Using an electronic self-completion tool to identify patients at increased risk of melanoma in Australian primary care.

Publication date: Feb 12, 2020

Some international guidelines recommend a risk-based approach to screening for melanoma, but few suggest how to account for multiple risk factors or how to implement risk-based screening in practice. This study investigated the acceptability and feasibility of identifying patients at increased risk of melanoma in Australian general practice using a self-completed risk assessment tool. Stratification of risk was based on the validated Williams melanoma risk prediction model.

Patients and companions aged 18 or older in Australian general practices were approached in the waiting room and invited to enter information about their melanoma risk factors into the tool using an iPad. Acceptability was measured by the proportion of people willing to participate from those invited and feasibility by the number of people able to complete the tool unaided. Risk of developing melanoma was stratified into four risk categories using the Williams model.

1535 (90.4%) participants were recruited from two general practices. Only 200 participants (13%) needed assistance to complete the tool. The mean risk score for participants was 15.2 (+/-SD 9.8). The Williams model estimated between 5% and 19% of the sample were at increased risk accounting for an estimated 30% to 60% of future incident melanomas.

A risk-stratified tool using the Williams model was acceptable and feasible for patients to self-complete in general practice clinics. This could be an effective way to identify people in primary care for implementing risk-based targeted melanoma screening and prevention.

Habgood, E., Walter, F.M., O’Hare, E., McIntosh, J., McCormack, C., and Emery, J.D. Using an electronic self-completion tool to identify patients at increased risk of melanoma in Australian primary care. 25776. 2020 Australas J Dermatol.

Concepts Keywords
Accounting Risk accounting
IPad Williams melanoma
Melanoma Articles
Melanomas Medicine
Primary Care Health
Risk Assessment RTT
Medical terminology
Prevention
Melanoma
Cancer
Risk
Preventive healthcare
Screening
Uveal melanoma

Semantics

Type Source Name
disease MESH melanoma
pathway KEGG Melanoma
disease MESH risk factors

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