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Do Centralised Skin Screening Clinics Increase Participation in Melanoma Screening (Australia)?

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Abstract

Objective

To compare during the first 12 months of a 3-year randomised community-based trial of population screening for melanoma three methods of screening delivery: skin screening within day-to-day primary care (Group A); screening in dedicated skin screening clinics either organised privately by local physicians (Group B); or organised centrally with participants referred back to their physicians for definitive diagnosis and management (Group C).

Methods

The trial involved 18 regional communities in Queensland, Australia. Of the nine communities randomised to the intervention group, three communities were allocated to each of the Groups A, B or C. All intervention communities received a community education programme and an education and support programme for primary care physicians. The self-reported prevalence of clinical skin examination was assessed by surveying 3,110 residents (66.9% participation rate) aged ≥30 years by telephone at baseline, and 14,060 residents (70.9% participation rate) by self-administered mailed questionnaire at 12-month follow-up.

Results

At baseline the prevalence of skin screening did not differ between intervention and control communities. At 12-month follow-up, participants within intervention communities reported skin screening significantly more frequently (20.9% versus 10.9%; p<0.001). Within intervention communities, the prevalence of clinical skin examinations in Group A was similar to that of control communities (12.6% and 10.9%; p = 0.33). Communities in Group B (16.5%; p = 0.001) and Group C (27.1%; p<0.001) reported significantly higher prevalence of clinical examinations than the control group.

Conclusions

The provision of centrally organised skin screening clinics significantly increases skin screening rates and may have relevance for future melanoma control programmes.

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References

  1. U.S. Census Bureau. Available at http://www.census.gov. Accessed April 20, 2005

  2. A Jemal T Murray E Ward et al. (2005) ArticleTitleCancer Statistics, 2005 CA Cancer J Clin 55 10–30 Occurrence Handle15661684

    PubMed  Google Scholar 

  3. Australian Institute of Health and Welfare (AIHW) &Australasian Association of Cancer Registries (AACR) 2003. Cancer in Australia 2000. AIHW Cat No. CAN 18 AIHW (Cancer Series no. 23) Canberra

  4. M Elwood (1994) ArticleTitleScreening for melanoma and options for its evaluation J Med Screen 1 22–38 Occurrence Handle1:STN:280:BymA1c3mtF0%3D Occurrence Handle8790483

    CAS  PubMed  Google Scholar 

  5. R Marks (2002) ArticleTitleThe changing incidence and mortality of melanoma in Australia Recent Results Cancer Res 160 113–121 Occurrence Handle12079205

    PubMed  Google Scholar 

  6. American Cancer Society. Available at: http://www.cancer.org/docroot/CRI/content/CRI_2_4_3X_Can_melanoma_be_found_ early_50.asp?sitearea=Accessed April 20, 2005

  7. American College of Preventive Medicine. Available at http://www.acpm.org/cpsskincancer.htm Accessed April 20, 2005

  8. Feightner JW (1994) Prevention of skin cancer. In: Canadian Task Force on the Periodic Health Examination. Canadian guide to clinical preventive health care. Ottawa: Health Canada, pp. 850–859

  9. U.S. Preventive Services Task Force. Recommendations and Rationale Screening for Skin Cancer. Available at http://www.ahrq.gov/clinic/ajpmsuppl/skcarr.htm Accessed April 20, 2005

  10. The Cancer Council of Australia (2004) National Cancer Prevention Policy 2004–2006. Available at http://www.cancer.org.au/documents/NatCancerPreventPol_04-06.pdf Accessed April 20, 2005

  11. A Girgis P Clarke R Burton R Sanson-Fisher (1996) ArticleTitleScreening for melanoma by primary health care physicians: a cost-effectiveness analysis J Med Screen 3 47–53 Occurrence Handle1:STN:280:ByiD3MvitFM%3D Occurrence Handle8861052

    CAS  PubMed  Google Scholar 

  12. R Burton C Howe L Adamson et al. (1998) ArticleTitleGeneral practitioner screening for melanoma: sensitivity, specificity and effect of training J Med Screen 5 156–161 Occurrence Handle1:STN:280:DyaK1M%2FhtF2luw%3D%3D Occurrence Handle9795877

