AUDIT OF PUBLIC-EDUCATION CAMPAIGN TO ENCOURAGE EARLIER DETECTION OF MALIGNANT-MELANOMA
AUDIT OF PUBLIC-EDUCATION CAMPAIGN TO ENCOURAGE EARLIER DETECTION OF MALIGNANT-MELANOMA
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DOI：
10.1136/bmj.304.6833.1012
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发表时间：
1992-04-18
影响因子：
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通讯作者：
HOLE, D
中科院分区：
文献类型：
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作者：
MACKIE, RM;HOLE, D
Objective-To评估一个公共运动，以鼓励早期转诊和治疗原发性皮肤恶性黑色素瘤，从而降低死亡率相关的melano.Design -生产和分发的教育材料，针对成年人。更新活动前发送给全科医生的信息。1985年6月运动前后黑色素瘤数据分析。背景-苏格兰西部，人口270万。主要结果测量-每月转诊到黑色素瘤诊所的总人数，诊断的黑色素瘤人数，厚度分布的变化，以及运动前后的死亡率。结果-色素性病变诊所的转诊人数增加了278%，从1984年6月到7月的每周5次到1985年6月到7月的每周19次。被转诊到诊所的妇女人数是男子的两倍（49%的转诊是65岁以下的妇女）。1985年1 ~ 5月新发原发性皮肤黑色素瘤63例（12例/月），6 ~ 12月新发原发性皮肤黑色素瘤146例（21例/月），增长131%。厚度小于1.5 mm的肿瘤检出率显著上升了16%（95%置信区间为11%~ 19%），从1979 ~ 1984年的38%（328例）上升到1985 ~ 1989年的54%（592例）。从1988年开始，女性死亡率开始下降。结论-公众教育活动成功地减少了女性厚肿瘤和黑色素瘤相关死亡率的绝对数量。
Objectives - To evaluate a public campaign to encourage earlier referral and treatment of primary cutaneous malignant melanoma and thus reduce mortality related to melanoma.Design - Production and distribution of educational material aimed at adults. Update information sent to general practitioners before campaign. Analysis of data on melanoma before and after campaign in June 1985.Setting - West of Scotland, population 2.7 million.Main outcome measures - Total numbers of referrals per month to melanoma clinic, numbers of melanomas diagnosed, change in distribution of thickness, and mortality before and after introducing the campaign.Results - Referrals to the pigmented lesion clinic increased by 278%, from five a week in June-July 1984 to 19 a week in June-July 1985. Twice as many women as men were referred to the clinic (49% of referrals were of women aged under 65). The numbers of newly diagnosed primary cutaneous melanoma were 63 (12/month) in January-May 1985 and 146 (21/month) in June-December 1985, an increase of 131%. The percentage of tumours detected that were less than 1.5 mm thick rose significantly by 16% (95% confidence interval 11% to 19%), from 38% (328) in 1979-84 to 54% (592) in 1985-9. Mortality began to fall in women from 1988.Conclusions - The public education campaign succeeded in reducing the absolute number of thick tumours and melanoma related mortality in women.