Exploring patterns of recurrent melanoma in Northeast Scotland to inform the introduction a digital self-examination intervention

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• 作者：Rhona Auckland (1)
  Patrick Wassell (2)
  Susan Hall (3)
  Marianne C Nicolson (4)
  Peter Murchie (3)
  
  1. School of Biomedical Sciences ; Medical School ; Teviot Place ; Edinburgh ; EH8 9AG ; UK
  2. Medical School ; University of Aberdeen ; Polwarth Building ; Foresterhill ; Aberdeen ; AB25 2ZD ; UK
  3. Centre of Academic Primary Care 鈥?Division of Applied Health Sciences ; University of Aberdeen ; Polwarth Building ; Foresterhill ; Aberdeen ; AB25 2ZD ; UK
  4. ANCHOR Unit ; Aberdeen Royal Infirmary ; Foresterhill ; Aberdeen ; AB25 2ZN ; UK
  
• 关键词：Melanoma recurrence ; Self ; detected ; Follow ; up ; Skin self ; examination ; Education
• 刊名：BMC Dermatology
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：14
• 期：1
• 全文大小：315 KB
• 参考文献：1. Erdmann, F, Lortet-Tieulent, J, Sch眉z, J, Zeeb, H, Greinert, R, Breitbart, BW, Bray, F (2013) International trends in the incidence of malignant melanoma 1953鈥?008 are recent generations at higher or lower risk?. Int J Cancer 132: pp. 385-400 CrossRef
  2. Garbe, C, Leiter, U (2009) Melanoma epidemiology and trends. Clin Dermatol 27: pp. 3-9 CrossRef
  3. Korner, A (2013) Barriers and facilitators of adherence to medical skin self-examination during melanoma follow-up care. BMC Dermatol 13: pp. 3 CrossRef
  Guideline 72. Cutaneous Melanoma. SIGN, Edinburgh
  4. Ugurel, S, Enk, A (2008) Skin cancer; follow-up, rehabilitation, palliative and supportive care. J. Dtsch Dermatol. Ges. IOS 6: pp. 492-498 CrossRef
  5. Terushkin, V, Halpern, AC (2009) Melanoma early detection. Hematol Oncol Clin North Am 23: pp. 481-500 CrossRef
  6. Hall, SJ, Samuel, LM, Murchie, P (2011) Toward shared care for people with cancer: developing the model with patients and GPs. Fam Pract 28: pp. 554-564 CrossRef
  7. Dicker, TJ, Kavanagh, GM, Herd, RM, Ahmad, T, McLaren, KM, Chetty, U, Hunter, JA (2009) A rational approach to melanoma follow-up in patients with primary cutaneous melanoma. Brit J Dermatol 140: pp. 249-254 CrossRef
  8. Meyers, MO (2009) Method of detection of initial recurrence of stage II/III cutaneous melanoma: analysis of the utility of follow-up staging. Annal Onco 16: pp. 941-947
  9. Poo-Hwu, WJ, Ariyan, S, Lamb, L, Papac, R, Zelterman, D, Hu, GL, Brown, J, Fischer, D, Bolgnia, J, Buzaid, AC (1999) Follow up recommendations for patients with American joint committee of cancer stages I-III malignant melanoma. Cancer 86: pp. 2252-2258 CrossRef
  10. Garbe, C (2003) Prospective evaluation of a follow-up schedule in cutaneous melanoma patients: recommendations for an effective follow-up strategy. J Clin Oncol 21: pp. 520-529 CrossRef
  11. Kruijff, S, Bastiannet, E, Surmeijer, AJH, Hoekstra, HJ (2010) Detection of melanoma nodal metastases; differences in detection between elderly and young patients do not effect survival. Annal Onco 17: pp. 3008-3014
  12. Moore-Dalal, K, Zhou, Q, Panageas, KS, Brady, MS, Jaques, DP, Coit, DG (2008) Methods of detection of first recurrence in patients with stage I/II primary cutaneous melanoma after sentinel lymph node biopsy. Annal Onco 15: pp. 2206-2214
  13. Hull, P, Piemontesi, N, Lichtenwald, J (2011) Compliance with self-examination surveillance in patients with melanoma and atypical moles: an anonymous questionnaire study. J Cutan Med Surg 15: pp. 97-102 CrossRef
  14. Korner, A, Coroiu, A, Martins, C, Wang, B (2013) Predictors of skin self-examination before and after a melanoma diagnosis; the role of medical advice and patient鈥檚 level of education. Int Arch Med 6: pp. 8 CrossRef
  15. Janda, M, Baade, PD, Youl, PH, Aitken, JF, Whiteman, DC, Gordon, L, Neale, RE (2009) The skin awareness study: promoting thorough skin self-examination for skin cancer among men 50聽years or older. Contemp Clin Trials 31: pp. 119-130 CrossRef
  16. Janda, M, Neale, RE, Youl, P, Whiteman, DC, Gordon, L, Baade, PD (2011) Impact of video-based intervention to improve the prevalence of skin self-examinations in men 50聽years or older: the randomized skin awareness trial. Arch Dermatol 147: pp. 799-806 CrossRef
  17. Lee, K, Weinstock, M, Risica, P (2008) Component of a successful intervention for monthly skin self-examination for early detection of melanoma: the 鈥榗heck it out鈥?trial. J Am Acad Dermatol 58: pp. 1006-1012 CrossRef
  18. Oliveria, S, Dusza, S, Phelan, D, Ostroff, J, Berwick, M, Halpern, A (2004) Patient adherence to skin self-examination; effect of nurse intervention with photographs. Am J Prev Med 26: pp. 152-155 CrossRef
  19. Weinstock, M, Risica, P, Martin, R, Rakowski, W, Dube, C, Berwick, M, Goldstein, MG, Acharyya, S, Lasater, T (2007) Melanoma early detection with thorough skin self-examination; The 鈥楥heck It Out鈥?Randomized Trial. Am J Prev Med 32: pp. 517-524 CrossRef
  Scottish Index of Multiple Deprivation.
  Scottish Government 2-Fold Urban Rural Classification.
  20. Printz, C (2008) Target melanoma: skin cancer screenings hold promise to reduce mortality rates but usage of widespread screening lags. Cancer 119: pp. 2359-2360 CrossRef
  21. Leiter, U, Marghoob, AA, Lasithiotakis, K, Eigentler, TK, Meier, F, Meisner, C, Garbe, C (2009) Costs of the detection of metastases and follow-up examinations in cutaneous melanoma. Melanoma Res 19: pp. 50-57 CrossRef
  22. Beaver, K, Hollingworth, W, McDonald, R, Dunn, G, Tysver-Robinson, D, Thomson, L, Hindley, AC, Susnerwala, SS, Luker, K (2009) Economic evaluation of a randomized clinical trial of hospital versus telephone follow-up after treatment for breast cancer. Brit J Surg 96: pp. 1406-1415 CrossRef
  23. Stanton, AL, Ganz, PA, Rowland, JH, Meyerowitz, BE, Krupnick, JL, Sears, SR (2005) Promoting adjustment after treatment for cancer. Cancer 104: pp. 2608-2613 CrossRef
  24. Mackie, R, Bray, C, Hole, D, Morris, A, Nicolson, M, Evans, A, Doherty, V, Vestey, J (2002) Incidence of and survival from malignant melanoma in Scotland: an epidemiological study. Lancet 360: pp. 587-591 CrossRef
  25. The pre-publication history for this paper can be accessed here: http://www.biomedcentral.com/1471-5945/14/4/prepub
  