    CAS  PubMed  Google Scholar 

  13. K Freedberg A Geller D Miller R Lew H Koh (1999) ArticleTitleScreening for malignant melanoma: a cost-effectivness analysis J Am Acad Dermatol 41 738–745 Occurrence Handle10.1016/S0190-9622(99)70010-1 Occurrence Handle1:STN:280:DC%2BD3c%2FgsF2mtw%3D%3D Occurrence Handle10534637

    Article  CAS  PubMed  Google Scholar 

  14. DE Pathman ES Williams TR Konrad (1996) ArticleTitleRural physician satisfaction: its sources and relationship to retention J Rural Health 12 366–77 Occurrence Handle1:STN:280:ByiB2c7otVQ%3D Occurrence Handle10166133

    CAS  PubMed  Google Scholar 

  15. IE Rolfe SA Pearson DL O’Connell JA Dickinson (1995) ArticleTitleFinding solutions to the rural doctor shortage: the roles of selection versus undergraduate medical education at Newcastle Aust NZ J Med 25 512–517 Occurrence Handle1:STN:280:BymC2Mvkt1Q%3D

    CAS  Google Scholar 

  16. HK Rabinowitz JJ Diamond FW Markham CE Hazelwood (1999) ArticleTitleA program to increase the number of family physicians in rural and underserved areas: impact after 22 years JAMA 281 255–60 Occurrence Handle10.1001/jama.281.3.255 Occurrence Handle1:STN:280:DyaK1M7hsFSnsg%3D%3D Occurrence Handle9918481

    Article  CAS  PubMed  Google Scholar 

  17. JF Aitken JM Elwood JB Lowe DW Firman KP Balanda IT Ring (2002) ArticleTitleA randomised trial of population screening for melanoma J Med Screen 9 33–37 Occurrence Handle10.1136/jms.9.1.33 Occurrence Handle1:STN:280:DC%2BD383jvFKhsw%3D%3D Occurrence Handle11943795

    Article  CAS  PubMed  Google Scholar 

  18. JB Lowe J Ball BM Lynch et al. (2004) ArticleTitleAchieving community participation in a community-based melanoma screening program by volunteer facilitated program delivery Health Promot Int 19 437–444 Occurrence Handle10.1093/heapro/dah405 Occurrence Handle15520039

    Article  PubMed  Google Scholar 

  19. M Janda MJ Elwood D Firman JB Lowe P Youl JF Aitken (2004) ArticleTitlePrevalence of skin screening by general practitioners in regional Queensland Med J Aust 180 10–15 Occurrence Handle14709121

    PubMed  Google Scholar 

  20. JF Aitken M Janda JB Lowe et al. (2004) ArticleTitlePrevalence of whole-body skin self-examination in a population at high risk for skin cancer Cancer Causes Control 15 453–463 Occurrence Handle10.1023/B:CACO.0000036451.39128.f6 Occurrence Handle15286465

    Article  PubMed  Google Scholar 

  21. JF Aitken P Youl M Janda M Elwood I Ring J Lowe (2004) ArticleTitleComparability of skin screening histories obtained by telephone interviews and mailed questionnaires – A randomised crossover study Am J Epidemiol 160 598–604 Occurrence Handle10.1093/aje/kwh263 Occurrence Handle15353421

    Article  PubMed  Google Scholar 

  22. BV Shah BG Barnwell GS Bieler (1996) SUDAAN User’s Manual Research Triangle Institute North Carolina

    Google Scholar 

  23. J Legler HI Meissner C Coyne N Breen V Cholette BK Rimer (2002) ArticleTitleThe effectiveness of interventions to promote mammography among women with historically lower rates of screening Cancer Epidemiol Biomarkers Prev 11 59–71 Occurrence Handle11815402

    PubMed  Google Scholar 

  24. M Janda PH Youl JB Lowe M Elwood IT Ring JF Aitken (2004) ArticleTitleAttitudes and intentions in relation to skin checks for early signs of skin cancer Prev Med 39 11–18 Occurrence Handle10.1016/j.ypmed.2004.02.019 Occurrence Handle15207981

    Article  PubMed  Google Scholar 

  25. AC Geller Z Zhang AJ Sober et al. (2003) ArticleTitleThe first 15 years of the American Academy of Dermatology skin cancer screening programs: 1985–1999 J Am Acad Dermatol 48 34–41 Occurrence Handle10.1067/mjd.2003.9 Occurrence Handle12522368

