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Journal of Education, Health and Sport

The impact of primary care physicians’ education about easy skin lesion diagnosis algorithm on skin cancers screening effects
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The impact of primary care physicians’ education about easy skin lesion diagnosis algorithm on skin cancers screening effects

Authors

  • Kamila Matyka https://orcid.org/0000-0003-4650-3079
  • Izabela Uniłowska 5 Wojskowy Szpital Kliniczny z Polikliniką w Krakowie https://orcid.org/0000-0001-6657-6692
  • Aleksandra Karwańska 5 Wojskowy Szpital z Polikliniką w Krakowie https://orcid.org/0000-0001-6917-6985
  • Ewa Kojder Kliniczny Szpital Wojewódzki nr 2 im. Św. Jadwigi Królowej w Rzeszowie https://orcid.org/0000-0003-2845-5050
  • Arsen Dolenha Kliniczny Szpital Wojewódzki nr 2 im. Św. Jadwigi Królowej w Rzeszowie https://orcid.org/0000-0002-0228-9667
  • Aleksandra Kulbat 5 Wojskowy Szpital Kliniczny z Polikliniką w Krakowie https://orcid.org/0000-0002-3981-4242
  • Yuliia Dovzhuk 5 Wojskowy Szpital Kliniczny z Polikliniką w Krakowie https://orcid.org/0000-0003-1543-8622
  • Justyna Ochał Kliniczny Szpital Wojewódzki Nr 2 im. Św. Jadwigi Królowej w Rzeszowie https://orcid.org/0000-0003-4567-8678
  • Anna Ferschke Uniwersytet Medyczny w Lublinie https://orcid.org/0000-0002-9078-0682
  • Aleksandra Matyszewska Dolnośląskie Centrum Onkologii, Pulmonologii i Hematologii we Wrocławiu https://orcid.org/0000-0003-3608-5803

DOI:

https://doi.org/10.12775/JEHS.2023.13.03.045

Keywords

skin cancer, primary care, dermoscopy

Abstract

Introduction and purpose: 

Number of new cases of skin cancers grows every year. Melanoma malignum is responsible for approximately 75 percent of death from skin cancer. General practitioners are often first medical professionals who see patients with suspicious skin lesions. Early diagnosis can benefit in improving survival rates. Dermoscopy is a useful tool for dermatological diagnostic purposes not only for dermatologists, but also for Primary Care Physicians.This review aims to analyze the role of easy 3-step Triage Amalgamated Dermoscopy Algorithm performed by family medicine physicians in skin cancers detection. 

Material and methods:

We searched PubMed database in order to collect relevant studies about skin cancers diagnoses by family medicine physicians using dermoscopy algorithms. 

Results:

An analysis of multiple studies shows that short Triage Amalgamated Dermoscopy Algorithm training taken by primary care physicians resulted in better diagnosis accuracy of skin cancer identification. After education about 3 benign skin lesion patterns and 7 signs of potential malignancy general practitioners reported more confidence in the diagnostic process and both sensitivity and specificity of examination increased post-training.

Conclusion:

Teaching Primary Care Physicians how to diagnose patients with suspicious skin lesions using Triage Amalgamated Dermoscopy Algorithm may have a beneficial effect on increasing the number of early-diagnosed skin cancers which may result in improving survival rates.

References

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Seiverling EV, Ahrns HT, Greene A, Butt M, Yélamos O, Dusza SW, Marghoob AA. Teaching Benign Skin Lesions as a Strategy to Improve the Triage Amalgamated Dermoscopic Algorithm (TADA), Journal of the American Board of Family Medicine : JABFM, 01 Jan 2019, 32(1):96-102

DOI: 10.3122/jabfm.2019.01.180049

Kirsner R, Muhkerjee S, Federman D. Skin cancer screening in primary care: Prevalence and barriers. J Am Acad Dermatology 1999;41:564–6. https://pubmed.ncbi.nlm.nih.gov/10495376/

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Rogers T, Marino ML, Dusza SW, Bajaj S, Usatine RP, Marchetti MA and Marghoob AA. A Clinical Aid for Detecting Skin Cancer: The Triage Amalgamated Dermoscopic Algorithm (TADA). The Journal of the American Board of Family Medicine November 2016, 29 (6) 694-701; DOI: https://doi.org/10.3122/jabfm.2016.06.160079

Rogers T, Marino ML, Dusza SW, Bajaj S, Usatine RP, Marchetti MA and Marghoob AA. Triage amalgamated dermoscopic algorithm (TADA) for skin cancer screening. Dermatol Pract Concept. 2017 Apr; 7(2): 39–46. doi: 10.5826/dpc.0702a09

Sawyers EA, Wigle DT, Marghoob AA, Blum A. Dermoscopy Training Effect on Diagnostic Accuracy of Skin Lesions in Canadian Family Medicine Physicians Using the Triage Amalgamated Dermoscopic Algorithm. Dermatol Pract Concept. 2020; 10(2): e2020035. doi: 10.5826/dpc.1002a35

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Seiverling E, Ahrns H, Stevens K, Ayers L, Nussinow T, Dorr G, Cyr P. Dermoscopic Lotus of Learning: Implementation and Dissemination of a Multimodal Dermoscopy Curriculum for Primary Care. Journal of Medical Education and Curricular Development, 01 Jan 2021, 8:2382120521989983 DOI: 10.1177/2382120521989983

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Published

2023-02-15

How to Cite

1.
MATYKA, Kamila, UNIŁOWSKA, Izabela, KARWAŃSKA, Aleksandra, KOJDER, Ewa, DOLENHA, Arsen, KULBAT, Aleksandra, DOVZHUK, Yuliia, OCHAŁ, Justyna, FERSCHKE, Anna and MATYSZEWSKA, Aleksandra. The impact of primary care physicians’ education about easy skin lesion diagnosis algorithm on skin cancers screening effects. Journal of Education, Health and Sport. Online. 15 February 2023. Vol. 13, no. 3, pp. 350-355. [Accessed 28 June 2025]. DOI 10.12775/JEHS.2023.13.03.045.
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Vol. 13 No. 3 (2023)

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Copyright (c) 2023 Kamila Matyka, Izabela Uniłowska, Aleksandra Karwańska, Ewa Kojder, Arsen Dolenha, Aleksandra Kulbat, Yuliia Dovzhuk, Justyna Ochał, Anna Ferschke, Aleksandra Matyszewska

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