• 刊物主题：Dermatology; Internal Medicine;
• 出版者：BioMed Central
• ISSN：1471-5945

文摘

Background Melanoma incidence is growing and more people require follow-up to detect recurrent melanoma quickly. Those detecting their own recurrent melanoma appear to have the best prognosis, so total skin self examination (TSSE) is advocated, but practice is suboptimal. A digital intervention to support TSSE has potential but it is not clear which patient groups could benefit most. The aim of this study was to explore cutaneous melanoma recurrence patterns between 1991 and 2012 in Northeast Scotland. The objectives were to: determine how recurrent melanomas were detected during the period; explore factors potentially predictive of mode of recurrence detection; identify groups least likely to detect their own recurrent melanoma and with most potential to benefit from digital TSSE support. Methods Pathology records were used to identify those with a potential recurrent melanoma of any type (local, regional and distant). Following screening of potential cases available secondary care-held records were subsequently scrutinised. Data was collected on demographics and clinical characteristics of the initial and recurrent melanoma. Data were handled in Microsoft Excel and transported into SPSS 20.0 for statistical analysis. Factors predicting detection at interval or scheduled follow-up were explored using univariate techniques, with potentially influential factors combined in a multivariate binary logistic model to adjust for confounding. Results 149 potential recurrences were identified from the pathology database held at Aberdeen Royal Infirmary. Reliable data could be obtained on 94 cases of recurrent melanoma of all types. 30 recurrences (31.9%) were found by doctors at follow-up, and 64 (68.1%) in the interval between visits, usually by the patient themselves. Melanoma recurrences of all types occurring within one-year were significantly more likely to be found at follow-up visits, and this remained so following adjustment for other factors that could be used to target digital TSSE support. Conclusions A digital intervention should be offered to all newly diagnosed patients. This group could benefit most from optimal TSSE practice.