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Dermatology ; 230(2): 161-9, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25633994

RESUMO

BACKGROUND: The incidence and prevalence of skin cancer is rising. A detection model could support the (screening) process of diagnosing non-melanoma skin cancer. METHODS: A questionnaire was developed containing potential actinic keratosis (AK) and basal cell carcinoma (BCC) characteristics. Three nurses diagnosed 204 patients with a lesion suspicious of skin (pre)malignancy and filled in the questionnaire. Logistic regression analyses generated prediction models for AK and BCC. RESULTS: A prediction model containing nine characteristics correctly predicted the presence or absence of AK in 83.2% of the cases. BCC was predicted correctly in 91.4% of the cases by a model containing eight characteristics. The nurses correctly diagnosed AK in 88.3% and BCC in 90.9% of the cases. CONCLUSIONS: Detection or screening models for AK and BCC could be made with a limited number of variables. Nurses also diagnosed skin lesions correctly in a high percentage of cases. Further research is necessary to investigate the robustness of these findings, whether the percentage of correct diagnoses can be improved and how best to implement model-based prediction in the diagnostic process.


Assuntos
Carcinoma Basocelular/diagnóstico , Ceratose Actínica/diagnóstico , Modelos Teóricos , Padrões de Prática em Enfermagem , Neoplasias Cutâneas/diagnóstico , Idoso , Carcinoma Basocelular/patologia , Competência Clínica , Dermatologia , Reações Falso-Negativas , Reações Falso-Positivas , Feminino , Clínicos Gerais , Humanos , Ceratose Actínica/patologia , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Medição de Risco , Fatores de Risco , Neoplasias Cutâneas/patologia , Inquéritos e Questionários
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