 26%). Fifty percent of respondents do not believe they are required to report melanomas and 56% do not actively report their diagnoses to a registry. Practice duration of less than 10 years was significantly associated with both a knowledge gap (P = .047) and practice gap (P = .056). Similarly, dermatologists who diagnosed fewer than 10 melanomas per year were more likely to possess a knowledge gap (P = .096) and a practice gap (P = .087) than those who diagnosed more than 10.Limitations: Limitations include small sample size and low response rate.Conclusion: A majority of dermatologists are not reporting melanomas they diagnose to a cancer registry, and half of those surveyed were not aware that diagnosing physicians are required to report melanoma. (J Am Acad Dermatol 2011;65:S124-32.)