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Alexander NA, Schaub SK, Goff PH, Hippe DS, Park SY, Lachance K, Bierma M, Liao JJ, Apisarnthanarax S, Bhatia S, Tseng YD, Nghiem PT, Parvathaneni U. Increased risk of recurrence and disease-specific death following delayed postoperative radiation for Merkel cell carcinoma. J Am Acad Dermatol 2024; 90:261-268. [PMID: 37778663 DOI: 10.1016/j.jaad.2023.07.1047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2023] [Revised: 06/09/2023] [Accepted: 07/27/2023] [Indexed: 10/03/2023]
Abstract
BACKGROUND Merkel cell carcinoma (MCC) is often treated with surgery and postoperative radiation therapy (PORT). The optimal time to initiate PORT (Time-to-PORT [ttPORT]) is unknown. PURPOSE We assessed if delays in ttPORT were associated with inferior outcomes. METHODS Competing risk regression was used to evaluate associations between ttPORT and locoregional recurrence (LRR) for patients with stage I/II MCC in a prospective registry and adjust for covariates. Distant metastasis and death were competing risks. RESULTS The cohort included 124 patients with median ttPORT of 41 days (range: 8-125 days). Median follow-up was 55 months. 17 (14%) patients experienced a LRR, 14 (82%) of which arose outside the radiation field. LRR at 5 years was increased for ttPORT >8 weeks vs ≤ 8 weeks, 28.0% vs 9.2%, P = .006. There was an increase in the cumulative incidence of MCC-specific death with increasing ttPORT (HR = 1.14 per 1-week increase, P = .016). LIMITATIONS The relatively low number of LRRs limited the extent of our multivariable analyses. CONCLUSIONS Delay of PORT was associated with increased LRR, usually beyond the radiation field. This is consistent with the tendency of MCC to spread quickly via lymphatics. Initiation of PORT within 8 weeks was associated with improved locoregional control and MCC-specific survival.
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Affiliation(s)
- Nora A Alexander
- Department of Dermatology, University of Washington, Seattle, Washington; Division of Dermatology, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri
| | - Stephanie K Schaub
- Department of Radiation Oncology, University of Washington, Seattle, Washington; Clinical Research Division, Fred Hutchinson Cancer Center, Seattle, Washington.
| | - Peter H Goff
- Department of Radiation Oncology, University of Washington, Seattle, Washington
| | - Daniel S Hippe
- Clinical Research Division, Fred Hutchinson Cancer Center, Seattle, Washington
| | - Song Y Park
- Department of Dermatology, University of Washington, Seattle, Washington
| | - Kristina Lachance
- Department of Dermatology, University of Washington, Seattle, Washington
| | - Marika Bierma
- Department of Dermatology, University of Washington, Seattle, Washington
| | - Jay J Liao
- Department of Radiation Oncology, University of Washington, Seattle, Washington
| | | | - Shailender Bhatia
- Clinical Research Division, Fred Hutchinson Cancer Center, Seattle, Washington; Division of Medical Oncology, Department of Medicine, University of Washington, Seattle, Washington
| | - Yolanda D Tseng
- Department of Radiation Oncology, University of Washington, Seattle, Washington; Clinical Research Division, Fred Hutchinson Cancer Center, Seattle, Washington
| | - Paul T Nghiem
- Department of Dermatology, University of Washington, Seattle, Washington
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Samaran Q, Stoebner P, Ovtchinnikoff B. Single-stage reconstruction of a large defect of the ear. Australas J Dermatol 2023. [PMID: 38158628 DOI: 10.1111/ajd.14210] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2023] [Revised: 12/11/2023] [Accepted: 12/15/2023] [Indexed: 01/03/2024]
Abstract
To reconstruct a large anterior skin and cartilage defect of the upper half of the external ear in an elderly patient after cancer surgery, different techniques are possible, but single-stage procedures should be advised. Combining flaps with reliable vascular supply, like the revolving door post-auricular flap and a mastoid advancement flap, is an attractive single-stage reconstructive option to rebuild a sturdy auricle.
