التفاصيل البيبلوغرافية
| العنوان: |
Cutaneous melanoma follow-up: appropriateness of requests for ultrasound tests: the S.Gallicano National Referral Centre Experience. |
| المؤلفون: |
Solivetti, Francesco M., Elia, Fulvia, Guerrisi, Antonino, Desiderio, Flora, Santaguida, Maria Giulia, Sperduti, Isabella, Cavallotti, Claudia, Di Carlo, Aldo |
| المصدر: |
Journal of Experimental & Clinical Cancer Research (17569966); 2013, Vol. 32 Issue 1, p1-13, 13p |
| مصطلحات موضوعية: |
TUMOR diagnosis, ULTRASONIC imaging, MELANOMA, MEDICAL screening, PROGNOSIS, MEDICARE, PATIENTS |
| مصطلحات جغرافية: |
UNITED States |
| مستخلص: |
Background Cutaneous melanoma is a malignant neoplasm with a constantly increasing incidence, the prognosis of which is largely dependent on early diagnosis. The appropriateness of requests for ultrasound (US) tests during melanoma follow-up of patients referred to our institute was evaluated. Patients and methods The requests for US tests of all patients referred to our institute over a four-month period were assessed. In order to correctly evaluate the appropriateness of requests, patients were split into two groups on the basis of melanoma thickness: > 1 mm (Group A) and < 1 mm (Group B). Results 546 patients were enrolled in our study out of a total of 1240 US tests performed. Out of 290 Group A patients, 104 patients (35%) did not meet the established congruity criteria. Group B was composed of 256 individuals, 92 patients (35.9%) of which were found to have at least one inappropriate request. Conclusion In our study, more than 30% of the requests for US tests were found to be inappropriate, to the detriment of those with a real need for diagnostic testing. This lengthens waiting lists and it may also increase public healthcare costs. Therefore, it is mandatory to adopt new, widely accepted and easily applicable guidelines. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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