Page 65 - Noninvasive Diagnostic Techniques for the Detection of Skin Cancers
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Table D-3. RCTs identified in the present technical brief (continued)
                                         First Author               Study               Comparisons               Setting             Population (N)             Type of Outcome,                  Outcome,
                                               UI                 Objective                                                           Mean age, yrs             Followup duration               Adverse events
                                           Country                                                                                       Males (%)
                                             year                                                                                          Race
                                                                                                                                       Cancer type
                                      Oliveria SA 142        To assess the          Teaching intervention     Primary care       100 high-risk patients      Intermediate  outcomes        Outcomes: Adherence to
                                      14751328               impact of nurse-       with photo-book vs.       setting            Control age:38 years        Followup = 4 months           skin self examination.
                                      USA                    delivered              teaching intervention                        Control male%:33.3                                        No adverse events
                                      2004                   intervention with      alone                                        Dysplastic/atypical nevi                                  reported.
                                                             digital photographs
                                                             to increase patient
                                                             adherence to skin
                                                             self examination
                                             28
                                      Chiu V                 To examine the         Mole mapping vs. no       Primary care       88 patients                 Intermediate outcomes         Outcome:
                                      16844506               accuracy of skin       mole mapping.             setting            Control age:>50 yrs,        Followup = 2 weeks            Percentage of patients that
                                      USA                    self examination                                                    57% males in mole                                         gave accurate assessment
                                      2006                                                                                       mapping group                                             of lesions
                                                                                                                                 Control males: 52%
                                                                                                                                 Suspicious skin lesions
                                      Bowns IR  143          To compare tele-       Tele-consultation vs.     Specialist         208 patients                Test accuracy                 Outcomes: Diagnostic
                                      17049140               dermatology with       face to face              setting            46.3 years                  Process outcomes              concordance between
                                      2006                   face to face           consultation              (dermatology)      37.4% male                  Followup duration: NA         physicians—Sn,Sp
                                      UK                     consultation           evaluating diagnostic                        No data on race                                           Number of followup visits
                                                                                    concordance between                          Any malignancy                                            Patients’ satisfaction with
                                                                                    physicians                                                                                             care
                                                                                                                                                                                           Adverse events: not
                                                                                                                                                                                           reported
                                      Dermoscopy
                                             56
                                      Carli P                To assess the          Naked eye and             Pigmented          913 patients                Intermediate outcomes         Outcomes:
                                      15097950               impact of              dermoscopy vs.            lesion clinic      36 years                    Followup = 6 months           Percentage of patients
                                      Italy                  dermoscopy on          naked eye alone           (dermatology)      43% male                                                  referred for surgery
                                      2004                   lesion management                                                   No data on race                                           Number of melanoma
                                                                                                                                 Melanoma                                                  excised
                                                                                                                                                                                           Adverse events: not
                                                                                                                                                                                           reported
                                                    55
                                      Argenziano G           To evaluate the        Dermoscopy                Primary care       73 PCPs                     Test accuracy                 Outcomes:
                                      16622262               effect of              evaluation vs. naked      setting            2522 patients               Followup = 16 months          Sn,Sp,NPV,PPV
                                      Barcelona, Spain,      dermoscopy on the      eye evaluation                               40.5 years
                                      Naples, Italy          diagnostic                                                          38% male                                                  Adverse events: not
                                      2006                   accuracy of                                                         No data on race                                           reported
                                                             primary care                                                        Any malignancy
                                                             practitioners





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