Page 66 - Noninvasive Diagnostic Techniques for the Detection of Skin Cancers

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

D-4