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Affiliation(s)
- Quentin Samaran
- Department of Dermatology, Montpellier University Hospital, Montpellier, France
- Montpellier University, Montpellier, France
| | - Pierre Stoebner
- Montpellier University, Montpellier, France
- Department of Dermatology, Nîmes University Hospital, Nîmes, France
| | - Bernadette Ovtchinnikoff
- Montpellier University, Montpellier, France
- Department of Dermatology, Nîmes University Hospital, Nîmes, France
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3
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Varra V, Carr DR, Lambert DR. The simultaneous approximation and locking technique (SALT) knot: A reliable, efficient method for closely approximating high-tension wounds. J Am Acad Dermatol 2023:S0190-9622(23)03377-7. [PMID: 38104777 DOI: 10.1016/j.jaad.2023.12.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2023] [Accepted: 12/05/2023] [Indexed: 12/19/2023]
Affiliation(s)
- Vamsi Varra
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, Ohio.
| | - David R Carr
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, Ohio
| | - David R Lambert
- Department of Dermatology, The Ohio State University Wexner Medical Center, Columbus, Ohio; Department of Dermatology, Chalmers P. Wylie Veterans Outpatient Clinic, Columbus, Ohio
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4
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Schlager JG, Patzer K, Wallmichrath J, French LE, Kunrad E, Schlingmann S, Stiefel D, Kendziora B, Hartmann D. Surgical site infection in skin surgery-An observational study. Int Wound J 2023; 20:3514-3522. [PMID: 37156639 PMCID: PMC10588314 DOI: 10.1111/iwj.14224] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Accepted: 04/21/2023] [Indexed: 05/10/2023] Open
Abstract
BACKGROUND Surgical site infection (SSI) has a significant impact on patients' morbidity and aesthetic results. OBJECTIVE To identify risk factors for SSI in dermatologic surgery. PATIENTS AND METHODS This prospective, single-centre, observational study was performed between August 2020 and May 2021. Patients that presented for dermatologic surgery were included and monitored for the occurrence of SSI. For statistical analysis, we used a mixed effects logistic regression model. RESULTS Overall, 767 patients with 1272 surgical wounds were included in the analysis. The incidence of SSI was 6.1%. Significant risk factors for wound infection were defect size over 10cm2 (OR 3.64, 95% confidence interval [CI] 1.80-7.35), surgery of cutaneous malignancy (OR 2.96, CI 1.41-6.24), postoperative bleeding (OR 4.63, CI 1.58-13.53), delayed defect closure by local skin flap (OR 2.67, CI 1.13-6.34) and localisation of surgery to the ear (OR 7.75, CI 2.07-28.99). Wound localisation in the lower extremities showed a trend towards significance (OR 3.16, CI 0.90-11.09). Patient-related factors, such as gender, age, diabetes, or immunosuppression, did not show a statistically significant association with postoperative infection. CONCLUSION Large defects, surgery of cutaneous malignancy, postoperative bleeding, and delayed flap closure increase the risk for SSI. High-risk locations are the ears and lower extremities.
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Affiliation(s)
- Justin Gabriel Schlager
- Department of Dermatology and AllergyUniversity Hospital, Ludwig Maximilian University (LMU) MunichMunichGermany
| | - Kathrin Patzer
- Department of Dermatology and AllergyUniversity Hospital, Ludwig Maximilian University (LMU) MunichMunichGermany
| | - Jens Wallmichrath
- Department of Dermatology and AllergyUniversity Hospital, Ludwig Maximilian University (LMU) MunichMunichGermany
| | - Lars E. French
- Department of Dermatology and AllergyUniversity Hospital, Ludwig Maximilian University (LMU) MunichMunichGermany
- Dr. Philip Frost, Department of Dermatology and Cutaneous SurgeryUniversity of Miami Miller School of MedicineMiamiFloridaUSA
| | - Elena Kunrad
- Department of Dermatology and AllergyUniversity Hospital, Ludwig Maximilian University (LMU) MunichMunichGermany
| | - Sophia Schlingmann
- Department of Dermatology and AllergyUniversity Hospital, Ludwig Maximilian University (LMU) MunichMunichGermany
| | - Daniel Stiefel
- Department of Dermatology and AllergyUniversity Hospital, Ludwig Maximilian University (LMU) MunichMunichGermany
| | - Benjamin Kendziora
- Department of Dermatology and AllergyUniversity Hospital, Ludwig Maximilian University (LMU) MunichMunichGermany
| | - Daniela Hartmann
- Department of Dermatology and AllergyUniversity Hospital, Ludwig Maximilian University (LMU) MunichMunichGermany
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Asaka A, Kyutoku S, Nuri T, Sakuraba M, Ueda K. Modified trilobed transposition flap for a distal nasal defect. J Dermatol 2023; 50:1145-1149. [PMID: 37222239 DOI: 10.1111/1346-8138.16848] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Revised: 05/05/2023] [Accepted: 05/11/2023] [Indexed: 05/25/2023]
Abstract
Reconstruction of a distal nasal defect is challenging due to poor skin mobility and the potential for nasal alar retraction. A trilobed flap can utilize more mobile proximal skin, increase the total rotational arc, and decrease the tension associated with flap transposition. However, the trilobed flap may not be ideal for distal nasal defects because each flap is designed using immobile skin, which may lead to flap immobility and free margin distortion. To overcome these problems, the base and tip of each flap were extended further from the pivot point than those of the conventional trilobed flap. Herein, we report the use of the modified trilobed flap to treat 15 consecutive cases of distal nasal defects that occurred from January 2013 to December 2019. The mean duration of follow-up was 15.6 months. All flaps survived completely, and satisfactory aesthetic outcomes were achieved. No complications such as wound dehiscence, nasal asymmetry, or hypertrophic scarring were observed. The modified trilobed flap is a simple and reliable treatment for distal nasal defects.
