PMID: 9451264Feb 6, 1998Paper

Can primary prevention or selective screening for melanoma be more precisely targeted through general practice? A prospective study to validate a self administered risk score

BMJ : British Medical Journal
A JacksonP August

Abstract

To establish whether a questionnaire incorporating MacKie's risk factor flow chart can identify patients at high risk for melanoma so that they can be targeted for primary and secondary prevention. To validate the risk score derived from the questionnaire and test the feasibility of self completion by comparing patients' self reported skin characteristics with a skin examination performed by an experienced general practitioner. Prospective questionnaire survey followed by a comparative study. 16 randomly selected group practices in a health district in Cheshire, United Kingdom. Questionnaire survey--3105 consecutive patients aged 16 years and over attending for a primary care consultation; comparative study--a self selected subsample of 388 of the 3,105 patients. MacKie risk group for melanoma. Comparison of high risk skin characteristics reported by patients and those noted during a skin examination by a doctor (kappa statistic). 4.3% of patients (87% women) were in the highest risk group and 4.4% (79% men) were in the second highest risk group, as defined by the MacKie score. Agreement between patients' self appraisal of skin characteristics and clinical skin examinations was reflected in kappa values of 0.67 for freckles, 0....Continue Reading

Citations

Aug 2, 2003·Cancer Detection and Prevention·Karen GlanzDorothy M Shigaki
Oct 17, 2002·Dermatologic Clinics·Rona M MacKie
Apr 18, 2001·American Journal of Preventive Medicine·M HelfandC T Orleans
Jul 30, 2014·BMC Family Practice·Kylie VuongBruce K Armstrong
Apr 19, 2008·Preventive Medicine·M C CercatoH J Schünemann
Mar 5, 2011·Journal of the European Academy of Dermatology and Venereology : JEADV·S GutherW Stolz
May 15, 2010·International Journal of Dermatology·Estee L PsatyAshfaq A Marghoob
Apr 4, 2006·Preventive Medicine·Cristine GlazebrookHywel Williams
Sep 27, 2003·Melanoma Research·Alexandra HarbauerHarald Kittler
Dec 23, 2016·The British Journal of Dermatology·J A Usher-SmithF M Walter
Oct 25, 2007·The European Journal of General Practice·Peter Murchie, Neil C Campbell
Jun 5, 2014·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Juliet A Usher-SmithFiona M Walter
Jan 30, 2015·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Anne E CustGraham J Mann

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