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Selective use of sequential digital dermoscopy imaging allows a cost reduction in the melanoma detection process: a Belgian study of patients with a single or a small number of atypical nevi

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dc.contributor.author Tromme, I.
dc.contributor.author Devleesschauwer, B.
dc.contributor.author Beutels, P.
dc.contributor.author Richez, P.
dc.contributor.author Praet, N.
dc.contributor.author Sacre, L.
dc.contributor.author Marot, L.
dc.contributor.author Van Eeckhout, P.
dc.contributor.author Theate, I.
dc.contributor.author Baurain, J. F.
dc.contributor.author Lambert, J.
dc.contributor.author Legrand, C.
dc.contributor.author Thomas, L.
dc.contributor.author Speybroeck, N.
dc.date.accessioned 2015-02-25T09:57:59Z
dc.date.available 2015-02-25T09:57:59Z
dc.date.issued 2014
dc.identifier.issn 1932-6203
dc.identifier.doi http://dx.doi.org/10.1371/journal.pone.0109339
dc.identifier.other http://www.ncbi.nlm.nih.gov/pubmed/25313898
dc.identifier.other ITG-B5A
dc.identifier.other DBM
dc.identifier.other U-VHELM
dc.identifier.other JIF
dc.identifier.other DOI
dc.identifier.other FTA
dc.identifier.other E-only
dc.identifier.other OAJ
dc.identifier.other Abstract
dc.identifier.other UPD57
dc.identifier.uri http://hdl.handle.net/10390/8292
dc.description.abstract BACKGROUND: Dermoscopy is a technique which improves melanoma detection. Optical dermoscopy uses a handheld optical device to observe the skin lesions without recording the images. Sequential digital dermoscopy imaging (SDDI) allows storage of the pictures and their comparison over time. Few studies have compared optical dermoscopy and SDDI from an economic perspective. OBJECTIVE: The present observational study focused on patients with one-to-three atypical melanocytic lesions, i.e. lesions considered as suspicious by optical dermoscopy. It aimed to calculate the "extra-costs" related to the process of melanoma detection. These extra-costs were defined as the costs of excision and pathology of benign lesions and/or the costs of follow-up by SDDI. The objective was to compare these extra-costs when using optical dermoscopy exclusively versus optical dermoscopy with selective use of SDDI. METHODS: In a first group of patients, dermatologists were adequately trained in optical dermoscopy but worked without access to SDDI. They excised all suspicious lesions to rule out melanoma. In a second group, the dermatologists were trained in optical and digital dermoscopy. They had the opportunity of choosing between immediate excision or follow-up by SDDI (with delayed excision if significant change was observed). The comparison of extra-costs in both groups was made possible by a decision tree model and by the division of the extra-costs by the number of melanomas diagnosed in each group. Belgian official tariffs and charges were used. RESULTS: The extra-costs in the first and in the second group were respectively euro1,613 and euro1,052 per melanoma excised. The difference was statistically significant. CONCLUSIONS: Using the Belgian official tariffs and charges, we demonstrated that the selective use of SDDI for patients with one-to-three atypical melanocytic lesions resulted in a significant cost reduction. en_US
dc.language English en_US
dc.subject Noncommunicable diseases en_US
dc.subject Dermatology en_US
dc.subject Melanoma en_US
dc.subject Signs and symptoms en_US
dc.subject Skin lesions en_US
dc.subject Dermoscopy en_US
dc.subject Detection en_US
dc.subject Cost analysis en_US
dc.subject Belgium en_US
dc.subject Europe, West en_US
dc.title Selective use of sequential digital dermoscopy imaging allows a cost reduction in the melanoma detection process: a Belgian study of patients with a single or a small number of atypical nevi en_US
dc.type Article-E en_US
dc.citation.issue 10 en_US
dc.citation.jtitle PLoS ONE en_US
dc.citation.volume 9 en_US
dc.citation.pages e109339 en_US
dc.citation.jabbreviation PLoS ONE en_US


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