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Affiliation(s)
- Akinori Asaka
- Department of Plastic and Reconstructive Surgery, Osaka Medical and Pharmaceutical University, Osaka, Japan
| | - Shigeo Kyutoku
- Division of Reconstructive Plastic Surgery, Nara City Hospital, Nara, Japan
| | - Takashi Nuri
- Department of Plastic and Reconstructive Surgery, Osaka Medical and Pharmaceutical University, Osaka, Japan
| | - Minoru Sakuraba
- Department of Plastic and Reconstructive Surgery, Iwate Medical University, Iwate, Japan
| | - Koichi Ueda
- Department of Plastic and Reconstructive Surgery, Osaka Medical and Pharmaceutical University, Osaka, Japan
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Abstract
Healthcare is a potent emitter of greenhouse gases amounting up to 7% of total estimated greenhouse gas emissions (CO2 e) for Australia. Australia has one of the highest incidences of skin cancer in the world but there is a paucity of data on the ecological impact of skin cancer excision/dermatologic surgery. The authors reviewed the various impact inventories in order to perform a life cycle assessment of skin cancer excision. A total of 8641 tonnes of estimated CO2 e are produced from dermatologic surgery annually in Australia (6751 tonnes from private clinical rooms and 1890 tonnes from hospitals) and the waste generated contributes significantly to terrestrial ecotoxicity and acidification of land and water. Various means can be carried out to reduce this impact, ranging from simple behavioural changes to larger, policy changes.
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Affiliation(s)
- Eugene Tan
- Western Skin Institute, St. Albans, Victoria, Australia
| | - David Lim
- Skin Institute, Auckland, New Zealand
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Perandones-González H, Fernández-Canga P, Rodríguez-Prieto MÁ. Transillumination for retroauricular revolving door island flap design. J Am Acad Dermatol 2020; 85:e335-e337. [PMID: 32304708 DOI: 10.1016/j.jaad.2020.04.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2020] [Accepted: 04/04/2020] [Indexed: 10/24/2022]
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8
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Perandones-González H, Fernández-Canga P, Rodríguez-Prieto MÁ. Bone wax as an ideal dressing for auricle concha. J Am Acad Dermatol 2019; 84:e75-e76. [PMID: 31400458 DOI: 10.1016/j.jaad.2019.08.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2019] [Revised: 07/22/2019] [Accepted: 08/02/2019] [Indexed: 12/01/2022]
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9
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Dellatorre G, Dorn TV. Intraoperative use of electrolysis for hair removal in paramedian forehead flap. J Am Acad Dermatol 2019; 84:e5-e6. [PMID: 31351891 DOI: 10.1016/j.jaad.2019.07.067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2019] [Revised: 07/03/2019] [Accepted: 07/18/2019] [Indexed: 11/27/2022]
Affiliation(s)
- Gerson Dellatorre
- Department of Dermatology, Hospital Santa Casa de Curitiba, Curitiba, Paraná State, Brazil.
