The impact of primary care physicians’ education about easy skin lesion diagnosis algorithm on skin cancers screening effects
Keywordsskin cancer, primary care, dermoscopy
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.
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.
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.
Cives M, Mannavola F, Lospalluti L, Sergi MC, Cazzato G, Filoni E, Cavallo F, Giudice G, Stucci LS, Porta C, Tucci M. Non-Melanoma Skin Cancers: Biological and Clinical Features; Int J Mol Sci. 2020 Aug; 21(15): 5394. doi: 10.3390/ijms21155394
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
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/
Slominski A, Wortsman J, Carlson J, Matsuoka LY, Balch CM, Mihm MC. Malignant Melanoma. Arch Pathol Lab Med (2001) 125 (10): 1295–1306 DOI: 10.5858/2001-125-1295-MM
Shenenberger DW, Cutaneous Malignant Melanoma: A Primary Care Perspective, Am Fam Physician. 2012;85(2):161-168, https://pubmed.ncbi.nlm.nih.gov/22335216/
Krajowy Rejestr Nowotworów, https://onkologia.org.pl/pl/czerniak-skory
Dika E, Scarfì F, Ferracin M, Broseghini E, Marcelli E, Bortolani B, Campione E, Riefolo M, Ricci C, Lambertini M. Basal Cell Carcinoma: A Comprehensive Review; International Journal of Molecular Sciences, 04 Aug 2020, 21(15):E5572 DOI: 10.3390/ijms21155572
Marzuka AG, Book SE. Basal cell carcinoma: pathogenesis, epidemiology, clinical features, diagnosis, histopathology, and management. The Yale Journal of Biology and Medicine, 01 Jun 2015, 88(2):167-179 https://pubmed.ncbi.nlm.nih.gov/26029015/
Green AC and McBride P. Squamous cell carcinoma of the skin (non-metastatic). BMJ Clin Evid. 2014; 2014: 1709. https://pubmed.ncbi.nlm.nih.gov/25137222/
Jung K, Narwal M, Young Min S, Keam B, Kang H. Squamous cell carcinoma of head and neck: what internists should know. Korean J Intern Med. 2020 Sep; 35(5): 1031–1044. doi: 10.3904/kjim.2020.078
Corchado-Cobos R, García-Sancha N, González-Sarmiento R, Pérez-Losada J, Cañueto J. Cutaneous Squamous Cell Carcinoma: From Biology to Therapy. Int J Mol Sci. 2020 Apr; 21(8): 2956. doi: 10.3390/ijms21082956
Dudzisz-Śledź M, Zdzienicki M, Rutkowski P. Merkel cell carcinoma (MCC) – neuroendocrine
skin cancer. NOWOTWORY Journal of Oncology 2019, volume 69, number 3–4, 111–116 DOI: 10.5603/NJO.2019.0022
Becker JC, Stang A, DeCaprio JA, Cerroni L, Lebbé C, Veness M, Nghiem P. Merkel cell carcinoma. Nature reviews. Disease Primers, 26 Oct 2017, 3:17077 DOI: 10.1038/nrdp.2017.77
De Bedout V, Williams NM, Muñoz AM, Londoño AM, Munera M, Naranjo N, Rodriguez LM, Toro A, Miao F, Koru-Sengul T, Jaimes N. Skin Cancer and Dermoscopy Training for Primary Care Physicians: A Pilot Study, Dermatol Pract Concept. 2021 Jan; 11(1): e2021145. DOI: 10.5826/dpc.1101a145
Jones OT, Jurascheck LC, van Melle MA, Hickman S, Burrows NP, Hall PN, Emery J, Walter FM. Dermoscopy for melanoma detection and triage in primary care: a systematic review. BMJ Open. 2019; 9(8): e027529 DOI: 10.1136/bmjopen-2018-027529
Williams NM, Marghoob AA, Seiverling E, Usatine R, Tsang D, Jaimes N. Perspectives on Dermoscopy in the Primary Care Setting. J Am Board Fam Med. 2020 Nov-Dec; 33(6): 1022–1024. doi: 10.3122/jabfm.2020.06.200238
Morris JB, Alfonso SV, Hernandez N, Fernández MI. Examining the factors associated with past and present dermoscopy use among family physicians. Dermatol Pract Concept. 2017 Oct; 7(4): 63–70. doi: 10.5826/dpc.0704a13
Fee JA, McGrady FP, Hart ND. Dermoscopy use in primary care: a qualitative study with general practitioners. BMC Primary Care volume 23, Article number: 47 (2022) doi:10.1186/s12875-022-01653-7
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
Cyr PR, Craig W, Ahrns H, Stevens K, Wight C, Seiverling E. Teaching Skin Cancer Detection to Medical Students Using a Dermoscopic Algorithm. PRiMER. 2021; 5: 6. doi: 10.22454/PRiMER.2021.304379
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
How to Cite
Copyright (c) 2023 Kamila Matyka, Izabela Uniłowska, Aleksandra Karwańska, Ewa Kojder, Arsen Dolenha, Aleksandra Kulbat, Yuliia Dovzhuk, Justyna Ochał, Anna Ferschke, Aleksandra Matyszewska
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Number of views and downloads: 162
Number of citations: 0