Evidence map›Paper›PMID 21472502›Full record

SynthesisJournal of general internal medicine2011

Skin cancer education for primary care physicians: a systematic review of published evaluated interventions.

Jacqueline M Goulart, Elizabeth A Quigley, Stephen Dusza, Sarah T Jewell, Gwen Alexander, Maryam M Asgari, Melody J Eide, Suzanne W Fletcher, Alan C Geller, Ashfaq A Marghoob and 3 more

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of general internal medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Educational Interventions to Support Primary Care Provider Performance of Diagnostic Skin Cancer Examinations: A Systematic Literature Review.Journal of cancer education : the official journal of the American Association for Cancer Education · 2022
    Pooled it
  2. Trial
  3. Trial
  4. A Primary Care Intervention to Improve Melanoma Detection and Management.Journal of the American Board of Family Medicine : JABFM · 2026
    Article
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  10. Early Melanoma Detection in Primary Care: Clinical Recognition of Melanoma is Not Enough, One Must Also Learn the Basics.Journal of cancer education : the official journal of the American Association for Cancer Education · 2022
    Article
  11. Article
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  13. Observational
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  20. Diagnosis of Cutaneous Melanoma: the Gap Between the Knowledge of General Practitioners and Dermatologists in a Brazilian Population.Journal of cancer education : the official journal of the American Association for Cancer Education · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Jacqueline M GoulartDermatology Service, Memorial Sloan-Kettering Cancer Center, New York, NY 07920, USA.
Elizabeth A Quigley
Stephen Dusza
Sarah T Jewell
Gwen Alexander
Maryam M Asgari
Melody J Eide
Suzanne W Fletcher
Alan C Geller
Ashfaq A Marghoob
Martin A Weinstock
Allan C Halpern
INFORMED (INternet curriculum FOR Melanoma Early Detection) Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly detection of melanoma may provide an opportunity to positively impact melanoma mortality. Numerous skin cancer educational interventions have been developed for primary care physicians (PCPs) to improve diagnostic accuracy. Standardized training is also a prerequisite for formal testing of melanoma screening in the primary care setting.

objectiveWe conducted a systematic review to determine the extent of evaluated interventions designed to educate PCPs about skin cancer, including melanoma.

designRelevant studies in the English language were identified through systemic searches performed in MEDLINE, EMBASE, BIOSIS, and Cochrane through December 2010. Supplementary information was obtained from corresponding authors of the included studies when necessary. APPROACH: Studies eligible for inclusion formally evaluated skin cancer education interventions and were designed primarily for PCPs. Excluded studies lacked a specified training intervention, used decision-making software, focused solely on risk factor identification, or did not directly educate or assess participants. Twenty studies met the selection criteria. Data were extracted according to intervention content and delivery format, and study outcomes. KEY

resultsAll interventions included instructions about skin cancer diagnosis, but otherwise varied in content. Curricula utilized six distinct educational techniques, usually incorporating more than one. Intervention duration varied from 12 min to over 6 h. Eight of the 20 studies were randomized trials. Most studies (18/20, 90%) found a significant improvement in at least one of the following five outcome categories: knowledge, competence, confidence, diagnostic performance, or systems outcomes. Competence was most commonly measured; no study evaluated all categories. Variability in study design, interventions, and outcome measures prevented correlation of outcomes with intervention characteristics.

conclusionsDespite the development of many isolated educational interventions, few have been tested rigorously or evaluated under sufficient standardized conditions to allow for quantitative comparison. Improved and rigorously tested skin cancer educational interventions for PCPs with outcome measures focusing on changes in performance are needed.

Indexed as

Early DiagnosisHumansMelanomaPhysicians, Primary CarePrimary Health CareRandomized Controlled Trials as TopicSkin Neoplasms

Identifiers

PMID21472502
PMCPMC3157536

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.