| | - Timotio Volnei Dorn
- Department of Dermatology, Hospital Santa Casa de Curitiba, Curitiba, Paraná State, Brazil
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10
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Dellatorre G, Dorn TV. Reliable head bandage. J Am Acad Dermatol 2020; 82:e123-4. [PMID: 30885753 DOI: 10.1016/j.jaad.2019.03.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2019] [Accepted: 03/08/2019] [Indexed: 11/21/2022]
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11
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Ribeiro F, Steiner D. Quality of life before and after cosmetic procedures on the face: A cross-sectional study in a public service. J Cosmet Dermatol 2018; 17:688-692. [PMID: 30105787 DOI: 10.1111/jocd.12723] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2017] [Revised: 01/16/2018] [Accepted: 04/18/2018] [Indexed: 11/29/2022]
Abstract
BACKGROUND Quality of life can be impaired by health conditions that modify body appearance. AIMS The objective of this cross-sectional study was to evaluate the quality of life of patients before and after free-of-charge esthetic dermatological treatments offered in a philanthropic Dermatological Clinic for nonpathological conditions, such as anti-aging procedures. METHODS All consecutive patients admitted between March and November 2016 were recruited. All esthetic treatments in this study were simple procedures applied in one session only, on the face, neck, arms, and upper chest, with a consult visit scheduled four weeks later for clinical evaluation. The WHOQOL-BREF instrument was used before and one month after the procedure. RESULTS WHOQOL-BREF scores increased significantly after treatment (P < 0.001) in all the domains. CONCLUSION Patients undergoing simple dermatological treatments applied by specialists report overall and specific domain improvements in quality of life, according to the World Health Organization instrument, regardless of the type of procedure.
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Affiliation(s)
- Felipe Ribeiro
- Dermatology, Universidade de Mogi das Cruzes, Mogi das Cruzes, Brazil
| | - Denise Steiner
- Dermatology, Universidade de Mogi das Cruzes, Mogi das Cruzes, Brazil
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12
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Noriega LF, Chiacchio NGD, Chiacchio ND, Ventura A. Unusual size, topography, and surgical resolution of an acquired fibrokeratoma. An Bras Dermatol 2018; 93:126-128. [PMID: 29641714 PMCID: PMC5871379 DOI: 10.1590/abd1806-4841.20186828] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2016] [Accepted: 03/23/2017] [Indexed: 11/22/2022] Open
Abstract
Acquired fibrokeratoma is a rare benign skin tumor that usually manifests as a slow-growing solitary nodular lesion of the digits. We report a case of plantar acquired fibrokeratoma evidencing its atypical size and topography, in addition to the treatment with simple surgical excision followed by healing by second intention. Nondigital fibrokeratomas may occur in 18% of cases and rarely affect the palmoplantar region. These lesions are usually asymptomatic and show ≥ 3cm in size at the time of diagnosis due to delayed diagnosis. Complete surgical excision is the treatment of choice, which is usually curative. In general, primary closure is chosen; however healing by second intention becomes an option in regions of difficult approach.
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Affiliation(s)
- Leandro Fonseca Noriega
- Dermatology Department at Hospital do
Servidor Público Municipal de São Paulo - São Paulo (SP),
Brazil
| | - Nilton Gioia Di Chiacchio
- Dermatology Department at Hospital do
Servidor Público Municipal de São Paulo - São Paulo (SP),
Brazil
| | - Nilton Di Chiacchio
- Dermatology Department at Hospital do
Servidor Público Municipal de São Paulo - São Paulo (SP),
Brazil
| | - Andreza Ventura
- Dermatology Department at Hospital do
Servidor Público Municipal de São Paulo - São Paulo (SP),
Brazil
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13
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McLaughlin SJP, Kenealy J, Locke MB. Effect of a See and Treat clinic on skin cancer treatment time. ANZ J Surg 2017; 88:474-479. [PMID: 29024327 DOI: 10.1111/ans.14110] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2017] [Revised: 04/30/2017] [Accepted: 05/25/2017] [Indexed: 11/30/2022]
Abstract
BACKGROUND Many plastic surgery departments in Australasia have experienced increasing referrals for management of skin lesions. This has driven a demand for new strategies to decrease patient waiting time and administrative costs. The aim of this study was to determine if a purpose-built See and Treat skin cancer clinic could provide a faster skin cancer treatment pathway with comparable clinical outcomes and acceptability to patients. METHODS This was a prospective observational study of patients treated through the See and Treat clinic with a retrospective control cohort. The prospective 'See and Treat' cohort included a consecutive series of 106 patients, while the retrospective cohort included a consecutive series of 200 patients. Patient demographics, time from referral to surgery and operative measures were analysed. One hundred patients in the prospective cohort completed an anonymous satisfaction survey regarding their treatment. RESULTS The average time from referral to surgery was reduced from 121 days in the retrospective cohort to 60 days in the See and Treat cohort (P < 0.001). Rates of complete excision of malignant and premalignant lesions were not different between the two groups, being 93% (178/191) and 91% (76/84), respectively (P = 0.609). Ninety-five percent (95/100) of patients were satisfied with their See and Treat experience overall. CONCLUSION We show that a considerable reduction in the time between referral and surgery can be achieved through a See and Treat clinic without compromise of the success of surgical treatment. Moreover, such a treatment pathway has been shown to be acceptable, and largely preferable, to patients.
