دورية أكاديمية
Referrals by general practitioners for suspicious skin lesions: the urgency of training.
العنوان: | Referrals by general practitioners for suspicious skin lesions: the urgency of training. |
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المؤلفون: | van Rijsingen MC; Department of Dermatology, Radboud University Nijmegen Medical Centre, 6500 HB Nijmegen, The Netherlands. m.vanrijsingen@derma.umcn.nl., Hanssen SC, Groenewoud JM, van der Wilt GJ, Gerritsen MJ |
المصدر: | Acta dermato-venereologica [Acta Derm Venereol] 2014 Mar; Vol. 94 (2), pp. 138-41. |
نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
اللغة: | English |
بيانات الدورية: | Publisher: MJS Publishing Country of Publication: Sweden NLM ID: 0370310 Publication Model: Print Cited Medium: Internet ISSN: 1651-2057 (Electronic) Linking ISSN: 00015555 NLM ISO Abbreviation: Acta Derm Venereol Subsets: MEDLINE |
أسماء مطبوعة: | Publication: 2024- : Uppsala, Sweden : MJS Publishing Original Publication: Stockholm : Acta dermato-venereologica |
مواضيع طبية MeSH: | Diagnostic Errors/*statistics & numerical data , General Practitioners/*statistics & numerical data , Referral and Consultation/*statistics & numerical data , Skin Neoplasms/*diagnosis, Carcinoma, Basal Cell/diagnosis ; Carcinoma, Squamous Cell/diagnosis ; Dermatology ; Diagnosis, Differential ; Female ; General Practitioners/education ; Humans ; Keratosis, Seborrheic/diagnosis ; Male ; Melanoma/diagnosis ; Middle Aged ; Netherlands ; Nevus/diagnosis ; Precancerous Conditions/diagnosis ; Predictive Value of Tests ; Terminology as Topic |
مستخلص: | Skin cancer is common among white populations and rapid increases in incidence are being observed in many countries, leading to a large burden on healthcare systems. Unnecessary referrals from general practitioners (GPs) may contribute to this burden. The aim of this study was to analyse the quality of referrals from GPs of patients with skin tumours. Referral letters for 734 patients were collected. The proposed diagnoses were compared with definitive diagnosis made by dermatologists. In 44.5%, lesions appeared to be benign. Malignant skin tumours were poorly recognised by GPs and seborrheic keratoses were often mistaken for naevi (33.6%). Furthermore, with total body examination, dermatologists found 111 additional malignant lesions. We discussed several recommendations to minimise unnecessary referrals as well as the future role of GPs in skin cancer care. |
تواريخ الأحداث: | Date Created: 20131220 Date Completed: 20140911 Latest Revision: 20140226 |
رمز التحديث: | 20231215 |
DOI: | 10.2340/00015555-1752 |
PMID: | 24352366 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1651-2057 |
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DOI: | 10.2340/00015555-1752 |