A comparison of dermatologists', surgeons' and general practitioners' surgical management of cutaneous melanoma

British Journal of Dermatology

Volumn 151, Issue 3, 2004, Pages 636-644

  McKenna, D B ^a   Marioni, J C ^b   Lee, R J ^b   Prescott, R J ^b   Doherty, V R ^a  

^a ROYAL INFIRMARY OF EDINBURGH   (United Kingdom)

^b UNIVERSITY OF EDINBURGH   (United Kingdom)

Author keywords

Dermatologist; General practitioner; Malignant melanoma; Surgeon; Survival

Indexed keywords

ADULT; ARTICLE; CANCER RECURRENCE; DERMATOLOGIST; EXCISION; FEMALE; FOLLOW UP; GENERAL PRACTITIONER; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL SPECIALIST; MELANOMA; PRIORITY JOURNAL; SURGEON; SURVIVAL; TREATMENT OUTCOME;

ADULT; CLINICAL COMPETENCE; DERMATOLOGY; DISEASE-FREE SURVIVAL; FAMILY PRACTICE; FEMALE; HUMANS; MALE; MELANOMA; MIDDLE AGED; PROFESSIONAL PRACTICE; RETROSPECTIVE STUDIES; SCOTLAND; SKIN NEOPLASMS; SPECIALTIES, MEDICAL; SURGERY; SURGERY, PLASTIC; SURVIVAL ANALYSIS;

EID: 4944237529     PISSN: 00070963     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1365-2133.2004.06065.x     Document Type: Article

References (21)

1. MacKie RM, Bray CA, Hole DJ et al. Incidence of and survival from malignant melanoma in Scotland: an epidemiological study. Lancet 2002; 360: 587-91.
2. Veronesi U, Cascinelli N, Adamus J et al. Thin stage I primary cutaneous malignant melanoma. N Engl J Med 1988; 318: 1159-62.
3. Veronesi V, Cascinelli N. Narrow excision (1 cm margin): a safe procedure for thin cutaneous melanomas. Arch Surg 1991; 126: 438-41.
4. Balch CM, Urist MM, Karakousis CP et al. Efficacy of 2-cm surgical margins for intermediate-thickness melanomas (1 to 4 mm). Results of a multi-institutional randomized surgical trial. Ann Surg 1993; 218; 262-9.
5. Cox DR. Regression models and life tables (with discussion). J R Statist Soc B 1972; 34: 187-220.
6. McKenna DB, Lee RJ, Prescott RJ. Doherty VR. A retrospective observational study of primary cutaneous malignant melanoma patients treated with excision only compared with excision biopsy followed by wider local excision. Br J Dermatol 2004; 150: 523-30.
7. Roberts DLL, Anstey AV, Barlow RJ et al. U.K. guidelines for the management of cutaneous melanoma. Br J Dermatol 2002; 146: 7-17.
8. Sober AJ, Chuang TY, Duvic M et al. Guidelines of care for primary cutaneous melanoma. J Am Acad Dermatol 2001; 45: 579-86.
9. Department of Health and Welsh Office. General Practice in the National Health Service: a New Contract. London: Department of Health and Welsh Office, 1989.
10. Williams HC, Smith D, du Vivier AWP. Evaluation of public education campaigns in cutaneous melanoma: the King's College Hospital experience. Br J Dermatol 1990; 123: 85-92.
11. Rampen FHJ. Rumke P. Referral pattern and accuracy of clinical diagnosis of cutaneous melanoma. Acta Derm Venereol (Stockh) 1988; 68: 61-4.
12. MacKie RM. Bray CA. Hole DJ. Observational study of type of surgical training and outcome of definitive surgery for primary malignant melanoma. Br Med J 2002; 30: 1276-7.
13. Timmons MJ. Malignant melanoma excision margins: plastic surgery audit in Britain and Ireland, 1991, and a review. Br J Plast Surg 1993; 46: 525-31.
14. Salopek TG, Slade JM, Marghoob AA et al. Management of cutaneous malignant melanoma by dermatologists of the American Academy of Dermatology. II. Definitive surgery for malignant melanoma. J Am Acad Dermatol 1995: 33: 451-61.
15. Calman K, Hine D. Policy Framework for Commissioning Cancer Services: A Report by the Expert Advisory Group on Cancer to the Chief Medical Officers of England and Wales. London: Department of Health, HM Stationery Office, 1995.
16. Scottish Intercollegiate Guidelines Network (SIGN). Guideline 72. Cutaneous Melanoma 2003; http://www.sign.ac.uk/guidelines/published/support/ guideline72/index.html
17. Wagner RF, Wagner D, Tomich JM et al. Diagnoses of skin disease: dermatologists vs. nondermatologists. J Dermatol Surg Oncol 1985; 11: 476-9.
18. Morton CA, MacKie RM. Clinical accuracy of the diagnosis of cutaneous malignant melanoma. Br J Dermatol 1998; 138: 283-7.
19. Osborne JE, Chave TA, Hutchinson PE. Comparison of diagnostic accuracy for cutaneous malignant melanoma between a pigmented lesion clinic and other clinics. Br J Dermatol 2003; 148: 252-8.
20. Eedy DJ. Surgical training in treatment of cutaneous malignant melanoma. Br Med J Rapid responses online 1 February 2003; http://bmj.bmjjournals.com/cgi/ eletters/325/7375/1276#29315
21. Hillner BE, Smith TJ, Desch CE. Hospital and physician volume or specialisation and outcomes in cancer treatment: importance in quality of cancer care. J Clin Oncol 2000; 18: 2327-40.