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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fthindawi:oai:hindawi.com:10.1155/2014/294287 2023-05-15T17:44:42+02:00 Health-Care Delay in Malignant Melanoma: Various Pathways to Diagnosis and Treatment Senada Hajdarevic Åsa Hörnsten Elisabet Sundbom Ulf Isaksson Marcus Schmitt-Egenolf 2014 https://doi.org/10.1155/2014/294287 en eng Dermatology Research and Practice https://doi.org/10.1155/2014/294287 Copyright © 2014 Senada Hajdarevic et al. Clinical Study 2014 fthindawi https://doi.org/10.1155/2014/294287 2019-05-26T01:12:17Z 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. Report Northern Sweden Hindawi Publishing Corporation Dermatology Research and Practice 2014 1 6 |
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Hindawi Publishing Corporation |
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English |
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 |
Report |
author |
Senada Hajdarevic Åsa Hörnsten Elisabet Sundbom Ulf Isaksson Marcus Schmitt-Egenolf |
spellingShingle |
Senada Hajdarevic Åsa Hörnsten Elisabet Sundbom Ulf Isaksson Marcus Schmitt-Egenolf Health-Care Delay in Malignant Melanoma: Various Pathways to Diagnosis and Treatment |
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 |
Dermatology Research and Practice |
publishDate |
2014 |
url |
https://doi.org/10.1155/2014/294287 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
https://doi.org/10.1155/2014/294287 |
op_rights |
Copyright © 2014 Senada Hajdarevic et al. |
op_doi |
https://doi.org/10.1155/2014/294287 |
container_title |
Dermatology Research and Practice |
container_volume |
2014 |
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1 |
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6 |
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1766146966670016512 |