Health-Care Delay in Malignant Melanoma: Various Pathways to Diagnosis and Treatment
We aimed to describe and compare patients diagnosed with malignant melanoma (MM), depending on their initial contact with care and with regard to age, sex, and MM type and thickness, and to explore pathways and time intervals (lead times) between clinics from the initial contact to diagnosis and tre...
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ftdoajarticles:oai:doaj.org/article:62e5ec717b674ce2a68bc818053c7d60 2024-09-15T18:26:08+00:00 Health-Care Delay in Malignant Melanoma: Various Pathways to Diagnosis and Treatment Senada Hajdarevic Åsa Hörnsten Elisabet Sundbom Ulf Isaksson Marcus Schmitt-Egenolf 2014-01-01T00:00:00Z https://doi.org/10.1155/2014/294287 https://doaj.org/article/62e5ec717b674ce2a68bc818053c7d60 EN eng Wiley http://dx.doi.org/10.1155/2014/294287 https://doaj.org/toc/1687-6105 https://doaj.org/toc/1687-6113 1687-6105 1687-6113 doi:10.1155/2014/294287 https://doaj.org/article/62e5ec717b674ce2a68bc818053c7d60 Dermatology Research and Practice, Vol 2014 (2014) Dermatology RL1-803 article 2014 ftdoajarticles https://doi.org/10.1155/2014/294287 2024-08-05T17:48:43Z We aimed to describe and compare patients diagnosed with malignant melanoma (MM), depending on their initial contact with care and with regard to age, sex, and MM type and thickness, and to explore pathways and time intervals (lead times) between clinics from the initial contact to diagnosis and treatment. The sample from northern Sweden was identified via the Swedish melanoma register. Data regarding pathways in health care were retrieved from patient records. In our unselected population of 71 people diagnosed with skin melanoma of SSM and NM types, 75% of patients were primarily treated by primary health-care centres (PHCs). The time interval (delay) from primary excision until registration of the histopathological assessment in the medical records was significantly longer in PHCs than in hospital-based and dermatological clinics (Derm). Thicker tumors were more common in the PHC group. Older patients waited longer times for wide excision. Most MM are excised rapidly at PHCs, but some patients may not be diagnosed and treated in time. Delay of registration of results from histopathological assessments within PHCs seems to be an important issue for future improvement. Exploring shortcomings in MM patients’ clinical pathways is important to improve the quality of care and patient safety. Article in Journal/Newspaper Northern Sweden Directory of Open Access Journals: DOAJ Articles Dermatology Research and Practice 2014 1 6 |
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Directory of Open Access Journals: DOAJ Articles |
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English |
topic |
Dermatology RL1-803 |
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Dermatology RL1-803 Senada Hajdarevic Åsa Hörnsten Elisabet Sundbom Ulf Isaksson Marcus Schmitt-Egenolf Health-Care Delay in Malignant Melanoma: Various Pathways to Diagnosis and Treatment |
topic_facet |
Dermatology RL1-803 |
description |
We aimed to describe and compare patients diagnosed with malignant melanoma (MM), depending on their initial contact with care and with regard to age, sex, and MM type and thickness, and to explore pathways and time intervals (lead times) between clinics from the initial contact to diagnosis and treatment. The sample from northern Sweden was identified via the Swedish melanoma register. Data regarding pathways in health care were retrieved from patient records. In our unselected population of 71 people diagnosed with skin melanoma of SSM and NM types, 75% of patients were primarily treated by primary health-care centres (PHCs). The time interval (delay) from primary excision until registration of the histopathological assessment in the medical records was significantly longer in PHCs than in hospital-based and dermatological clinics (Derm). Thicker tumors were more common in the PHC group. Older patients waited longer times for wide excision. Most MM are excised rapidly at PHCs, but some patients may not be diagnosed and treated in time. Delay of registration of results from histopathological assessments within PHCs seems to be an important issue for future improvement. Exploring shortcomings in MM patients’ clinical pathways is important to improve the quality of care and patient safety. |
format |
Article in Journal/Newspaper |
author |
Senada Hajdarevic Åsa Hörnsten Elisabet Sundbom Ulf Isaksson Marcus Schmitt-Egenolf |
author_facet |
Senada Hajdarevic Åsa Hörnsten Elisabet Sundbom Ulf Isaksson Marcus Schmitt-Egenolf |
author_sort |
Senada Hajdarevic |
title |
Health-Care Delay in Malignant Melanoma: Various Pathways to Diagnosis and Treatment |
title_short |
Health-Care Delay in Malignant Melanoma: Various Pathways to Diagnosis and Treatment |
title_full |
Health-Care Delay in Malignant Melanoma: Various Pathways to Diagnosis and Treatment |
title_fullStr |
Health-Care Delay in Malignant Melanoma: Various Pathways to Diagnosis and Treatment |
title_full_unstemmed |
Health-Care Delay in Malignant Melanoma: Various Pathways to Diagnosis and Treatment |
title_sort |
health-care delay in malignant melanoma: various pathways to diagnosis and treatment |
publisher |
Wiley |
publishDate |
2014 |
url |
https://doi.org/10.1155/2014/294287 https://doaj.org/article/62e5ec717b674ce2a68bc818053c7d60 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
Dermatology Research and Practice, Vol 2014 (2014) |
op_relation |
http://dx.doi.org/10.1155/2014/294287 https://doaj.org/toc/1687-6105 https://doaj.org/toc/1687-6113 1687-6105 1687-6113 doi:10.1155/2014/294287 https://doaj.org/article/62e5ec717b674ce2a68bc818053c7d60 |
op_doi |
https://doi.org/10.1155/2014/294287 |
container_title |
Dermatology Research and Practice |
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2014 |
container_start_page |
1 |
op_container_end_page |
6 |
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1810466587624341504 |