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Research ArticleOriginal Research

Diagnostic Accuracy of Skin Cancer by Family Physicians

Sarina Trejić, Hans J. G. Peters, Satish F. K. Lubeek and Floris A. van de Laar
The Journal of the American Board of Family Medicine September 2021, 34 (5) 984-990; DOI: https://doi.org/10.3122/jabfm.2021.05.210076
Sarina Trejić
the Department of Primary and Community Care, Radboud University Medical Centre, Nijmegen, The Netherlands (ST, HJGP, FAVDL); Department of Dermatology, Radboud University Medical Centre, Nijmegen, The Netherlands (SFKL).
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Hans J. G. Peters
the Department of Primary and Community Care, Radboud University Medical Centre, Nijmegen, The Netherlands (ST, HJGP, FAVDL); Department of Dermatology, Radboud University Medical Centre, Nijmegen, The Netherlands (SFKL).
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Satish F. K. Lubeek
the Department of Primary and Community Care, Radboud University Medical Centre, Nijmegen, The Netherlands (ST, HJGP, FAVDL); Department of Dermatology, Radboud University Medical Centre, Nijmegen, The Netherlands (SFKL).
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Floris A. van de Laar
the Department of Primary and Community Care, Radboud University Medical Centre, Nijmegen, The Netherlands (ST, HJGP, FAVDL); Department of Dermatology, Radboud University Medical Centre, Nijmegen, The Netherlands (SFKL).
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Article Figures & Data

Figures

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    Figure 1.

    Flowchart of study population. Abbreviation: RFE, reasons for encounter.

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    Figure 2.

    Reasons for encounters (RFE) from patients with skin cancer.

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    Table 1.

    Patient Characteristics

    All Registered Patients n (%)Adult Patients New RFE n (%)Adult Patients Skin RFE n (%)
    Total31,61011,6792,952
    Sex
        Male15,982 (50.6)4762 (40.8)1,248 (42.3)
        Female15628 (49.4)6917 (59.2)1,704 (57.7)
    Age, years
        ≤179,093 (28.8)--
        18–294,423 (14.0)1,883 (16.1)473 (16.0)
        30–499,165 (29.0)4,541 (38.9)1,128 (38.2)
        50–696,517 (20.6)3,490 (29.9)879 (29.8)
        ≥702,412 (7.6)1,765 (15.1)472 (16.0)
    • RFE, reason for encounters.

    • View popup
    Table 2.

    Crosstab to Calculate Diagnostic Accuracy of the Family Physician Diagnosis

    Final Diagnosis MalignantFinal Diagnosis NonmalignantTotal
    FP diagnosis malignant2695121
    FP diagnosis nonmalignant93,3623,371
    Total353,4573,492
    • FP, family physician.

    • View popup
    Table 3.

    Five Most Common Skin Reason for Encounters with Duration* and Interventions

    Number of Episodes n (%)Median RFE Duration†Range RFE DurationPatients Referred n (%)Medication Prescribed n (%)Excisions/Remove Biopsy/Destruction/Debride n (%)
    Rash localized S06484 (13.0)2.01 hour–20 years35 (7.2)259 (53.5)22 (4.5)
    Lump/swelling localized S04472 (12.7)8.61 hour – 35 years34 (7.2)28 (5.9)121 (25.6)
    Pruritus S02196 (5.3)2.04 hours–5 years7 (3.6)126 (64.3)1 (0.5)
    Nevus/mole S82180 (4.8)64.62 days–48 years21 (11.7)3 (1.7)44 (24.4)
    Laceration/cut S18137 (3.7)2.0 hours1 hour–12.9 weeks3 (0.7)31 (22.6)9 (6.6)
    • RFE, reason for encounters.

    • ↵* RFE duration is the time a health problem has been present at the time of the first family physician consultation.

    • ↵† Median RFE duration is presented in weeks.

    • View popup
    Table 4.

    Five Most Common Diagnoses with Reason for Encounters Duration and Interventions

    Number of Episodes n (%)Median RFE DurationRange RFE DurationPatients Referred n (%)Medication Prescribed n (%)Excisions/RemoveBiopsy/Destruction/Debride n (%)
    Dermatophytosis254 (7.3)4.3 weeks1 day–15 years3 (1.2)21 (8.3)3 (1.2)
    Contact/allergic dermatitis226 (6.5)3 weeks1 day- 20 years13 (0.6)20 (8.8)0 (0)
    Nevus214 (6.1)1 year2 days–48 years32 (15.0)2 (0.9)40 (18.7)
    Laceration/cut151 (4.3)2 hours1 hour–90 days5 (3.3)3 (2.0)9 (6.0)
    Insect bite/sting149 (4.3)2 days1 hour–30 days1 (0.7)22 (14.8)6 (4.0)
    • RFE, reason for encounters.

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The Journal of the American Board of Family     Medicine: 34 (5)
The Journal of the American Board of Family Medicine
Vol. 34, Issue 5
September/October 2021
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Diagnostic Accuracy of Skin Cancer by Family Physicians
Sarina Trejić, Hans J. G. Peters, Satish F. K. Lubeek, Floris A. van de Laar
The Journal of the American Board of Family Medicine Sep 2021, 34 (5) 984-990; DOI: 10.3122/jabfm.2021.05.210076

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Diagnostic Accuracy of Skin Cancer by Family Physicians
Sarina Trejić, Hans J. G. Peters, Satish F. K. Lubeek, Floris A. van de Laar
The Journal of the American Board of Family Medicine Sep 2021, 34 (5) 984-990; DOI: 10.3122/jabfm.2021.05.210076
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Keywords

  • Family Physicians
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