Referrals by general practitioners for suspicious skin lesions: the urgency of training
Skin cancer is common among white populations and rapid increases in incidence are being observed in many countries, leading to a large burden on healthcare systems. Unnecessary referrals from general practitioners (GPs) may contribute to this burden. The aim of this study was to analyse the quality...
Gespeichert in:
| Veröffentlicht in: | Acta dermato-venereologica 2014-01, Vol.94 (2), p.138-141 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 141 |
|---|---|
| container_issue | 2 |
| container_start_page | 138 |
| container_title | Acta dermato-venereologica |
| container_volume | 94 |
| creator | van Rijsingen, Margit C J Hanssen, Sabine C A Groenewoud, Joannes M M van der Wilt, Gert Jan Gerritsen, Marie-Jeanne P |
| description | Skin cancer is common among white populations and rapid increases in incidence are being observed in many countries, leading to a large burden on healthcare systems. Unnecessary referrals from general practitioners (GPs) may contribute to this burden. The aim of this study was to analyse the quality of referrals from GPs of patients with skin tumours. Referral letters for 734 patients were collected. The proposed diagnoses were compared with definitive diagnosis made by dermatologists. In 44.5%, lesions appeared to be benign. Malignant skin tumours were poorly recognised by GPs and seborrheic keratoses were often mistaken for naevi (33.6%). Furthermore, with total body examination, dermatologists found 111 additional malignant lesions. We discussed several recommendations to minimise unnecessary referrals as well as the future role of GPs in skin cancer care. |
| doi_str_mv | 10.2340/00015555-1752 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1503000599</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1503000599</sourcerecordid><originalsourceid>FETCH-LOGICAL-c332t-ce15bd3b5ba82fa88e3f950cf81b186360561df120e4cad35e9b1f9ff2a6b8393</originalsourceid><addsrcrecordid>eNo9UMtOwzAQtBCIlsKRK_KRi8GP2k24oYqXVAkJgThatrMuhjQJdnLo3-OoLXvZHc3saHcQumT0hos5vaWUMpmLsIXkR2jKlGSEU7k4RtORIyM5QWcpfWfIJStO0YTPheRCqSn6fAMPMZo6YbvFa2ggz7iLxvWhD22GCfs24jSkLrjQDgmnn9DgGlJm0x3uvwAPMS-6LW497qMJTWjW5-jEZ1O42PcZ-nh8eF8-k9Xr08vyfkWcELwnDpi0lbDSmoJ7UxQgfCmp8wWzrFBCUalY5RmnMHemEhJKy3zpPTfKFqIUM3S98-1i-ztA6vUmJAd1bRrIx2omqch_y3KUkp3UxTalCF53MWxM3GpG9ZilPmSpxyyz_mpvPdgNVP_qQ3jiD2qYb3Y</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1503000599</pqid></control><display><type>article</type><title>Referrals by general practitioners for suspicious skin lesions: the urgency of training</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>van Rijsingen, Margit C J ; Hanssen, Sabine C A ; Groenewoud, Joannes M M ; van der Wilt, Gert Jan ; Gerritsen, Marie-Jeanne P</creator><creatorcontrib>van Rijsingen, Margit C J ; Hanssen, Sabine C A ; Groenewoud, Joannes M M ; van der Wilt, Gert Jan ; Gerritsen, Marie-Jeanne P</creatorcontrib><description>Skin cancer is common among white populations and rapid increases in incidence are being observed in many countries, leading to a large burden on healthcare systems. Unnecessary referrals from general practitioners (GPs) may contribute to this burden. The aim of this study was to analyse the quality of referrals from GPs of patients with skin tumours. Referral letters for 734 patients were collected. The proposed diagnoses were compared with definitive diagnosis made by dermatologists. In 44.5%, lesions appeared to be benign. Malignant skin tumours were poorly recognised by GPs and seborrheic keratoses were often mistaken for naevi (33.6%). Furthermore, with total body examination, dermatologists found 111 additional malignant lesions. We discussed several recommendations to minimise unnecessary referrals as well as the future role of GPs in skin cancer care.