Melanoma detection during routine skin checks and mortality
JAMA Nov 08, 2021
Watts CG, McLoughlin K, Goumas C, et al. - In the melanoma cases studied, a significantly lower all-cause mortality but not melanoma-specific mortality was observed in patients whose melanomas were diagnosed through routine skin checks, this was observed post-adjustment for patient, sociodemographic, and clinicopathologic factors.
A population-based cohort study of 2,452 patients, each with 1 diagnosed melanoma, 35% of which were identified during a routine skin check.
After a mean follow-up of 11.9 years, a subhazard ratio of 0.68 for melanoma-specific mortality and 0.75 for all-cause mortality was estimated in relation to routine skin-check detection vs patient-detected melanomas, as revealed in multivariable analyses.
Higher odds of routine skin-check melanoma detection were observed with factors such as being male, having previous melanoma, having many moles, being 50 years or older, and living in nonremote areas.
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