Περίληψη:
Background: When used correctly, dermoscopy is an essential tool for helping clinicians in the diagnosis of skin diseases and the early detection of skin cancers. Despite its proven benefits, there is a lack of data about how European dermatologists use dermoscopy in everyday practice. Objectives: To identify the motivations, obstacles and modifiable factors influencing the use of dermoscopy in daily dermatology practice across Europe. Methods: All registered dermatologists in 32 European countries were invited to complete an online survey of 20 questions regarding demographic and practice characteristics, dermoscopy training and self-confidence in dermoscopic skills, patterns of dermoscopy use, reasons for not using dermoscopy and attitudes relating to dermoscopy utility. Results: We collected 7480 valid answers, of which 89% reported use of dermoscopy. The main reasons for not using dermoscopy were lack of equipment (58% of nonusers) and lack of training (42%). Dermoscopy training during residency was reported by 41% of dermoscopy users and by 12% of nonusers (P < 0·001). Dermatologists working in public hospitals were the least likely to use dermoscopy. High use of dermoscopy across the spectrum of skin diseases was reported by 62% of dermoscopy users and was associated with dermoscopy training during residency, the use of polarized light and digital dermoscopy devices, longer dermoscopy practice, younger age and female gender. Conclusions: Expanding access to dermoscopy equipment, especially in public healthcare facilities and establishing dermoscopy training during dermatology residency would further enhance the substantially high dermoscopy use across European countries. © 2016 British Association of Dermatologists
Συγγραφείς:
Forsea, A.M.
Tschand, P.
del Marmo, V.
Zalaudek, I.
Soyer, H.P.
Arenbergerova, M.
Azenha, A.
Blum, A.
Bowling, J.C.
Braun, R.P.
Bylaite-Bucinskiene, M.
Cabrijan, L.
Dobrev, H.
Hegy, J.
Helppikangas, H.
Hofmann-Wellenhof, R.
Karls, R.
Krumkachou, U.
Kukutsch, N.
McCormack, I.
Mekokishvili, L.
Nathansohn, N.
Nielsen, K.
Olah, J.
Ozdemir, F.
Puig, S.
Rubegni, P.
Rucigaj, T.P.
Schopf, T.R.
Sergeev, V.
Stratigos, A.
Thomas, L.
Tiodorovic, D.
Vahlberg, A.
Zafirovik, Z.
Geller, A.C.
Argenziano, G.
Λέξεις-κλειδιά:
adult; age distribution; aged; Article; clinical practice; demography; dermatologist; dermatology; epiluminescence microscopy; Europe; female; human; male; motivation; physician attitude; priority journal; residency education; sex difference; skill; skin disease; staff training; tool use; very elderly; attitude to health; clinical trial; dermatologist; diagnostic imaging; epiluminescence microscopy; health personnel attitude; middle aged; multicenter study; psychology; utilization, Adult; Attitude of Health Personnel; Attitude to Health; Dermatologists; Dermoscopy; Europe; Female; Humans; Male; Middle Aged; Skin Diseases
