Updating the rules for skin cancer checks
In the second population, individuals were invited for an LDS if they had a lesion meeting 1 or more of the following criteria: ABCD rule (A, asymmetry; B, borders; C, colors; and D, differential structures), ugly duckling sign, new lesion lasting longer than 4 weeks, or red nonhealing lesions.
Lesion-directed screening had a similar detection rate of 3.2% (8 of 248) but was 5.6 times less time consuming.Only content that has not been published, posted, or submitted elsewhere should be submitted.By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers’ bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.Population-based cross-sectional screenings by a team of 6 dermatologists were organized in 2 sociodemographically similar regions.The TBE was organized in a community of 9325 inhabitants 18 years and older (Wichelen, East Flanders, Belgium) during a 5-day screening (March 14-18, 2014).
The LDS was organized in a sociodemographically comparable community (Nevele, East Flanders, Belgium) of 9484 adult inhabitants during a 4-day screening (April 22 and 25-27, 2014).
The first population received a personal invitation for a standard TBE.
When performed by dermatologists, LDS is an acceptable alternative screening method in health care systems with limited budgets or long waiting lists.
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