    Article  PubMed  Google Scholar 

  26. P Carli V Giorgi ParticleDe B Giannotti et al. (2003) ArticleTitleSkin cancer day in Italy: method of referral to open access clinics and tumor prevalence in the examined population Eur J Dermatol 13 76–79 Occurrence Handle12609788

    PubMed  Google Scholar 

  27. H Pehamberger M Binder S Knollmayer K Wolff (1993) ArticleTitleImmediate effects of a public education campaign on prognostic features of melanoma J Am Acad Dermatol 29 106–109 Occurrence Handle1:STN:280:ByyA3c7hvFw%3D Occurrence Handle8315067

    CAS  PubMed  Google Scholar 

  28. FH Rampen PJ Berretty BE Huystee ParticleVan LA Kiemeney CH Nijs (1993) ArticleTitleLack of selective attendance of participants at skin cancer/melanoma screening clinics J Am Acad Dermatol 29 423–427 Occurrence Handle1:STN:280:ByyA2M3ovVw%3D Occurrence Handle8349858

    CAS  PubMed  Google Scholar 

  29. Breast Screen Queensland: Available at: http://www.health.qld. gov.au/breastscreen/history.htm Accessed April 20, 2005

  30. PF Hanrahan P Hersey CA D’Este (1998) ArticleTitleFactors involved in presentation of older people with thick melanoma Med J Aust 169 410–414 Occurrence Handle1:STN:280:DyaK1M%2FkvVSkuw%3D%3D Occurrence Handle9830387

    CAS  PubMed  Google Scholar 

  31. A Jemal S Devesa T Fears P Hartage (2000) ArticleTitleCancer surveillance series: changing patterns of cutaneous malignant melanoma mortality rates among whites in the United States J Natl Cancer Inst 88 2398–2424

    Google Scholar 

  32. HK Koh DR Miller AC Geller RW Clapp MB Mercer RA Lew (1992) ArticleTitleWho discovers melanoma? Patterns from a population-based survey J Am Acad Dermatol 26 914–919 Occurrence Handle1:STN:280:By2B1MbntV0%3D Occurrence Handle1607408

    CAS  PubMed  Google Scholar 

  33. T Schofield RW Connell L Walker J Wood D Butland (2000) ArticleTitleUnderstanding men’s health and illness: a gender-relations approach to policy, research, and practice J Am Coll Health 48 247–256 Occurrence Handle1:STN:280:DC%2BD3czit1ajtQ%3D%3D Occurrence Handle10863868

    CAS  PubMed  Google Scholar 

  34. JF Aitken PH Youl M Janda et al. (2004) ArticleTitleValidity of self-reported skin screening histories Am J Epidemiol 159 1098–1105 Occurrence Handle10.1093/aje/kwh143 Occurrence Handle1:STN:280:DC%2BD2c3ls1egsg%3D%3D Occurrence Handle15155295

    Article  CAS  PubMed  Google Scholar 

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Acknowledgements

Assistance of Dr Peter Baade in statistical analysis is gratefully acknowledged. This study was funded by the Queensland Cancer Fund and Queensland Health.

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Authors and Affiliations

  1. Viertel Centre for Research in Cancer Control, Queensland Cancer Fund, Spring Hill, PO Box 201, QLD 4004, Brisbane, Queensland, Australia

    Monika Janda, Philippa H. Youl & Joanne F. Aitken

  2. School of Public Health, Queensland University of Technology, Brisbane, Queensland, Australia

    Monika Janda

  3. Department of Community and Behavioral Health, College of Public Health, University of Iowa, Iowa City, Iowa, USA

    John B. Lowe

  4. National Cancer Control Initiative, Carlton, Victoria, Australia

    Mark Elwood

  5. Health Information Branch, Queensland Health, Brisbane, Queensland, Australia

    Ian T. Ring

  6. School of Population Health, University of Queensland, Australia

    Joanne F. Aitken

Authors
  1. Monika Janda
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  2. John B. Lowe
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  3. Mark Elwood
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  4. Ian T. Ring
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  5. Philippa H. Youl
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  6. Joanne F. Aitken
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Corresponding author

Correspondence to Joanne F. Aitken.

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Janda, M., Lowe, J.B., Elwood, M. et al. Do Centralised Skin Screening Clinics Increase Participation in Melanoma Screening (Australia)?. Cancer Causes Control 17, 161–168 (2006). https://doi.org/10.1007/s10552-005-0419-y

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  • DOI: https://doi.org/10.1007/s10552-005-0419-y

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