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Affiliation(s)
- Scott J P McLaughlin
- Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand
| | - John Kenealy
- Department of Plastic, Reconstructive and Hand Surgery, Counties Manukau District Health Board, Auckland, New Zealand
| | - Michelle B Locke
- Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.,Department of Plastic, Reconstructive and Hand Surgery, Counties Manukau District Health Board, Auckland, New Zealand
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14
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Kouwenhoven STP, van Kester MS, Genders RE. The wingman flap: Bilateral closure of a supra-tip defect of the nose. J Am Acad Dermatol 2017; 76:e57-e58. [PMID: 28089014 DOI: 10.1016/j.jaad.2016.08.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2016] [Revised: 08/01/2016] [Accepted: 08/19/2016] [Indexed: 10/20/2022]
Affiliation(s)
- Stijn T P Kouwenhoven
- Department of Dermatology, Leiden University Medical Center, Leiden, The Netherlands.
| | | | - Roel E Genders
- Department of Dermatology, Leiden University Medical Center, Leiden, The Netherlands; Department of Dermatology, Roosevelt Clinic, Leiden, The Netherlands
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15
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Weinstock MA, Ferris LK, Saul MI, Geller AC, Risica PM, Siegel JA, Solano FX, Kirkwood JM. Downstream consequences of melanoma screening in a community practice setting: First results. Cancer 2016; 122:3152-3156. [PMID: 27391802 DOI: 10.1002/cncr.30177] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2015] [Revised: 02/10/2016] [Accepted: 02/12/2016] [Indexed: 11/07/2022]
Abstract
BACKGROUND Population-based screening for the early detection of melanoma holds great promise for reducing melanoma mortality, but evidence is needed to determine whether benefits outweigh risks. Skin surgeries and dermatology visits after screening were assessed to indicate potential physical, psychological, and financial consequences. METHODS Targeted primary care providers (PCPs) at the University of Pittsburgh Medical Center were trained to detect early melanoma using the INFORMED (INternet course FOR Melanoma Early Detection) program. The authors analyzed aggregated administrative data describing 3 groups of patients aged ≥35 years who had received an annual physical examination by PCPs: group A1 included patients of PCPs from the group with the highest percentage of INFORMED-trained providers, group A2 included patients of PCPs from the group with a lower percentage of INFORMED-trained providers, and group B included patients of PCPs without INFORMED training. RESULTS INFORMED-trained PCPs screened 1572 of 16,472 patients in groups A1 or A2 and none of the 56,261 patients in group B. In group A1, there was a 79% increase (95% confidence interval, 15%-138%) in melanoma diagnoses noted; no increase was observed for the other groups, and no substantial increase in skin surgeries or dermatology visits occurred in any group. CONCLUSIONS A large-scale melanoma screening using the INFORMED program was conducted in Pennsylvania. To the best of the authors' knowledge, the current study is the first analysis of downstream results and the findings indicate increased melanoma diagnoses but little impact on skin surgeries or dermatology visits. This result provides some reassurance that such efforts can be conducted without major adverse consequences, at least as measured by these parameters, and therefore should be considered for more widespread use. Cancer 2016;122:3152-6. © 2016 American Cancer Society.
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Affiliation(s)
- Martin A Weinstock
- Center for Dermatoepidemiology, Providence VA Medical Center, Providence, Rhode Island. .,Departments of Dermatology and Epidemiology, Brown University, Providence, Rhode Island.
| | - Laura K Ferris
- Department of Dermatology, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Melissa I Saul
- Department of Biomedical Informatics, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Alan C Geller
- Department of Social and Behavioral Sciences, Harvard School of Public Health, Boston, Massachusetts
| | - Patricia M Risica
- Department of Epidemiology, Brown University, Providence, Rhode Island
| | - Julia A Siegel
- Center for Dermatoepidemiology, Providence VA Medical Center, Providence, Rhode Island
| | - Francis X Solano
- Physician Services Division, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
| | - John M Kirkwood
- Melanoma and Skin Cancer Program, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania
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16
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Kueder Pajares T, Cocunubo Blanco HA, Rodriguez Prieto MA. Reconstruction of the central anthelix using a novel double chondrocutaneous island flap. J Am Acad Dermatol 2016; 74:e65-6. [PMID: 26979369 DOI: 10.1016/j.jaad.2015.11.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2015] [Revised: 11/02/2015] [Accepted: 11/12/2015] [Indexed: 10/22/2022]
Affiliation(s)
- Tamara Kueder Pajares
- Dermatology and Venereology Department, Hospital Clínico Universitario de Valladolid, Valladolid, Spain.
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