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Richtig, E; Santigli, E; Fink-Puches, R; Weger, W; Hofmann-Wellenhof, R.
Assessing melanoma risk factors: how closely do patients and doctors agree?
Public Health. 2008; 122(12): 1433-1439.
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Autor/innen der Med Uni Graz:
Fink-Puches Regina
Hofmann-Wellenhof Rainer
Richtig Erika
Santigli Elisabeth
Weger Wolfgang
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Abstract:
OBJECTIVES: Self-examination of the skin has been associated with a reduced risk of advanced melanoma, but self-assessment has corresponded imperfectly with clinical examination by a dermatologist, and shown only moderate accuracy in identifying individuals at risk. STUDY DESIGN: Population-based screening campaign in Styria, Austria. METHODS: One thousand two hundred and twenty-three Caucasians volunteered for a free skin assessment by a dermatologist. First, they answered a questionnaire in which they assessed their own melanoma risk factors, and they were subsequently examined by a dermatologist. Kappa agreements between the two assessments were calculated. RESULTS: The overall kappa agreements on the estimated number of naevi, the assessment of skin phototype and the perception of increased melanoma risk were 0.34 [95% confidence interval (CI) 0.30-0.37], 0.28 (95%CI 0.24-0.32) and 0.24 (95% CI 0.18-0.30), respectively. Kappa agreements below 0.40 are considered poor. Stratification by age and gender revealed slightly higher scores for subgroups on single items. CONCLUSIONS: Screening for melanoma should be population based and should not be limited to self-referrals since self-assessment for melanoma risk factors is inaccurate. Educational programmes must be developed to improve self-assessment and to target populations at risk.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent -
Adult -
Aged -
Aged, 80 and over -
Austria - epidemiology
Child -
Child, Preschool -
Dermatology -
Early Detection of Cancer -
Female -
Humans -
Infant -
Male -
Mass Screening -
Melanoma - diagnosis
Middle Aged -
Public Health -
Public Health Practice -
Questionnaires -
Risk Factors -
Self-Examination -
Young Adult -

Find related publications in this database (Keywords)
Melanoma
Naevi
Skin phototype
Self-assessment
Melanoma risk
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