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. 2001 May;16(5):297-301.
doi: 10.1046/j.1525-1497.2001.00526.x.

Skin cancer screening and prevention in the primary care setting: national ambulatory medical care survey 1997

S A Oliveria  1 , P J Christos, A A Marghoob, A C Halpern
Affiliations

Skin cancer screening and prevention in the primary care setting: national ambulatory medical care survey 1997

S A Oliveria et al. J Gen Intern Med. 2001 May.

Abstract

Objective: To describe skin cancer prevention and screening activities in the primary care setting and to compare these findings to other cancer screening and prevention activities.

Design: Descriptive study.

Setting/patients: National Ambulatory Medical Care Survey 1997 data on office-based physician visits to family practitioners and internists.

Measurements and main results: Data were obtained on 784 primary care visits to 109 family practitioners and 61 internists. We observed that the frequency of skin cancer prevention and screening activities in the primary care setting was much lower than other cancer screening and prevention activities. Skin examination was reported at only 15.8% of all visits (17.4% for family practitioners vs 13.6% for internists, P >.1). For other cancer screening, the frequencies were as follows: breast examination, 30.3%; Papanicolaou test, 25.3%; pelvic examination, 27.6%; and rectal examination, 17.9%. Skin cancer prevention in the form of education and counseling was reported at 2.3% of these visits (2.9% for family practitioners vs 1.5% for internists, P >.1), while education on breast self-examination, diet and nutrition, tobacco use, and exercise was 13.0%, 25.3%, 5.7%, and 17.9%, respectively.

Conclusions: The results of this study indicate that the proportion of primary care visits in which skin cancer screening and prevention occurs is low. Strategies to increase skin cancer prevention and screening by family practitioners and internists need to be considered.

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References

    1. Landis SH, Murray T, Bolden S, Wingo PA. Cancer statistics, 1999. CA Cancer J Clin. 1999;49:8–31. - PubMed
    1. Miller DL, Weinstock MA. Nonmelanoma skin cancer in the United States: incidence. J Am Acad Dermatol. 1994;30:774–8. - PubMed
    1. Gallagher RP, Ma B, McLean DI, et al. Trends in basal cell carcinoma, squamous, cell carcinoma, and melanoma of the skin 1973 through 1987. J Am Acad Dermatol. 1990;23:413–21. - PubMed
    1. IARC Working Group on the Evaluation of Carcinogenic Risks to Humans. International Agency for Research on Cancer: Monograph on the Evaluation of Carcinogenic Risks to Humans; Ultraviolet Radiation. Volume 55. Lyon: IARC; 1992.
    1. Ferrini RL, Perlman M, Hill L. American College of Preventive Medicine practice policy statement: skin protection from ultraviolet light exposure. The American College of Preventive Medicine. Am J Prev Med. 1998;14:83–6. - PubMed