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Showing content from https://pubmed.ncbi.nlm.nih.gov/32328556/ below:

Targeted Melanoma Screening: Risk Self-Assessment and Skin Self-Examination Education Delivered During Mammography of Women

Affiliations

• ¹ Department of Dermatology, Northwestern University, Feinberg School of Medicine, Chicago, IL.
• ² Department of Radiology, Northwestern University, Feinberg School of Medicine, Chicago, IL.
• ³ Lynn Sage Comprehensive Breast Center of Northwestern Medicine/Prentice Women's Hospital Northwestern Medicine, Chicago, IL.
• ⁴ Department of Preventive Medicine, Northwestern University, Feinberg School of Medicine, Chicago, IL.

• PMID: 32328556
• PMCID: PMC7049996
• DOI: 10.1093/jncics/pkz047

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June K Robinson et al. JNCI Cancer Spectr. 2019.

• ¹ Department of Dermatology, Northwestern University, Feinberg School of Medicine, Chicago, IL.
• ² Department of Radiology, Northwestern University, Feinberg School of Medicine, Chicago, IL.
• ³ Lynn Sage Comprehensive Breast Center of Northwestern Medicine/Prentice Women's Hospital Northwestern Medicine, Chicago, IL.
• ⁴ Department of Preventive Medicine, Northwestern University, Feinberg School of Medicine, Chicago, IL.

• PMID: 32328556
• PMCID: PMC7049996
• DOI: 10.1093/jncics/pkz047

Item in Clipboard

Background: Melanoma, which is the sixth most common cancer in women, is visible on the surface of the skin; therefore, self-screening (skin self-examination [SSE]) may be beneficial.

Methods: A convenience sample of women undergoing mammography was sequentially assigned by week into this two-arm targeted melanoma screening intervention. Both groups saw an informational poster and received a brochure promoting risk self-identification and SSE education. One group received an additional 1-week SSE reminder. Participants completed baseline and 1- and 3-month follow-up surveys assessing SSE performance, identifying a concerning mole, scheduling a dermatology appointment, and anxiety due to the program. Performance of SSE between groups was compared using χ² analysis. The electronic medical record was reviewed for diagnosis of concerning moles.

Results: At 1 month, 384 of 420 (91.4% retention) women completed the survey. Of those, 311 (80.9%) performed SSE. Of those who performed SSE, 54 (14%) found a concerning mole at either 1 or 3 months. At 3 months, 346 (82.4% retention) women completed the survey. The number of women who performed SSE did not differ between groups at 1 month (χ² = 1.64, P = .17) or 3 months (χ² = 1.58, P = .12). Seven melanomas were found among 34 women who identified a concerning mole; examination of 4.8 women yielded one melanoma. Anxiety was low with a median score of 9.5 (range = 0-42.9).

Conclusions: Introducing melanoma risks and SSE education during mammography was feasible and did not demonstrate harms; thus, there is an opportunity to reach a large, at-risk population with limited burden for the participant and clinics.

© The Author(s) 2019. Published by Oxford University Press.

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CONSORT diagram. The distribution and…

CONSORT diagram. The distribution and retention of participants in the two arms of…

CONSORT diagram. The distribution and retention of participants in the two arms of the study are shown.

• Melanoma detection by skin self-examination targeting at-risk women: A randomized controlled trial with telemedicine support for concerning moles.

  Robinson JK, Wahood S, Ly S, Kirk J, Yoon J, Sterritt J, Gray E, Kwasny M. Robinson JK, et al. Prev Med Rep. 2021 Aug 26;24:101532. doi: 10.1016/j.pmedr.2021.101532. eCollection 2021 Dec. Prev Med Rep. 2021. PMID: 34976609 Free PMC article.

• Melanoma Skin Self-Examination Education During Mammography: Health Burden of Women Impairs Implementation.

