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Are pigmented lesion clinics worthwhile?

R B Mallett1, M E Fallowfield, M G Cook

  • 1St George's Hospital, London, U.K.

The British Journal of Dermatology
|December 1, 1993
PubMed
Summary
This summary is machine-generated.

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A specialized clinic for pigmented lesions did not increase thin melanoma diagnoses locally but attracted significant out-of-district referrals, suggesting it meets a broader demand for melanoma data collection.

Area of Science:

  • Dermatology
  • Public Health
  • Oncology

Background:

  • Melanoma diagnosis and referral patterns are crucial for patient outcomes.
  • Public awareness campaigns aim to increase early detection of skin cancers.
  • Specialized clinics may influence healthcare seeking behaviors.

Purpose of the Study:

  • To evaluate the impact of a pigmented lesion clinic on melanoma referral patterns.
  • To assess changes in melanoma thickness at presentation.
  • To compare outcomes between districts with and without such a clinic.

Main Methods:

  • Comparative analysis of melanoma data from two health authorities (Wandsworth and Merton/Sutton).
  • Inclusion of all malignant melanoma cases from 1981-1990 (Wandsworth) and 1984-1990 (Merton/Sutton).

Related Experiment Videos

  • Documentation of Breslow thickness and clinic source for each melanoma case.

    • Main Results:

    • Both districts observed an increase in total and thin melanomas post-publicity campaign.
    • No significant difference in the proportion of thin melanomas between districts.
    • Wandsworth's clinic received 60% of melanomas from outside its district, indicating cross-boundary referral.

    Conclusions:

    • A pigmented lesion clinic does not inherently increase the detection of thin melanomas within its district.
    • Cross-boundary referrals suggest the clinic meets demand from general practitioners and patients.
    • The clinic serves as a valuable centralized data collection resource for melanoma.