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Related Experiment Video

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A 3D Organotypic Melanoma Spheroid Skin Model
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Distance as a Barrier to Melanoma Care

S McCarthy1, K Feeley2, M Murphy1

  • 1Department of Dermatology, South Infirmary Victoria University Hospital, Cork

Irish Medical Journal
|October 24, 2019
PubMed
Summary

Melanoma cases diagnosed in University Hospital Kerry (UHK) presented at advanced stages compared to national averages. Long travel distances to the South Infirmary Victoria University Hospital (SIVUH) pigmented lesion clinic may be a barrier.

Keywords:
Pigmented lesion clinicUniversity Hospital KerryMelanomaDistance to travel

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Area of Science:

  • Dermatology and Public Health

Background:

  • Melanoma diagnosis and treatment accessibility are critical public health concerns.
  • Geographic factors and travel distance can influence healthcare-seeking behavior and diagnostic delays.

Purpose of the Study:

  • To review and analyze histologically diagnosed melanoma cases in University Hospital Kerry (UHK) in 2016.
  • To compare these UHK melanoma cases with national and regional (Kerry) data.
  • To investigate the potential impact of travel distance on melanoma presentation stage.

Main Methods:

  • Retrospective review of 20 invasive melanoma cases diagnosed at UHK in 2016.
  • Data collection included patient age, Breslow depth, and travel distance/time to South Infirmary Victoria University Hospital (SIVUH).
  • Travel metrics were calculated using Google Maps™ based on primary residence to SIVUH.

Main Results:

  • 45% of UHK melanoma cases presented with advanced stage (Breslow depth > 4mm).
  • An additional 35% had a Breslow depth of 1.5-4mm.
  • Patients traveled a mean of 114.8 km (102 minutes) to SIVUH, indicating significant geographic barriers.

Conclusions:

  • Melanoma cases diagnosed in UHK were at a more advanced stage than the national average.
  • Extended travel distances to the SIVUH pigmented lesion clinic are suspected barriers to timely diagnosis and treatment.
  • Addressing geographic accessibility is crucial for improving melanoma outcomes in the region.