RESUMEN
The original version of this article unfortunately contained a mistake. The name of "Carolina Ledsham" is now corrected in the author group of this article.
RESUMEN
The early diagnosis of cutaneous melanoma provides less aggressive treatment reducing mortality. General practitioners are responsible for cancer diagnoses in the Brazilian Public Health System and therefore play a crucial role in the prevention and early detection of melanoma. To assess the melanoma knowledge of a primary healthcare physician, the general practitioner, compared to a dermatologist. General practitioners and dermatologists answered a questionnaire about melanoma and the management of suspected cases. The results of both groups were compared. The sample consisted of 80 specialists and 160 general practitioners. When asked about the "ABCDE" rule, 96.2% of the dermatologists knew about it, compared to 34.4% of the general practitioners. The percentage of dermatologists who examined the whole skin of the patient at high risk for melanoma was 90% vs. 24.5% amongst general practitioners. The most cited reasons for the absence of the examination of patients at risk for melanoma were lack of time at the consultations (17.6% specialists, 66.1% generalists) and an excessive number of patients (17.6% specialists, 61.5% generalists). General practitioner has less knowledge about melanoma compared to the dermatologists and presents deficient behaviors about patients at risk or who have suspicious lesions, indicating the need for training and continuing education.
Asunto(s)
Dermatólogos/estadística & datos numéricos , Errores Diagnósticos/estadística & datos numéricos , Médicos Generales/estadística & datos numéricos , Conocimientos, Actitudes y Práctica en Salud , Melanoma/diagnóstico , Pautas de la Práctica en Medicina/normas , Neoplasias Cutáneas/diagnóstico , Adulto , Brasil/epidemiología , Estudios Transversales , Dermatólogos/normas , Femenino , Médicos Generales/normas , Humanos , Masculino , Melanoma/epidemiología , Neoplasias Cutáneas/epidemiología , Encuestas y Cuestionarios , Melanoma Cutáneo MalignoRESUMEN
As grandes síndromes geriátricas insuficiência cognitiva, instabilidade postural, incontinência urinária, iatrogenia e imobilidade estão associadas ao declínio da capacidade funcional de importante parcela da população idosa. Esta revisão faz uma compilação e análise de estudos que abordam a importância do estilo de vida, da alimentação, de exercícios físicos, e de outras medidas não farmacológicas, na prevenção e no tratamento dos chamados "gigantes da geriatria", condições de alta prevalência e morbidade na população idosa.
The major geriatric syndromes cognitive impairment, postural instability, urinary incontinence, iatrogeny and immobility are associated with the decline in the functional capacity of significant part of the elderly population. This review assembles and analyzes studies, which show the importance of lifestyle, feeding, physical activity and other non-pharmacological interventions in prevention and treatment of the "geriatric giants", conditions of high prevalence and morbidity in that group.
Los grandes síndromes geriátricos - insuficiencia cognitiva, inestabilidad postural, incontinencia urinaria, iatrogenia e inmovilidad - están asociadas al declive de la capacidad funcional de importante parte de la población anciana. Esta revisión hace una compilación y análisis de estudios que abordan la importancia del estilo de vida, de la alimentación, de ejercicios físicos, y de otras medidas no farmacológicas, en la prevención y el tratamiento de los llamados "gigantes de la geriatría", condiciones de alta prevalencia y morbilidad población anciana.
