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Incongruence between Physician, Patient, and Medical Chart Report of Skin Cancer Prevention Counseling

Skin cancer incidence in the United States has risen rapidly in recent decades, underscoring the need for accessible and effective prevention practices. Skin cancer prevention counseling can lead to increased sun protective behavior and early detection; however, little is understood regarding the fr...

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Autores principales: Matthews, Natalie H., Kang, Augustine W., Weinstock, Martin A., Risica, Patricia Markham
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9180451/
https://www.ncbi.nlm.nih.gov/pubmed/35682441
http://dx.doi.org/10.3390/ijerph19116853
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author Matthews, Natalie H.
Kang, Augustine W.
Weinstock, Martin A.
Risica, Patricia Markham
author_facet Matthews, Natalie H.
Kang, Augustine W.
Weinstock, Martin A.
Risica, Patricia Markham
author_sort Matthews, Natalie H.
collection PubMed
description Skin cancer incidence in the United States has risen rapidly in recent decades, underscoring the need for accessible and effective prevention practices. Skin cancer prevention counseling can lead to increased sun protective behavior and early detection; however, little is understood regarding the frequency and content of counseling among primary care providers (PCPs). We performed multi-center cross-sectional surveys among 53 providers and 3343 of their patients and chart review asking whether skin cancer prevention counseling occurred and details of that counseling. Only 10–25% of patients reported that counseling occurred. Among the providers who reported counseling, there were higher odds that their patients recollected they were advised to use sunscreen or protective clothing, on how to use sunscreen, on signs of skin cancer, to perform a self-skin exam (all p < 0.001), and were provided with written materials (p < 0.01). Eight percent of prevention counseling was chart documented despite being highly associated with patient and physician recollection of counseling (p < 0.001). These results highlight the need for consistent and clear delivery of skin cancer primary prevention.
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spelling pubmed-91804512022-06-10 Incongruence between Physician, Patient, and Medical Chart Report of Skin Cancer Prevention Counseling Matthews, Natalie H. Kang, Augustine W. Weinstock, Martin A. Risica, Patricia Markham Int J Environ Res Public Health Communication Skin cancer incidence in the United States has risen rapidly in recent decades, underscoring the need for accessible and effective prevention practices. Skin cancer prevention counseling can lead to increased sun protective behavior and early detection; however, little is understood regarding the frequency and content of counseling among primary care providers (PCPs). We performed multi-center cross-sectional surveys among 53 providers and 3343 of their patients and chart review asking whether skin cancer prevention counseling occurred and details of that counseling. Only 10–25% of patients reported that counseling occurred. Among the providers who reported counseling, there were higher odds that their patients recollected they were advised to use sunscreen or protective clothing, on how to use sunscreen, on signs of skin cancer, to perform a self-skin exam (all p < 0.001), and were provided with written materials (p < 0.01). Eight percent of prevention counseling was chart documented despite being highly associated with patient and physician recollection of counseling (p < 0.001). These results highlight the need for consistent and clear delivery of skin cancer primary prevention. MDPI 2022-06-03 /pmc/articles/PMC9180451/ /pubmed/35682441 http://dx.doi.org/10.3390/ijerph19116853 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Communication
Matthews, Natalie H.
Kang, Augustine W.
Weinstock, Martin A.
Risica, Patricia Markham
Incongruence between Physician, Patient, and Medical Chart Report of Skin Cancer Prevention Counseling
title Incongruence between Physician, Patient, and Medical Chart Report of Skin Cancer Prevention Counseling
title_full Incongruence between Physician, Patient, and Medical Chart Report of Skin Cancer Prevention Counseling
title_fullStr Incongruence between Physician, Patient, and Medical Chart Report of Skin Cancer Prevention Counseling
title_full_unstemmed Incongruence between Physician, Patient, and Medical Chart Report of Skin Cancer Prevention Counseling
title_short Incongruence between Physician, Patient, and Medical Chart Report of Skin Cancer Prevention Counseling
title_sort incongruence between physician, patient, and medical chart report of skin cancer prevention counseling
topic Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9180451/
https://www.ncbi.nlm.nih.gov/pubmed/35682441
http://dx.doi.org/10.3390/ijerph19116853
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