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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ftpubmed:oai:pubmedcentral.nih.gov:3913342 2023-05-15T17:44:44+02:00 Health-Care Delay in Malignant Melanoma: Various Pathways to Diagnosis and Treatment Hajdarevic, Senada Hörnsten, Åsa Sundbom, Elisabet Isaksson, Ulf Schmitt-Egenolf, Marcus 2014 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3913342 http://www.ncbi.nlm.nih.gov/pubmed/24516469 https://doi.org/10.1155/2014/294287 en eng Hindawi Publishing Corporation http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3913342 http://www.ncbi.nlm.nih.gov/pubmed/24516469 http://dx.doi.org/10.1155/2014/294287 Copyright © 2014 Senada Hajdarevic et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. CC-BY Clinical Study Text 2014 ftpubmed https://doi.org/10.1155/2014/294287 2014-02-16T01:38:42Z 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. Text Northern Sweden PubMed Central (PMC) Dermatology Research and Practice 2014 1 6 |
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Clinical Study Hajdarevic, Senada Hörnsten, Åsa Sundbom, Elisabet Isaksson, Ulf Schmitt-Egenolf, Marcus Health-Care Delay in Malignant Melanoma: Various Pathways to Diagnosis and Treatment |
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Clinical Study |
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 |
Text |
author |
Hajdarevic, Senada Hörnsten, Åsa Sundbom, Elisabet Isaksson, Ulf Schmitt-Egenolf, Marcus |
author_facet |
Hajdarevic, Senada Hörnsten, Åsa Sundbom, Elisabet Isaksson, Ulf Schmitt-Egenolf, Marcus |
author_sort |
Hajdarevic, Senada |
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 |
Hindawi Publishing Corporation |
publishDate |
2014 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3913342 http://www.ncbi.nlm.nih.gov/pubmed/24516469 https://doi.org/10.1155/2014/294287 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3913342 http://www.ncbi.nlm.nih.gov/pubmed/24516469 http://dx.doi.org/10.1155/2014/294287 |
op_rights |
Copyright © 2014 Senada Hajdarevic et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
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CC-BY |
op_doi |
https://doi.org/10.1155/2014/294287 |
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Dermatology Research and Practice |
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2014 |
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1 |
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6 |
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1766147018703503360 |