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Related Experiment Videos

Screening for cutaneous malignant melanoma: a feasibility study

S Törnberg1, E Månsson-Brahme, D Lindén

  • 1Department of General Oncology, Radiumhemmet, Karolinska Hospital, Stockholm, Sweden.

Journal of Medical Screening
|January 1, 1996
PubMed
Summary

Comparing two melanoma screening invitation methods, a study found the questionnaire approach reduced skin examinations by one-third. Specially trained nurses demonstrated competence as primary examiners in melanoma detection programs.

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Area of Science:

  • Dermatology
  • Public Health
  • Medical Screening

Background:

  • Malignant melanoma is a significant public health concern.
  • Effective screening strategies are crucial for early detection and improved outcomes.
  • Investigating novel approaches to melanoma screening is essential.

Purpose of the Study:

  • To compare two distinct methods for inviting individuals to screening for malignant melanoma.
  • To evaluate the efficacy of specially trained nurses as primary examiners in melanoma screening.

Main Methods:

  • A study in Stockholm county involved 5000 adults (40-60 years).
  • Participants were randomized into two groups: personal invitation with a set appointment (2500) or a questionnaire with self-examination instructions (2500).

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  • Nurse competence was assessed by comparing their skin examination judgments with those of doctors.
  • Main Results:

    • The questionnaire group resulted in one-third fewer skin examinations compared to the direct invitation group.
    • Nurses identified 9-11% of subjects with suspicious lesions, while doctors referred 3-4% for biopsy.
    • Two malignant melanomas were detected, both in the questionnaire group. Nurses and doctors showed equal competence in identifying suspicious lesions.

    Conclusions:

    • The questionnaire method for melanoma screening invitations is efficient, reducing the number of examinations needed.
    • Trained nurses can effectively serve as primary examiners in melanoma screening programs.
    • Further research is needed to definitively determine the superior screening procedure.