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Research ArticleOriginal Research

A Clinical Aid for Detecting Skin Cancer: The Triage Amalgamated Dermoscopic Algorithm (TADA)

T. Rogers, M. L. Marino, S. W. Dusza, S. Bajaj, R. P. Usatine, M. A. Marchetti and A. A. Marghoob
The Journal of the American Board of Family Medicine November 2016, 29 (6) 694-701; DOI: https://doi.org/10.3122/jabfm.2016.06.160079
T. Rogers
From the Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY (TR, MLM, SWD, SB, MAM, AAM); Department of Family and Community Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX (RPU).
MFA
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M. L. Marino
From the Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY (TR, MLM, SWD, SB, MAM, AAM); Department of Family and Community Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX (RPU).
MD
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S. W. Dusza
From the Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY (TR, MLM, SWD, SB, MAM, AAM); Department of Family and Community Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX (RPU).
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S. Bajaj
From the Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY (TR, MLM, SWD, SB, MAM, AAM); Department of Family and Community Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX (RPU).
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R. P. Usatine
From the Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY (TR, MLM, SWD, SB, MAM, AAM); Department of Family and Community Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX (RPU).
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M. A. Marchetti
From the Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY (TR, MLM, SWD, SB, MAM, AAM); Department of Family and Community Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX (RPU).
MD
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A. A. Marghoob
From the Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY (TR, MLM, SWD, SB, MAM, AAM); Department of Family and Community Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX (RPU).
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    Figure 1.

    The Triage Amalgamated Dermoscopic Algorithm (TADA).

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    Table 1.

    Number of Study Participants Grouped by Profession, Dermoscopy Training, and Dermoscopy Experience

    Characteristicn (%)
    Profession
        Dermatologist64 (53.3)
        Primary care physician41 (34.2)
        Other medical specialties7 (5.8)
        Other profession1 (0.8)
        Did not answer7 (5.8)
    Previous dermoscopy training
        Yes63 (52.5)
        No52 (43.3)
        Did not answer5 (4.2)
    Previous dermoscopy experience
        Yes85 (70.9)
        No28 (23.3)
        Did not answer7 (5.8)
    Years of dermoscopy experience
        0 to 1 year52 (43.3)
        2 to 5 years35 (29.2)
        6 to 10 years18 (15.0)
        >10 years9 (7.5)
        Did not answer6 (5.0)
    • View popup
    Table 2.

    Sensitivity and Specificity of TADA Algorithm for Malignant Study Lesions (Melanoma, Basal Cell Carcinoma, Squamous Cell Carcinoma) Achieved by Dermatologists Versus Non-Dermatologists, Participants with Previous Dermoscopy Training Versus Those Without, and Participants with Less Than or Equal to One Year of Dermoscopy Experience Versus Those with Greater than One Year of Experience

    VariableCodingParticipants/ ObservationsSensitivity95% CIPSpecificity95% CIP
    LowerUpperLowerUpper
    ProfessionDermatologist64/27880.9480.9240.972.3740.7850.7020.844.008
    Non-Dermatologist49/21320.9370.9190.9550.7210.6810.755
    Previous dermoscopy trainingYes63/25830.9500.9090.994.130.7640.6690.831.36
    No52/21320.9330.9150.9510.7410.7020.775
    Years of experience in dermoscopy> 1 year62/20020.9540.9310.978.050.7730.6830.837.21
    ≤ 1 year52/24040.9310.9130.9500.7420.7040.775
    • CI, confidence interval; TADA, Triage Amalgamated Dermoscopic Algorithm.

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The Journal of the American Board of Family     Medicine: 29 (6)
The Journal of the American Board of Family Medicine
Vol. 29, Issue 6
November-December 2016
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A Clinical Aid for Detecting Skin Cancer: The Triage Amalgamated Dermoscopic Algorithm (TADA)
T. Rogers, M. L. Marino, S. W. Dusza, S. Bajaj, R. P. Usatine, M. A. Marchetti, A. A. Marghoob
The Journal of the American Board of Family Medicine Nov 2016, 29 (6) 694-701; DOI: 10.3122/jabfm.2016.06.160079

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A Clinical Aid for Detecting Skin Cancer: The Triage Amalgamated Dermoscopic Algorithm (TADA)
T. Rogers, M. L. Marino, S. W. Dusza, S. Bajaj, R. P. Usatine, M. A. Marchetti, A. A. Marghoob
The Journal of the American Board of Family Medicine Nov 2016, 29 (6) 694-701; DOI: 10.3122/jabfm.2016.06.160079
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Keywords

  • Algorithms
  • Biopsy
  • Cross-Sectional Studies
  • Dermoscopy
  • Palpation
  • Physicians
  • Family
  • Referral and Consultation
  • Sensitivity and Specificity
  • Skin Neoplasms
  • Triage

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