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Teaching non-specia...
Teaching non-specialist health care professionals how to identify the atypical mole syndrome phenotype : a multinational study
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- Newton Bishop, Julia A. (author)
- ICRF Cancer Medicine Research Unit, St James's University Hospital, Leeds, U.K.
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Bradburn, M. (author)
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Karlsson, Pia (author)
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- Altman, D. G. (author)
- Cancer Research Fund Medical Statistics Group, Oxford, U.K.
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- Bergman, W. (author)
- Department of Dermatology, Leiden University Medical Center, The Netherlands
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- Østerlind, A. (author)
- Danish Cancer Society and Department of Dermatology, Gentofte University Hospital, Hellerup, Denmark
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- Pinney, E. (author)
- ICRF Maths Statistics and Epidemiology, London, U.K.
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- Rosdahl, Inger (author)
- Östergötlands Läns Landsting,Linköpings universitet,Dermatologi och venerologi,Hälsouniversitetet,Hudkliniken i Östergötland
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- Scerri, L. (author)
- Department of Dermatology, Southampton University Hospitals NHS Trust, U.K.
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- Weichenthal, M. (author)
- Arbeitsgemeinschaft Dermatologische Pravention, Hamburg, Germany
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- Mant, D. (author)
- Department of Primary Medical Care, University of Southampton, U.K.
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- Breitbart, E. W. (author)
- Arbeitsgemeinschaft Dermatologische Pravention, Hamburg, Germany
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ICRF Cancer Medicine Research Unit, St James's University Hospital, Leeds, UK. Cancer Research Fund Medical Statistics Group, Oxford, U.K. (creator_code:org_t)
- 2001-12-24
- 2000
- English.
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In: British Journal of Dermatology. - : Oxford University Press (OUP). - 0007-0963 .- 1365-2133. ; 142:2, s. 331-337
- Related links:
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http://urn.kb.se/res...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- The atypical mole syndrome (AMS) phenotype is the strongest known risk factor for cutaneous melanoma but recognition of the phenotype has been claimed to be problematic and to require specialist assessment. This study determined the ability of previously unskilled doctors and nurses in five countries to recognize the phenotype after brief training. The system used was the AMS scoring system. This incorporates melanocytic naevus counts, clinical atypia of naevi and distribution of naevi. The agreement in scoring between the dermatologist and trained personnel was determined in 986 patients; overall agreement in diagnosis was 94·5% (kappa 0·70, P < 0·0001). The kappa scores in different countries ranged from 0·65 to 0·77 for individual naevus characteristics, indicative of good agreement. Accurate diagnosis of the atypical mole syndrome phenotype is possible by non-specialists. This has implications for collaborative studies of naevi, for screening and for both primary and secondary prevention of melanoma.
Keyword
- AMS scoring system
- atypical mole syndrome
- melanoma
- risk factor
- teaching
- MEDICINE
- MEDICIN
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Newton Bishop, J ...
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Bradburn, M.
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Karlsson, Pia
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Altman, D. G.
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Bergman, W.
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Østerlind, A.
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show more...
-
Pinney, E.
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Rosdahl, Inger
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Scerri, L.
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Weichenthal, M.
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Mant, D.
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Breitbart, E. W.
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show less...
- Articles in the publication
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British Journal ...
- By the university
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Linköping University