Evidence map›Paper›PMID 33614219›Full record

ArticleDermatology practical & conceptual2021

Skin Cancer and Dermoscopy Training for Primary Care Physicians: A Pilot Study.

Valeria De Bedout, Natalie M Williams, Ana M Muñoz, Ana M Londoño, Manuela Munera, Natalí Naranjo, Lina M Rodriguez, Alejandra M Toro, Feng Miao, Tulay Koru-Sengul and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Dermatology practical & conceptual, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 16% of its field
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Expert Consensus Statement on Proficiency Standards for Dermoscopy Education in Primary Care.Journal of the American Board of Family Medicine : JABFM · 2023
    Article
  8. Article
  9. 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

11 authors at 2 institutions in 2 countries.

Valeria De BedoutDr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
Natalie M WilliamsDr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
Ana M MuñozDepartment of Dermatology, Universidad Pontificia Bolivariana, Medellin, Colombia.
Ana M LondoñoDepartment of Dermatology, Universidad Pontificia Bolivariana, Medellin, Colombia.
Manuela MuneraDepartment of Dermatology, Universidad Pontificia Bolivariana, Medellin, Colombia.
Natalí NaranjoDepartment of Dermatology, Universidad Pontificia Bolivariana, Medellin, Colombia.
Lina M RodriguezDepartment of Dermatology, Universidad Pontificia Bolivariana, Medellin, Colombia.
Alejandra M ToroDepartment of Dermatology, Universidad Pontificia Bolivariana, Medellin, Colombia.
Feng MiaoDepartment of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida, USA.
Tulay Koru-SengulDepartment of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida, USA.
Natalia JaimesDr. Phillip Frost Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
Universidad Pontificia Bolivariana · COUniversity of Miami · US

Funding

Tumor Biology Research ProgramP30CA240139 · NCI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Daniel Bilbao · 2019 to 2026
$24.1M
NCI NIH HHS P30 CA240139
6 · The paper itself

Abstract

introductionThe primary objective of this study was to determine the diagnostic accuracy and effect of an educational training on skin cancer course and dermoscopy use among primary care physicians in rural areas of Colombia. The secondary objective was to assess the diagnostic accuracy of skin cancer diagnosis and detection rate after 3 months of the initial training.

methodsTwenty-one primary care physicians from 6 rural areas of Colombia participated in a 2-day skin cancer and dermoscopy training, followed by a day-long hands-on session on dermoscopy at a free skin cancer screening event. Pre- and post-tests were performed using clinical and dermoscopic images to evaluate the user's ability to diagnose and differentiate benign and malignant neoplasms. In addition, participants' levels of confidence were assessed.

resultsAfter the training, the sensitivity and specificity of characterizing skin lesions as benign or malignant or providing a specific diagnosis (ie, angioma, seborrheic keratosis, basal cell carcinoma, etc.) increased by 23.6% (62.9% to 86.5%; P < 0.0001) and 21% (54.7% to 75.7%; P < 0.0017), respectively. In addition, levels of confidence when diagnosing skin lesions changed from extremely low or low, to high or extremely high by 20.7% (38.3% to 59%) using dermoscopic images (odds ratio (OR) 3.22; 95% confidence interval (CI): 2.67-3.86; P < 0.0001). The secondary objective was not achieved due to loss of follow-up of the majority of participants.

conclusionProviders serving populations with limited healthcare access may benefit from education in diagnosing and differentiating skin cancer with the use of dermoscopy, which may ultimately improve patient care and reduce healthcare costs.

Indexed as

dermoscopydermoscopy trainingdiagnostic accuracyskin cancer

Identifiers

PMID33614219
PMCPMC7875653
OpenAlexW3128384138

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.