Abstract
Nonmelanoma skin cancer is the most common malignancy. Multiple therapies prevent recurrence but vary widely in cost. The most common therapies are local destruction, excision, and Mohs surgery (histologically guided tumor removal). Clinical variables that may affect treatment choices can be identified, but little is known about how clinicians choose among therapies. The objective of this study was to learn if variations exist in the treatment of nonmelanoma skin cancer in different practice settings. Prospective cohort study. Subjects consisted of consecutive patients with nonmelanoma skin cancer at a university-affiliated private dermatology practice and the dermatology clinic at the nearby affiliated Veterans Affairs (VA) medical center. We studied data from medical records and patient surveys. Overall, 1777 nonrecurrent nonmelanoma skin cancers were diagnosed in 1375 patients. Compared with the VA site, patients at the private site were younger, more likely to be female, and less likely to be poor, and their tumors were smaller and less likely to be on visible areas of the body. Treatments varied between the 2 sites (P <0.001). The proportions of tumors treated at the private and VA sites, respectively, were 23% and 19% for...Continue Reading
References
Dec 3, 1992·The New England Journal of Medicine·D S Preston, R S Stern
Jun 1, 1988·Archives of Dermatology·T B Fitzpatrick
Nov 1, 1983·Head & Neck Surgery·N A SwansonS R Baker
Jan 1, 1982·Social Science & Medicine·J E WennbergM Zubkoff
Aug 1, 1995·Journal of the American Academy of Dermatology·L A DrakeD M Pariser
Oct 13, 1994·The New England Journal of Medicine·D Blumenthal
May 1, 1993·Medical Care·M R Chassin
Jan 8, 1999·The New England Journal of Medicine·C M AshtonN P Wray
May 8, 1999·Clinical and Experimental Dermatology·C M Lawrence
Feb 15, 2001·JAMA : the Journal of the American Medical Association·D H Mark
Oct 26, 2002·BMJ : British Medical Journal·John E Wennberg
Citations
Sep 17, 2008·Archives of Dermatology·F Landon ClarkMary-Margaret Chren
May 18, 2011·Archives of Dermatology·Mary-Margaret ChrenW John Boscardin
May 17, 2013·JAMA Dermatology·Jeffrey R HamiltonMary-Margaret Chren
May 24, 2013·JAMA Internal Medicine·Eleni LinosMary-Margaret Chren
May 15, 2009·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Maryam M AsgariMary-Margaret Chren
Sep 10, 2009·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Anne M SeidlerSuephy C Chen
Dec 8, 2011·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Leslie S WilsonMary-Margaret Chren
Aug 21, 2013·Seminars in Oncology Nursing·Victoria Lazareth
Nov 11, 2011·The Journal of Investigative Dermatology·Mary-Margaret Chren
Nov 30, 2012·The Journal of Investigative Dermatology·Mary-Margaret ChrenW John Boscardin
Feb 16, 2007·The Journal of Investigative Dermatology·Mary-Margaret ChrenC Seth Landefeld
Jul 20, 2010·Journal of the European Academy of Dermatology and Venereology : JEADV·A Stang, M Weichenthal
Jul 1, 2017·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Benjamin A DrewChrysalyne D Schmults
Apr 30, 2015·Journal of Cutaneous Medicine and Surgery·Mariusz SapijaszkoUNKNOWN Canadian Non-melanoma Skin Cancer Guidelines Committee
Apr 2, 2014·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Joseph F Sobanko, Steven T Ross
Jul 24, 2018·Journal of Cutaneous Medicine and Surgery·Christian MurrayTeresa Petrella
Jul 10, 2018·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Elise MartinPhillip M Williford
Aug 2, 2019·The British Journal of Dermatology·R Motley, S Arron
Feb 1, 2017·PloS One·Matthew P DizonMary-Margaret Chren
Feb 24, 2006·The Medical Journal of Australia·David WilkinsonAnthony Dixon
Jul 10, 2021·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Paul R MasseyAbigail Waldman