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001-es BibID:BIBFORM105379
035-os BibID:(WOS)000354498503087
Első szerző:Horváthné Kívés Z.
Cím:Diagnostic delay in Patients Diagnosed with Cutaneous Malignant Melanoma / Horváthné Kívés Z., Boncz I., Gyuró M., Vajda R., Sándor J.
Dátum:2015
ISSN:1098-3015
Megjegyzések:OBJECTIVES: The aim of the present study was to assess the diagnostic delay and the associated factors in patients with cutaneous malignant mela- noma. METHODS: We carried out a survey including medical record analysis in patients diagnosed within five years with cutaneous malignant melanoma at the Pécs Dermatological Clinic (n=362).The study investigated the diagnostic delay, its risk factors as clinical and histological characteristics of the tumor, and patients' sociodemographic factors. Chi-square test, Mann-Whitney U test, and Kruskall- Vallis test was used with 95% probability level (p<0.05). RESULTS: 195 females and 167 males participated in the investigation. The mean age was 54.5+/-14.8. Breslow tumor thickness was below 1 mm in 48.1% of patients and above 4 mm in 12.2% of patients. 35.1% of patients consulted a doctors six or more months later than the symptoms had appeared. The mean delay was 8.1+/-15.6 months. The prolonged delay resulted in more expressed tumor thickness (p=0.027). Tumor thickness and delay showed no significant difference in the case of the tumor type and ulceration (p>0.05). A higher proportion of women discovered the abnormality compared with men (65.2% versus 34.8%; p<0.001). The latter subjects were informed by their rela- tives to examine themselves. The most common site of prevalence was the lower limb in females (78.5% of cases); the trunk in males (61.3% of cases) (p< 0.001). The most common symptom observed by patients was the increase in lesion size (50.3%). Its prevalence on the lower limb (p=0.01) and the increase in lesion size (p< 0.001) w as associated with significantly longer delay. CONCLUSIONS: The study provides essential information for developing education campaigns in the future involving awareness promotion related to lesions perceived as minor significance. The present study emphasizes the importance of mindfulness and skills in the early detection of tumors. Prevention should be a decisive factor in primary care.
Tárgyszavak:Orvostudományok Egészségtudományok idézhető absztrakt
folyóiratcikk
cutaneouS malignant melanoma
Megjelenés:Value In Health. - 18 : 3 (2015), p. A183. -
További szerzők:Boncz I. Gyuró M. Vajda Róza Sándor János (1966-) (orvos-epidemiológus)
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