The Duty to Inspect the Skin and Counsel Those at Risk to Develop Melanoma
- Author Affiliations: Department of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois (Dr Robinson); and Prevention Research Center, Pennsylvania State University, University Park (Dr Mallett). Dr Robinson is also editor of the Archives of Dermatology.
Since this article does not have an abstract, we have provided the first 150 words of the full text.
- KEYWORDS:
- AGING
- DIAGNOSIS
- EARLY DIAGNOSIS
- MELANOMA
- MEN'S HEALTH
- PHYSICAL EXAMINATION
- SELF-EXAMINATION
- SKIN NEOPLASMS
ARCHIVES OF DERMATOLOGY
Factors Associated With Physician Discovery of Early Melanoma in Middle-aged and Older Men
Alan C. Geller, MPH, RN; Timothy M. Johnson, MD; Donald R. Miller, ScD; Katie R. Brooks, MPH; Christle J. Layton, MD; Susan M. Swetter, MD
Objective: To determine factors associated with physician discovery of early melanoma in middle-aged and older men.
Design: Survey.
Setting: Three institutional melanoma clinics.
Participants: A total of 227 male participants (aged ≥40 years) with invasive melanoma who completed surveys within 3 months of diagnosis.
Intervention: Survey.
Main Outcome Measures: Factors associated with physician-detected thin melanoma.
Results: Patients with physician-detected melanoma were older, 57% were 65 years or older compared with 34% for other-detected (odds ratio [OR], 2.57; 95% confidence interval [CI], 1.19-5.55) and 42% for patient-detected melanoma (P = .07). Physician-detected melanoma in the oldest patients (aged ≥65 years) had tumor thickness equal to that of self-detected melanoma or melanoma …