</description><identifier>ISSN: 0001-5555</identifier><identifier>EISSN: 1651-2057</identifier><identifier>DOI: 10.2340/00015555-1752</identifier><identifier>PMID: 24352366</identifier><language>eng</language><publisher>Sweden</publisher><subject>Carcinoma, Basal Cell - diagnosis ; Carcinoma, Squamous Cell - diagnosis ; Dermatology ; Diagnosis, Differential ; Diagnostic Errors - statistics & numerical data ; Female ; General Practitioners - education ; General Practitioners - statistics & numerical data ; Humans ; Keratosis, Seborrheic - diagnosis ; Male ; Melanoma - diagnosis ; Middle Aged ; Netherlands ; Nevus - diagnosis ; Precancerous Conditions - diagnosis ; Predictive Value of Tests ; Referral and Consultation - statistics & numerical data ; Skin Neoplasms - diagnosis ; Terminology as Topic</subject><ispartof>Acta dermato-venereologica, 2014-01, Vol.94 (2), p.138-141</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c332t-ce15bd3b5ba82fa88e3f950cf81b186360561df120e4cad35e9b1f9ff2a6b8393</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24352366$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Rijsingen, Margit C J</creatorcontrib><creatorcontrib>Hanssen, Sabine C A</creatorcontrib><creatorcontrib>Groenewoud, Joannes M M</creatorcontrib><creatorcontrib>van der Wilt, Gert Jan</creatorcontrib><creatorcontrib>Gerritsen, Marie-Jeanne P</creatorcontrib><title>Referrals by general practitioners for suspicious skin lesions: the urgency of training</title><title>Acta dermato-venereologica</title><addtitle>Acta Derm Venereol</addtitle><description>Skin cancer is common among white populations and rapid increases in incidence are being observed in many countries, leading to a large burden on healthcare systems. Unnecessary referrals from general practitioners (GPs) may contribute to this burden. The aim of this study was to analyse the quality of referrals from GPs of patients with skin tumours. Referral letters for 734 patients were collected. The proposed diagnoses were compared with definitive diagnosis made by dermatologists. In 44.5%, lesions appeared to be benign. Malignant skin tumours were poorly recognised by GPs and seborrheic keratoses were often mistaken for naevi (33.6%). Furthermore, with total body examination, dermatologists found 111 additional malignant lesions. We discussed several recommendations to minimise unnecessary referrals as well as the future role of GPs in skin cancer care.</description><subject>Carcinoma, Basal Cell - diagnosis</subject><subject>Carcinoma, Squamous Cell - diagnosis</subject><subject>Dermatology</subject><subject>Diagnosis, Differential</subject><subject>Diagnostic Errors - statistics & numerical data</subject><subject>Female</subject><subject>General Practitioners - education</subject><subject>General Practitioners - statistics & numerical data</subject><subject>Humans</subject><subject>Keratosis, Seborrheic - diagnosis</subject><subject>Male</subject><subject>Melanoma - diagnosis</subject><subject>Middle Aged</subject><subject>Netherlands</subject><subject>Nevus - diagnosis</subject><subject>Precancerous Conditions - diagnosis</subject><subject>Predictive Value of Tests</subject><subject>Referral and Consultation - statistics & numerical data</subject><subject>Skin Neoplasms - diagnosis</subject><subject>Terminology as Topic</subject><issn>0001-5555</issn><issn>1651-2057</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9UMtOwzAQtBCIlsKRK_KRi8GP2k24oYqXVAkJgThatrMuhjQJdnLo3-OoLXvZHc3saHcQumT0hos5vaWUMpmLsIXkR2jKlGSEU7k4RtORIyM5QWcpfWfIJStO0YTPheRCqSn6fAMPMZo6YbvFa2ggz7iLxvWhD22GCfs24jSkLrjQDgmnn9DgGlJm0x3uvwAPMS-6LW497qMJTWjW5-jEZ1O42PcZ-nh8eF8-k9Xr08vyfkWcELwnDpi0lbDSmoJ7UxQgfCmp8wWzrFBCUalY5RmnMHemEhJKy3zpPTfKFqIUM3S98-1i-ztA6vUmJAd1bRrIx2omqch_y3KUkp3UxTalCF53MWxM3GpG9ZilPmSpxyyz_mpvPdgNVP_qQ3jiD2qYb3Y</recordid><startdate>20140101</startdate><enddate>20140101</enddate><creator>van Rijsingen, Margit C J</creator><creator>Hanssen, Sabine C A</creator><creator>Groenewoud, Joannes M M</creator><creator>van der Wilt, Gert Jan</creator><creator>Gerritsen, Marie-Jeanne P</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140101</creationdate><title>Referrals by general practitioners for suspicious skin lesions: the urgency of training</title><author>van Rijsingen, Margit C J ; Hanssen, Sabine C A ; Groenewoud, Joannes M M ; van der Wilt, Gert Jan ; Gerritsen, Marie-Jeanne P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c332t-ce15bd3b5ba82fa88e3f950cf81b186360561df120e4cad35e9b1f9ff2a6b8393</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Carcinoma, Basal Cell - diagnosis</topic><topic>Carcinoma, Squamous Cell - diagnosis</topic><topic>Dermatology</topic><topic>Diagnosis, Differential</topic><topic>Diagnostic Errors - statistics & numerical data</topic><topic>Female</topic><topic>General Practitioners - education</topic><topic>General Practitioners - statistics & numerical data</topic><topic>Humans</topic><topic>Keratosis, Seborrheic - diagnosis</topic><topic>Male</topic><topic>Melanoma - diagnosis</topic><topic>Middle Aged</topic><topic>Netherlands</topic><topic>Nevus - diagnosis</topic><topic>Precancerous Conditions - diagnosis</topic><topic>Predictive Value of Tests</topic><topic>Referral and Consultation - statistics & numerical data</topic><topic>Skin Neoplasms - diagnosis</topic><topic>Terminology as Topic</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van Rijsingen, Margit C J</creatorcontrib><creatorcontrib>Hanssen, Sabine C A</creatorcontrib><creatorcontrib>Groenewoud, Joannes M M</creatorcontrib><creatorcontrib>van der Wilt, Gert Jan</creatorcontrib><creatorcontrib>Gerritsen, Marie-Jeanne P</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Acta dermato-venereologica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van Rijsingen, Margit C J</au><au>Hanssen, Sabine C A</au><au>Groenewoud, Joannes M M</au><au>van der Wilt, Gert Jan</au><au>Gerritsen, Marie-Jeanne P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Referrals by general practitioners for suspicious skin lesions: the urgency of training</atitle><jtitle>Acta dermato-venereologica</jtitle><addtitle>Acta Derm Venereol</addtitle><date>2014-01-01</date><risdate>2014</risdate><volume>94</volume><issue>2</issue><spage>138</spage><epage>141</epage><pages>138-141</pages><issn>0001-5555</issn><eissn>1651-2057</eissn><abstract>Skin cancer is common among white populations and rapid increases in incidence are being observed in many countries, leading to a large burden on healthcare systems. Unnecessary referrals from general practitioners (GPs) may contribute to this burden. The aim of this study was to analyse the quality of referrals from GPs of patients with skin tumours. Referral letters for 734 patients were collected. The proposed diagnoses were compared with definitive diagnosis made by dermatologists. In 44.5%, lesions appeared to be benign. Malignant skin tumours were poorly recognised by GPs and seborrheic keratoses were often mistaken for naevi (33.6%). Furthermore, with total body examination, dermatologists found 111 additional malignant lesions. We discussed several recommendations to minimise unnecessary referrals as well as the future role of GPs in skin cancer care.</abstract><cop>Sweden</cop><pmid>24352366</pmid><doi>10.2340/00015555-1752</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0001-5555 |
| ispartof | Acta dermato-venereologica, 2014-01, Vol.94 (2), p.138-141 |
| issn | 0001-5555 1651-2057 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1503000599 |
| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Carcinoma, Basal Cell - diagnosis Carcinoma, Squamous Cell - diagnosis Dermatology Diagnosis, Differential Diagnostic Errors - statistics & numerical data Female General Practitioners - education General Practitioners - statistics & numerical data Humans Keratosis, Seborrheic - diagnosis Male Melanoma - diagnosis Middle Aged Netherlands Nevus - diagnosis Precancerous Conditions - diagnosis Predictive Value of Tests Referral and Consultation - statistics & numerical data Skin Neoplasms - diagnosis Terminology as Topic |
| title | Referrals by general practitioners for suspicious skin lesions: the urgency of training |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-05T09%3A11%3A39IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Referrals%20by%20general%20practitioners%20for%20suspicious%20skin%20lesions:%20the%20urgency%20of%20training&rft.jtitle=Acta%20dermato-venereologica&rft.au=van%20Rijsingen,%20Margit%20C%20J&rft.date=2014-01-01&rft.volume=94&rft.issue=2&rft.spage=138&rft.epage=141&rft.pages=138-141&rft.issn=0001-5555&rft.eissn=1651-2057&rft_id=info:doi/10.2340/00015555-1752&rft_dat=%3Cproquest_cross%3E1503000599%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1503000599&rft_id=info:pmid/24352366&rfr_iscdi=true |