Dermoscopy Use in Primary Care: A Scoping Review

Background: Patients in many countries with new or changing skin lesions will first consult a primary care physician, often called a general practitioner (GP). With the dramatic rise in melanoma incidence over recent decades, dermoscopy offers a tool with an evidence base supporting its use in skin...

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Autores principales:	Jonathan A. Fee, Finbar P. McGrady, Cliff Rosendahl, Nigel D. Hart
Formato:	article
Lenguaje:	EN
Publicado:	Mattioli1885 2019
Materias:	dermoscopy general practice priimary health care melanoma cancer Dermatology RL1-803
Acceso en línea:	https://doaj.org/article/80890f57a31441d996f7589d56bb73c0
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spelling	oai:doaj.org-article:80890f57a31441d996f7589d56bb73c02021-11-17T08:29:35ZDermoscopy Use in Primary Care: A Scoping Review10.5826/dpc.0902a042160-9381https://doaj.org/article/80890f57a31441d996f7589d56bb73c02019-04-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/587https://doaj.org/toc/2160-9381 Background: Patients in many countries with new or changing skin lesions will first consult a primary care physician, often called a general practitioner (GP). With the dramatic rise in melanoma incidence over recent decades, dermoscopy offers a tool with an evidence base supporting its use in skin lesion assessment. How GPs use dermoscopy is unclear. Objectives: A scoping literature review was carried out to examine the current state of published evidence about dermoscopy use in primary care. Methods: The methodological steps taken in this review followed those developed by Arksey and O’Malley, as revised by Levac and colleagues. Four electronic databases were searched for evidence published up to January 2018 describing the use of dermoscopy in a generalist primary care setting. Seven articles were identified for analysis. Results: All included articles have been published since 2007. Most were questionnaire studies and revealed that generally a small minority of GPs use dermoscopy, although some jurisdictions such as Australia report greater use. Dermoscopy is generally used only for the assessment of pigmented skin lesions, but is not used consistently. Several perceived barriers to dermoscopy use, including the need for training, have been reported. Conclusions: There is a paucity of data on dermoscopy use among GPs, and diversity in questionnaire items prevents comparison between jurisdictions. Perceived barriers to dermoscopy use require more in-depth exploration, potentially including qualitative data, to evaluate them more fully. Understanding these factors, including how GPs train in dermoscopy, will be crucial in widening dermoscopy use in primary care. Jonathan A. FeeFinbar P. McGradyCliff RosendahlNigel D. HartMattioli1885articledermoscopygeneral practicepriimary health caremelanomacancerDermatologyRL1-803ENDermatology Practical & Conceptual, Vol 9, Iss 2 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	dermoscopy general practice priimary health care melanoma cancer Dermatology RL1-803
spellingShingle	dermoscopy general practice priimary health care melanoma cancer Dermatology RL1-803 Jonathan A. Fee Finbar P. McGrady Cliff Rosendahl Nigel D. Hart Dermoscopy Use in Primary Care: A Scoping Review
description	Background: Patients in many countries with new or changing skin lesions will first consult a primary care physician, often called a general practitioner (GP). With the dramatic rise in melanoma incidence over recent decades, dermoscopy offers a tool with an evidence base supporting its use in skin lesion assessment. How GPs use dermoscopy is unclear. Objectives: A scoping literature review was carried out to examine the current state of published evidence about dermoscopy use in primary care. Methods: The methodological steps taken in this review followed those developed by Arksey and O’Malley, as revised by Levac and colleagues. Four electronic databases were searched for evidence published up to January 2018 describing the use of dermoscopy in a generalist primary care setting. Seven articles were identified for analysis. Results: All included articles have been published since 2007. Most were questionnaire studies and revealed that generally a small minority of GPs use dermoscopy, although some jurisdictions such as Australia report greater use. Dermoscopy is generally used only for the assessment of pigmented skin lesions, but is not used consistently. Several perceived barriers to dermoscopy use, including the need for training, have been reported. Conclusions: There is a paucity of data on dermoscopy use among GPs, and diversity in questionnaire items prevents comparison between jurisdictions. Perceived barriers to dermoscopy use require more in-depth exploration, potentially including qualitative data, to evaluate them more fully. Understanding these factors, including how GPs train in dermoscopy, will be crucial in widening dermoscopy use in primary care.
format	article
author	Jonathan A. Fee Finbar P. McGrady Cliff Rosendahl Nigel D. Hart
author_facet	Jonathan A. Fee Finbar P. McGrady Cliff Rosendahl Nigel D. Hart
author_sort	Jonathan A. Fee
title	Dermoscopy Use in Primary Care: A Scoping Review
title_short	Dermoscopy Use in Primary Care: A Scoping Review
title_full	Dermoscopy Use in Primary Care: A Scoping Review
title_fullStr	Dermoscopy Use in Primary Care: A Scoping Review
title_full_unstemmed	Dermoscopy Use in Primary Care: A Scoping Review
title_sort	dermoscopy use in primary care: a scoping review
publisher	Mattioli1885
publishDate	2019
url	https://doaj.org/article/80890f57a31441d996f7589d56bb73c0
work_keys_str_mv	AT jonathanafee dermoscopyuseinprimarycareascopingreview AT finbarpmcgrady dermoscopyuseinprimarycareascopingreview AT cliffrosendahl dermoscopyuseinprimarycareascopingreview AT nigeldhart dermoscopyuseinprimarycareascopingreview
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Dermoscopy Use in Primary Care: A Scoping Review

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