  Robinson JK, Brown Z, Spring B. Robinson JK, et al. J Cancer Educ. 2021 Aug;36(4):858-864. doi: 10.1007/s13187-020-01714-4. J Cancer Educ. 2021. PMID: 32090289 Free PMC article.

• Skin self-examination education for early detection of melanoma: a randomized controlled trial of Internet, workbook, and in-person interventions.

  Robinson JK, Gaber R, Hultgren B, Eilers S, Blatt H, Stapleton J, Mallett K, Turrisi R, Duffecy J, Begale M, Martini M, Bilimoria K, Wayne J. Robinson JK, et al. J Med Internet Res. 2014 Jan 13;16(1):e7. doi: 10.2196/jmir.2883. J Med Internet Res. 2014. PMID: 24418949 Free PMC article. Clinical Trial.

• Efficacy of skin self-examination for the early detection of melanoma.

  Hamidi R, Peng D, Cockburn M. Hamidi R, et al. Int J Dermatol. 2010 Feb;49(2):126-34. doi: 10.1111/j.1365-4632.2009.04268.x. Int J Dermatol. 2010. PMID: 20465635 Review.

• Visual images for patient skin self-examination and melanoma detection: a systematic review of published studies.

  McWhirter JE, Hoffman-Goetz L. McWhirter JE, et al. J Am Acad Dermatol. 2013 Jul;69(1):47-55. doi: 10.1016/j.jaad.2013.01.031. Epub 2013 Mar 6. J Am Acad Dermatol. 2013. PMID: 23474227 Review.

• A Snapshot of Knowledge about Oral Cancer in Italy: A 505 Person Survey.

  Nocini R, Capocasale G, Marchioni D, Zotti F. Nocini R, et al. Int J Environ Res Public Health. 2020 Jul 7;17(13):4889. doi: 10.3390/ijerph17134889. Int J Environ Res Public Health. 2020. PMID: 32645880 Free PMC article.

• Melanoma detection by skin self-examination targeting at-risk women: A randomized controlled trial with telemedicine support for concerning moles.

  Robinson JK, Wahood S, Ly S, Kirk J, Yoon J, Sterritt J, Gray E, Kwasny M. Robinson JK, et al. Prev Med Rep. 2021 Aug 26;24:101532. doi: 10.1016/j.pmedr.2021.101532. eCollection 2021 Dec. Prev Med Rep. 2021. PMID: 34976609 Free PMC article.

• Melanoma Skin Self-Examination Education During Mammography: Health Burden of Women Impairs Implementation.

  Robinson JK, Brown Z, Spring B. Robinson JK, et al. J Cancer Educ. 2021 Aug;36(4):858-864. doi: 10.1007/s13187-020-01714-4. J Cancer Educ. 2021. PMID: 32090289 Free PMC article.

1. 1. Guy GP Jr, Thomas CC, Thompson T, et al. Vital signs: melanoma incidence and mortality trends and projections—United States, 1982–2030. MMWR Morb Mortal Wkly Rep. 2015;6421:591–596. - PMC - PubMed
2. 1. Berwick M, Begg CB, Fine JA, Roush GC, Barnhill RL.. Screening for cutaneous melanoma by skin self-examination. J Natl Cancer Inst. 1996;881:17–23. - PubMed
3. 1. Weinstock MA, Martin RA, Risica PM, et al. Thorough skin examination for the early detection of melanoma. Am J Prev Med. 1999;173:169–175. - PubMed
4. 1. Kamińska-Winciorek G, Gajda M, Wydmański J, Tukiendorf A.. What do web users know about skin self-examination and melanoma symptoms? Asian Pac J Cancer Prev. 2015;167:3051–3056. - PubMed
5. 1. Manne S, Fasanella N, Connors J, Floyd B, Wang H, Lessin S.. Sun protection and skin surveillance practices among relatives of patients with malignant melanoma: prevalence and predictors. Prev Med. 2004;391:36–47. - PubMed

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