Barriers to Physician-Based Skin Examinations for Adolescent and Young Adult Survivors of Melanoma in the Project Forward Study
More than 7000 melanomas are diagnosed annually among US adolescents and young adults (AYAs, defined as 15-39 years old at diagnosis), resulting in a large constituency of AYA survivors. This population is understudied and at higher risk of subsequent melanomas compared with older populations. Becau...
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Veröffentlicht in: | Archives of dermatology (1960) 2021-07, Vol.157 (7), p.874-876 |
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creator | Wojcik, Katherine Y Miller, Kimberly A Wysong, Ashley Hamilton, Ann S Cousineau, Michael R Cockburn, Myles G Milam, Joel E |
description | More than 7000 melanomas are diagnosed annually among US adolescents and young adults (AYAs, defined as 15-39 years old at diagnosis), resulting in a large constituency of AYA survivors. This population is understudied and at higher risk of subsequent melanomas compared with older populations. Because risk remains elevated beyond 2 decades after an initial melanoma, annual physician-based skin examinations (PSEs) are recommended. Thus, suboptimal PSE adherence is a concern among AYA melanoma survivors, and barriers to health care and/or PSE access need identification. We examined associations between barriers and lack of PSEs in a population-based sample of young melanoma survivors. |
doi_str_mv | 10.1001/jamadermatol.2021.1850 |
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This population is understudied and at higher risk of subsequent melanomas compared with older populations. Because risk remains elevated beyond 2 decades after an initial melanoma, annual physician-based skin examinations (PSEs) are recommended. Thus, suboptimal PSE adherence is a concern among AYA melanoma survivors, and barriers to health care and/or PSE access need identification. 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This population is understudied and at higher risk of subsequent melanomas compared with older populations. Because risk remains elevated beyond 2 decades after an initial melanoma, annual physician-based skin examinations (PSEs) are recommended. Thus, suboptimal PSE adherence is a concern among AYA melanoma survivors, and barriers to health care and/or PSE access need identification. We examined associations between barriers and lack of PSEs in a population-based sample of young melanoma survivors.</description><subject>Adolescent</subject><subject>Comments</subject><subject>Health care access</subject><subject>Humans</subject><subject>Letters</subject><subject>Melanoma</subject><subject>Melanoma - diagnosis</subject><subject>Online First</subject><subject>Pediatrics</subject><subject>Physical examinations</subject><subject>Physicians</subject><subject>Research Letter</subject><subject>Risk factors</subject><subject>Self-Examination</subject><subject>Skin Neoplasms - diagnosis</subject><subject>Survivors</subject><subject>Teenagers</subject><subject>Young Adult</subject><subject>Young adults</subject><issn>2168-6068</issn><issn>2168-6084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU9v1DAQxSMEolXpF-BQWeLCJYv_xI59QWqrFpCKqFQ4cLImjtP1ktjFdrbsqV-9Xm1ZFXyxNfObpzd-VXVC8IJgTD6sYILexglyGBcUU7IgkuMX1SElQtYCy-bl_i3kQXWc0gqXIzFuGHldHbCGYEEpPqweziBGZ2NCOaDr5SY548DXZ5Bsj25-OY8u_sDkPGQXfEJDiOi0D6NNxvqMwPfoZ5j9bSnOY0Y3c1y7dShqYUBf7Qg-TICKSF5adB3DypqMLkO8h1jU89xv3lSvBhiTPX66j6oflxffzz_XV98-fTk_vaqhESTXSvWSNGJoMWecdUa2g6SKYcI6TLnoDOsaI6noORhlCAyqbcH2tiEDZY0x7Kj6uNO9m7vJ9lv3EUZ9F90EcaMDOP1vx7ulvg1rLYnCQski8P5JIIbfs01ZT658wlh2tGFOmnKmOGWK8IK--w9dhTn6sl6huCScMNUUSuwoE0NK0Q57MwTrbcz6ecx6G7PexlwGT56vsh_7G2oB3u6AMr_v0lZiUQw-AouGsSo</recordid><startdate>20210701</startdate><enddate>20210701</enddate><creator>Wojcik, Katherine