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).

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.

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