Correspondence between pigmented lesions identified by melanoma patients trained to perform partner-assisted skin self-examination and dermatological examination

Jerod L. Stapleton, Rob Turrisi, Kimberly A. Mallett, June K. Robinson

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: Skin self-examination (SSE) training interventions can increase understanding of melanoma early detection criteria and promote SSE. However, there remains a need to evaluate whether intervention participants can apply such early detection skills to accurately identify concerning, or potentially malignant, pigmented lesions during full body SSE. Methods: We assessed SSE accuracy using data from a randomized control trial of a SSE skills training intervention designed to promote partner-assisted SSE among melanoma patients. In the trial, patient-partner pairs were administered the training intervention and performed monthly SSE to identify, evaluate, and track concerning pigmented skin lesions. Patients received a total body skin examination by a dermatologist approximately 4- months postintervention. SSE accuracy was assessed as the correspondence between the specific concerning pigmented lesions identified by 274 study pairs during SSE with those identified during dermatological examination. We also examined whether lesions that were biopsied during the study were identified prior to biopsy during SSE. Results: Approximately three in four of the concerning lesions identified by pairs during SSE were also identified during the dermatological exam. There were 81 biopsies performed during the study and pairs had identified 73% of the corresponding lesions during SSE. Of the five melanoma detected, three were identified during SSE. Conclusion: Melanoma patients and partner taught to do SSE using an evidence-based program developed a high degree of correspondence with the study dermatologist in identifying concerning lesions. Impact: This study provides novel evidence that supports the accuracy of full-body SSE for the patient identification of concerning lesions.

Original languageEnglish (US)
Pages (from-to)1247-1253
Number of pages7
JournalCancer Epidemiology Biomarkers and Prevention
Volume24
Issue number8
DOIs
StatePublished - Aug 1 2015

Fingerprint

Self-Examination
Melanoma
Skin
Biopsy

All Science Journal Classification (ASJC) codes

  • Epidemiology
  • Oncology

Cite this

@article{1744b42bc1a248a48e5aef6e66c8f72d,
title = "Correspondence between pigmented lesions identified by melanoma patients trained to perform partner-assisted skin self-examination and dermatological examination",
abstract = "Background: Skin self-examination (SSE) training interventions can increase understanding of melanoma early detection criteria and promote SSE. However, there remains a need to evaluate whether intervention participants can apply such early detection skills to accurately identify concerning, or potentially malignant, pigmented lesions during full body SSE. Methods: We assessed SSE accuracy using data from a randomized control trial of a SSE skills training intervention designed to promote partner-assisted SSE among melanoma patients. In the trial, patient-partner pairs were administered the training intervention and performed monthly SSE to identify, evaluate, and track concerning pigmented skin lesions. Patients received a total body skin examination by a dermatologist approximately 4- months postintervention. SSE accuracy was assessed as the correspondence between the specific concerning pigmented lesions identified by 274 study pairs during SSE with those identified during dermatological examination. We also examined whether lesions that were biopsied during the study were identified prior to biopsy during SSE. Results: Approximately three in four of the concerning lesions identified by pairs during SSE were also identified during the dermatological exam. There were 81 biopsies performed during the study and pairs had identified 73{\%} of the corresponding lesions during SSE. Of the five melanoma detected, three were identified during SSE. Conclusion: Melanoma patients and partner taught to do SSE using an evidence-based program developed a high degree of correspondence with the study dermatologist in identifying concerning lesions. Impact: This study provides novel evidence that supports the accuracy of full-body SSE for the patient identification of concerning lesions.",
author = "Stapleton, {Jerod L.} and Rob Turrisi and Mallett, {Kimberly A.} and Robinson, {June K.}",
year = "2015",
month = "8",
day = "1",
doi = "10.1158/1055-9965.EPI-15-0218",
language = "English (US)",
volume = "24",
pages = "1247--1253",
journal = "Cancer Epidemiology Biomarkers and Prevention",
issn = "1055-9965",
publisher = "American Association for Cancer Research Inc.",
number = "8",

}

TY - JOUR

T1 - Correspondence between pigmented lesions identified by melanoma patients trained to perform partner-assisted skin self-examination and dermatological examination

AU - Stapleton, Jerod L.

AU - Turrisi, Rob

AU - Mallett, Kimberly A.

AU - Robinson, June K.

PY - 2015/8/1

Y1 - 2015/8/1

N2 - Background: Skin self-examination (SSE) training interventions can increase understanding of melanoma early detection criteria and promote SSE. However, there remains a need to evaluate whether intervention participants can apply such early detection skills to accurately identify concerning, or potentially malignant, pigmented lesions during full body SSE. Methods: We assessed SSE accuracy using data from a randomized control trial of a SSE skills training intervention designed to promote partner-assisted SSE among melanoma patients. In the trial, patient-partner pairs were administered the training intervention and performed monthly SSE to identify, evaluate, and track concerning pigmented skin lesions. Patients received a total body skin examination by a dermatologist approximately 4- months postintervention. SSE accuracy was assessed as the correspondence between the specific concerning pigmented lesions identified by 274 study pairs during SSE with those identified during dermatological examination. We also examined whether lesions that were biopsied during the study were identified prior to biopsy during SSE. Results: Approximately three in four of the concerning lesions identified by pairs during SSE were also identified during the dermatological exam. There were 81 biopsies performed during the study and pairs had identified 73% of the corresponding lesions during SSE. Of the five melanoma detected, three were identified during SSE. Conclusion: Melanoma patients and partner taught to do SSE using an evidence-based program developed a high degree of correspondence with the study dermatologist in identifying concerning lesions. Impact: This study provides novel evidence that supports the accuracy of full-body SSE for the patient identification of concerning lesions.

AB - Background: Skin self-examination (SSE) training interventions can increase understanding of melanoma early detection criteria and promote SSE. However, there remains a need to evaluate whether intervention participants can apply such early detection skills to accurately identify concerning, or potentially malignant, pigmented lesions during full body SSE. Methods: We assessed SSE accuracy using data from a randomized control trial of a SSE skills training intervention designed to promote partner-assisted SSE among melanoma patients. In the trial, patient-partner pairs were administered the training intervention and performed monthly SSE to identify, evaluate, and track concerning pigmented skin lesions. Patients received a total body skin examination by a dermatologist approximately 4- months postintervention. SSE accuracy was assessed as the correspondence between the specific concerning pigmented lesions identified by 274 study pairs during SSE with those identified during dermatological examination. We also examined whether lesions that were biopsied during the study were identified prior to biopsy during SSE. Results: Approximately three in four of the concerning lesions identified by pairs during SSE were also identified during the dermatological exam. There were 81 biopsies performed during the study and pairs had identified 73% of the corresponding lesions during SSE. Of the five melanoma detected, three were identified during SSE. Conclusion: Melanoma patients and partner taught to do SSE using an evidence-based program developed a high degree of correspondence with the study dermatologist in identifying concerning lesions. Impact: This study provides novel evidence that supports the accuracy of full-body SSE for the patient identification of concerning lesions.

UR - http://www.scopus.com/inward/record.url?scp=84941788624&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84941788624&partnerID=8YFLogxK

U2 - 10.1158/1055-9965.EPI-15-0218

DO - 10.1158/1055-9965.EPI-15-0218

M3 - Article

C2 - 26063475

AN - SCOPUS:84941788624

VL - 24

SP - 1247

EP - 1253

JO - Cancer Epidemiology Biomarkers and Prevention

JF - Cancer Epidemiology Biomarkers and Prevention

SN - 1055-9965

IS - 8

ER -