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ArtikelPatient-reported frequency of acral surface inspection during skin examination in white and ethnic minority patients  
Oleh: Tsai, Monica S. ; Chiu, Melvin W.
Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: JAAD: Journal of the American Academy of Dermatology (keterangan: ada di ClinicalKey) vol. 71 no. 02 (Aug. 2014), page 249–255.
Topik: acral lentiginous melanoma; ethnic skin; patient survey; plantar surface inspection; skin examination; skin of color
Ketersediaan
  • Perpustakaan FK
    • Nomor Panggil: J15.K
    • Non-tandon: 1 (dapat dipinjam: 0)
    • Tandon: tidak ada
    Lihat Detail Induk
Isi artikelBackground Acral lentiginous melanomas compose a higher proportion of melanomas and have a higher mortality in ethnic minorities than in whites. Early detection by acral surface inspection during skin examinations may lead to improved acral lentiginous melanoma outcomes. Objective This study compared patient-reported frequencies of acral skin examinations in ethnic and white populations. Methods Written surveys were collected from 1040 dermatology clinic patients. Results More whites reported performing self-skin examinations than ethnic minorities (P < .01), but there was no difference in the rates of hand (P = .7) or foot (P = .87) inspection during self-skin examination between whites and ethnic minorities. More whites (77.5%) than ethnic minorities (38.9%) reported having undergone a full-body skin examination (FBSE) from a health care provider (P < .01). During their most recent FBSE by a health care provider, more whites than ethnic minorities reported having their hands examined (P = .02), but there was no difference in reported hand inspection (P = .06) at any previous FBSE or foot inspection at any (P = .07) or the most recent (P = .59) FBSE between whites and ethnic minorities. Limitations Single-center study using a new unvalidated survey is a limitation. Conclusion Whites were found to more frequently report self-skin examination and FBSE than ethnic minorities, but significant differences in reported acral examinations were not detected.
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