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Skin cancer-related conditions managed in general practice in Australia, 2000-2016: a nationally representative, cross-sectional survey.
Reyes-Marcelino, Gillian; McLoughlin, Kirstie; Harrison, Christopher; Watts, Caroline G; Kang, Yoon-Jung; Aranda, Sanchia; Aitken, Joanne F; Guitera, Pascale; Cust, Anne E.
Afiliación
  • Reyes-Marcelino G; The Daffodil Centre, The University of Sydney, a joint venture with Cancer Council NSW, Sydney, NSW, Australia.
  • McLoughlin K; Melanoma Institute Australia, The University of Sydney, Sydney, NSW, Australia.
  • Harrison C; The Daffodil Centre, The University of Sydney, a joint venture with Cancer Council NSW, Sydney, NSW, Australia.
  • Watts CG; Menzies Centre for Health Policy and Economics, Sydney School of Public Health, The University of Sydney, Sydney, NSW, Australia.
  • Kang YJ; The Daffodil Centre, The University of Sydney, a joint venture with Cancer Council NSW, Sydney, NSW, Australia.
  • Aranda S; Melanoma Institute Australia, The University of Sydney, Sydney, NSW, Australia.
  • Aitken JF; Kirby Institute, UNSW, Sydney, NSW, Australia.
  • Guitera P; The Daffodil Centre, The University of Sydney, a joint venture with Cancer Council NSW, Sydney, NSW, Australia.
  • Cust AE; Centre for Health Economics Research and Evaluation, University of Technology Sydney, Sydney, NSW, Australia.
BMJ Open ; 13(5): e067744, 2023 05 04.
Article en En | MEDLINE | ID: mdl-37142316
OBJECTIVE: Skin cancer is Australia's most common and costly cancer. We examined the frequency of Australian general practice consultations for skin cancer-related conditions, by patient and general practitioner (GP) characteristics and by time period. DESIGN: Nationally representative, cross-sectional survey of general practice clinical activity. SETTING, PARTICIPANTS: Patients aged 15 years or older having a skin cancer-related condition managed by GPs in the Bettering the Evaluation And Care of Health study between April 2000 and March 2016. PRIMARY OUTCOME MEASURES: Proportions and rates per 1000 encounters. RESULTS: In this period, 15 678 GPs recorded 1 370 826 patient encounters, of which skin cancer-related conditions were managed 65 411 times (rate of 47.72 per 1000 encounters, 95% CI 46.41 to 49.02). Across the whole period, 'skin conditions' managed were solar keratosis (29.87%), keratinocyte cancer (24.85%), other skin lesion (12.93%), nevi (10.98%), skin check (10.37%), benign skin neoplasm (8.76%) and melanoma (2.42%). Over time, management rates increased for keratinocyte cancers, skin checks, skin lesions, benign skin neoplasms and melanoma; but remained stable for solar keratoses and nevi. Skin cancer-related encounter rates were higher for patients aged 65-89 years, male, living in Queensland or in regional or remote areas, with lower area-based socioeconomic status, of English-speaking background, Veteran card holders and non-healthcare card holders; and for GPs who were aged 35-44 years or male. CONCLUSION: These findings show the spectrum and burden of skin cancer-related conditions managed in general practice in Australia, which can guide GP education, policy and interventions to optimise skin cancer prevention and management.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Cutáneas / Queratosis Actínica / Medicina General / Médicos Generales / Melanoma / Nevo Tipo de estudio: Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Límite: Humans / Male País/Región como asunto: Oceania Idioma: En Revista: BMJ Open Año: 2023 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Cutáneas / Queratosis Actínica / Medicina General / Médicos Generales / Melanoma / Nevo Tipo de estudio: Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Límite: Humans / Male País/Región como asunto: Oceania Idioma: En Revista: BMJ Open Año: 2023 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Reino Unido