Y</creator><creator>Miller, Kimberly A</creator><creator>Wysong, Ashley</creator><creator>Hamilton, Ann S</creator><creator>Cousineau, Michael R</creator><creator>Cockburn, Myles G</creator><creator>Milam, Joel E</creator><general>American Medical Association</general><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>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20210701</creationdate><title>Barriers to Physician-Based Skin Examinations for Adolescent and Young Adult Survivors of Melanoma in the Project Forward Study</title><author>Wojcik, Katherine Y ; Miller, Kimberly A ; Wysong, Ashley ; Hamilton, Ann S ; Cousineau, Michael R ; Cockburn, Myles G ; Milam, Joel E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a461t-99d8146f705353bc87f8293013b0256bc3b4c826d5ac9c1af977aede41f234cc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Comments</topic><topic>Health care access</topic><topic>Humans</topic><topic>Letters</topic><topic>Melanoma</topic><topic>Melanoma - diagnosis</topic><topic>Online First</topic><topic>Pediatrics</topic><topic>Physical examinations</topic><topic>Physicians</topic><topic>Research Letter</topic><topic>Risk factors</topic><topic>Self-Examination</topic><topic>Skin Neoplasms - diagnosis</topic><topic>Survivors</topic><topic>Teenagers</topic><topic>Young Adult</topic><topic>Young adults</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wojcik, Katherine Y</creatorcontrib><creatorcontrib>Miller, Kimberly A</creatorcontrib><creatorcontrib>Wysong, Ashley</creatorcontrib><creatorcontrib>Hamilton, Ann S</creatorcontrib><creatorcontrib>Cousineau, Michael R</creatorcontrib><creatorcontrib>Cockburn, Myles G</creatorcontrib><creatorcontrib>Milam, Joel E</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Archives of dermatology (1960)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wojcik, Katherine Y</au><au>Miller, Kimberly A</au><au>Wysong, Ashley</au><au>Hamilton, Ann S</au><au>Cousineau, Michael R</au><au>Cockburn, Myles G</au><au>Milam, Joel E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Barriers to Physician-Based Skin Examinations for Adolescent and Young Adult Survivors of Melanoma in the Project Forward Study</atitle><jtitle>Archives of dermatology (1960)</jtitle><addtitle>JAMA Dermatol</addtitle><date>2021-07-01</date><risdate>2021</risdate><volume>157</volume><issue>7</issue><spage>874</spage><epage>876</epage><pages>874-876</pages><issn>2168-6068</issn><eissn>2168-6084</eissn><abstract>More than 7000 melanomas are diagnosed annually among US adolescents and young adults (AYAs, defined as 15-39 years old at diagnosis), resulting in a large constituency of AYA survivors. This population is understudied and at higher risk of subsequent melanomas compared with older populations. Because risk remains elevated beyond 2 decades after an initial melanoma, annual physician-based skin examinations (PSEs) are recommended. Thus, suboptimal PSE adherence is a concern among AYA melanoma survivors, and barriers to health care and/or PSE access need identification. We examined associations between barriers and lack of PSEs in a population-based sample of young melanoma survivors.</abstract><cop>United States</cop><pub>American Medical Association</pub><pmid>34106220</pmid><doi>10.1001/jamadermatol.2021.1850</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Comments Health care access Humans Letters Melanoma Melanoma - diagnosis Online First Pediatrics Physical examinations Physicians Research Letter Risk factors Self-Examination Skin Neoplasms - diagnosis Survivors Teenagers Young Adult Young adults |
title | Barriers to Physician-Based Skin Examinations for Adolescent and Young Adult Survivors of Melanoma in the Project Forward Study |
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