Time required for a complete skin examination with and without dermoscopy: a prospective, randomized multicenter study

Archives of Dermatology
Iris ZalaudekGiuseppe Argenziano

Abstract

To determine the time required to perform a complete skin examination (CSE) as a means of opportunistic screening for skin cancer both without and with dermoscopy. Randomized, prospective multicenter study. Eight referral pigmented lesion clinics. Patients From June 2006 to January 2007, 1359 patients with at least 1 melanocytic or nonmelanocytic skin lesion were randomly selected to receive a CSE without dermoscopy or CSE with dermoscopy. For each patient, the total number of lesions and the duration of the CSE were recorded. A total of 1328 patients were eligible for analysis (31 were excluded because of missing data). The median time (measured in seconds) needed for CSE with and without dermoscopy and according to total cutaneous lesion count. The median time needed for CSE without dermoscopy was 70 seconds and with dermoscopy was 142 seconds, a significant difference of 72 seconds (P < .001). The use of dermoscopy increased the duration of CSE, and this increase was in direct proportion to the patient's total lesion count. In contrast, the time required to perform a CSE without dermoscopy remained the same irrespective of whether the patients had few or many lesions. A CSE aided by dermoscopy takes significantly longer than...Continue Reading

Citations

Jan 27, 2010·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Elvira MoscarellaGiuseppe Argenziano
Aug 25, 2012·BMC Dermatology·Grazyna Kaminska-Winciorek, Radoslaw Spiewak
Nov 30, 2012·The Australasian Journal of Dermatology·Natalia JaimesAshfaq A Marghoob
Sep 16, 2014·IEEE Transactions on Medical Imaging·Konstantin KorotkovRafael Garcia
Apr 11, 2015·Der Hautarzt; Zeitschrift für Dermatologie, Venerologie, und verwandte Gebiete·A BlumH Haenssle
Aug 23, 2016·Journal of the European Academy of Dermatology and Venereology : JEADV·D Dobrosavljevic VukojevicJ Vukicevic
Jan 15, 2016·Semergen·D Palacios-Martínez, R A Díaz-Alonso
Jul 31, 2014·American Journal of Preventive Medicine·Estee L WilliamsDaniel M Siegel
Dec 21, 2016·The British Journal of Dermatology·P Bahadoran, J Malvehy
Jun 16, 2010·The Australasian Journal of Dermatology·Paul P TengH Peter Soyer
Mar 1, 2012·Seminars in Cutaneous Medicine and Surgery·Allison T O'Donnell, Caroline C Kim
Sep 11, 2019·Journal of Cosmetic Dermatology·Naglaa A AbdallahMaha A Omar
Sep 4, 2013·Journal of the European Academy of Dermatology and Venereology : JEADV·A L BretonL Thomas
Sep 29, 2009·Seminars in Cutaneous Medicine and Surgery·Giuseppe ArgenzianoIris Zalaudek
Oct 11, 2012·Dermatologic Therapy·Giuseppe ArgenzianoIris Zalaudek
Mar 11, 2015·Journal of the European Academy of Dermatology and Venereology : JEADV·M UrechG Argenziano
Nov 23, 2013·International Journal of Dermatology·Cindy Wassef, Babar K Rao
Nov 13, 2020·Journal of Cosmetic Dermatology·Yesim Akpinar Kara
Feb 28, 2021·Clinical and Experimental Dermatology·C O'ConnorM Bennett
Apr 1, 2021·Photodiagnosis and Photodynamic Therapy·Xinxian MengYixin Zhang

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