Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Factors Associated with Suspected Skin Cancers

J Am Acad Dermatol; ePub 2018 Dec 10; Beaulieu, et al

Among first-time SPOTme participants, suspected diagnoses of basal cell carcinoma (BCC), squamous cell carcinoma (SCC), dysplastic nevus (DN), and cutaneous melanoma (CM) shared several associated factors which may be considered when planning outreach and screening for populations at risk for skin cancer. Researchers conducted a cross-sectional analysis of data from American Academy of Dermatology’s SPOTme skin cancer screenings conducted in 2009 and 2010. They performed multivariable logistic regression analysis for each diagnosis, incorporating traditional demographic, access to care, and risk factor variables in the models. They found:

  • Men, those without a regular dermatologist, persons reporting recently changing moles, and those with a personal history of melanoma were at increased risk for each of the suspected diagnoses analyzed.
  • The uninsured were at increased risk for the suspected malignancies (BCC, SCC, and CM).
Citation:

Beaulieu D, Ysao H, Michaud DS, Okhovat J-P, Halpern AC, Geller AG. Factors associated with suspected nonmelanoma skin cancers, dysplastic nevus, and cutaneous melanoma among first-time SPOTme screening program participants (2009-2010). [Published online ahead of print December 10, 2018]. J Am Acad Dermatol. doi:10.1016/j.jaad.2018.12.010.

This Week's Must Reads

TNF inhibitor prices rose despite increased drug class competition, San-Juan-Rodriguez A et al. JAMA Intern Med. 2019 Feb 18. doi: 10.1001/jamainternmed.2018.7656

List of medications linked to drug-induced lupus expands, Arnaud L et al. Ann Rheum Dis. 2019 Feb 4. doi: 10.1136/annrheumdis-2018-214598

HLA Antigen Mismatch Linked with Skin Cancer Risk, JAMA Dermatology; ePub 2019 Jan 23; Gao, Twigg, et al

Poor Prognosis for Thin Ulcerated Melanomas Found, J Am Acad Dermatol; ePub 2019 Jan 14; Hawkins, et al

Association Between AD and Mental Health Disorders, Dermatitis; ePub 2018 Dec 18; Hsu, Smith, et al

Must Reads in Melanoma

HLA Antigen Mismatch Linked with Skin Cancer Risk, JAMA Dermatology; ePub 2019 Jan 23; Gao, Twigg, et al

Poor Prognosis for Thin Ulcerated Melanomas Found, J Am Acad Dermatol; ePub 2019 Jan 14; Hawkins, et al

Cutaneous Nevi and Risk of Melanoma Examined, J Am Acad Dermatol; ePub 2019 Jan 10; Li, et al

Health Care Screening, Skin Cancer Risk Link Found, JAMA Dermatology; ePub 2018 Dec 26; Drucker, et al

Mohs Surgery Beneficial for Melanoma of Head/Neck, Dermatolog Surg; ePub 2018 Dec 13; Demer, et al