Authors: Alvin Chia Lyndal Trevena
Publish Date: 2015/06/14
Volume: 31, Issue: 4, Pages: 730-735
Abstract
Australia has the highest incidence of melanoma in the world General practitioners encounter melanoma in 99 per 10000 clinical encounters and play a key role in diagnosis A systematic review was conducted to study the efficacy of training methods to improve general practitioners’ diagnostic skills in melanoma Article abstracts 1307 were screened from a Medline search Four trials met our criteria and were highly variable in their intervention methods and outcome measures The Cochrane risk of bias tool was used to assess study quality with only one good one poor and two of questionable quality Our results showed limited evidence via one study that training of general practitioners in surface microscopy improved melanoma diagnosis from a clinical naked eye preintervention score of 546 to a postintervention surface microscopy score of 759 in 74 general practitioners Future work should explore the barriers to implementing this strategy in clinical practice
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