Patient Preferences for Follow-up After Recent Excision of a Localized Melanoma

JAMA Dermatology
Wei-Yin LimKaty J L Bell

Abstract

The standard model of follow-up posttreatment of localized melanoma relies on clinician detection of recurrent or new melanoma, through routinely scheduled clinics (clinician-led surveillance). An alternative model is to increase reliance on patient detection of melanoma, with fewer scheduled visits and increased support for patients' skin self-examination (SSE) (eg, using smartphone apps to instruct, prompt and record SSE, and facilitate teledermatology; patient-led surveillance). To determine the proportion of adults treated for localized melanoma who prefer the standard scheduled visit frequency (as per Australian guideline recommendations) or fewer scheduled visits (adapted from the Melanoma Follow-up [MELFO] study of reduced follow-up). This survey study used a telephone interview for surveillance following excision of localized melanoma at an Australian specialist center. We invited a random sample of 400 patients who had completed treatment for localized melanoma in 2014 to participate. They were asked about their preferences for scheduled follow-up, and experience of follow-up in the past 12 months. Those with a recurrent or new primary melanoma diagnosed by the time of interview (0.8-1.7 years since first diagnosis) we...Continue Reading

Citations

May 31, 2018·Annals of Oncology : Official Journal of the European Society for Medical Oncology·V J Mar, H P Soyer
May 24, 2018·Annals of Oncology : Official Journal of the European Society for Medical Oncology·V J Mar, H P Soyer
Nov 28, 2019·The British Journal of Dermatology·J K Robinson
May 16, 2019·JAMA Dermatology·Mbathio DiengKaty J L Bell
Jul 30, 2020·Archives of Dermatological Research·Edward HadelerKeyvan Nouri
Jun 22, 2018·BMC Health Services Research·Wei-Yin LimKaty J L Bell
Jul 1, 2020·Annals of Surgical Oncology·Rachael L Morton, John F Thompson
Aug 1, 2020·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·Matthew EllisUNKNOWN INTEGRATE (UK ENT Trainee Research Network)
Feb 26, 2021·Journal of the European Academy of Dermatology and Venereology : JEADV·M GibsonK J L Bell
Jan 29, 2020·Annals of Oncology : Official Journal of the European Society for Medical Oncology·V J Mar, H P Soyer

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