Skin cancer-related conditions managed in general practice in Australia, 2000-2016: a nationally representative, cross-sectional survey.

Reyes-Marcelino, G; McLoughlin, K; Harrison, C; Watts, CG; Kang, Y-J; Aranda, S; Aitken, JF; Guitera, P; Cust, AE

Skin cancer-related conditions managed in general practice in Australia, 2000-2016: a nationally representative, cross-sectional survey.

Reyes-Marcelino, G McLoughlin, K Harrison, C Watts, CG Kang, Y-J Aranda, S Aitken, JF Guitera, P Cust, AE

Permalink

Publisher:: BMJ
Publication Type:: Journal Article
Citation:: BMJ Open, 2023, 13, (5), pp. e067744
Issue Date:: 2023-05-04

Open Access

Copyright Clearance Process

Recently Added
In Progress
Open Access

This item is open access.

Download Published versionAdobe PDF (1.59 MB)

View on publisher's site

View statistics

Full metadata record

Field	Value	Language
dc.contributor.author	Reyes-Marcelino, G
dc.contributor.author	McLoughlin, K
dc.contributor.author	Harrison, C
dc.contributor.author	Watts, CG
dc.contributor.author	Kang, Y-J
dc.contributor.author	Aranda, S
dc.contributor.author	Aitken, JF
dc.contributor.author	Guitera, P
dc.contributor.author	Cust, AE
dc.date.accessioned	2024-05-28T03:43:59Z
dc.date.available	2023-04-05
dc.date.available	2024-05-28T03:43:59Z
dc.date.issued	2023-05-04
dc.identifier.citation	BMJ Open, 2023, 13, (5), pp. e067744
dc.identifier.issn	2044-6055
dc.identifier.issn	2044-6055
dc.identifier.uri	http://hdl.handle.net/10453/179269
dc.description.abstract	OBJECTIVE: Skin cancer is Australia's most common and costly cancer. We examined the frequency of Australian general practice consultations for skin cancer-related conditions, by patient and general practitioner (GP) characteristics and by time period. DESIGN: Nationally representative, cross-sectional survey of general practice clinical activity. SETTING, PARTICIPANTS: Patients aged 15 years or older having a skin cancer-related condition managed by GPs in the Bettering the Evaluation And Care of Health study between April 2000 and March 2016. PRIMARY OUTCOME MEASURES: Proportions and rates per 1000 encounters. RESULTS: In this period, 15 678 GPs recorded 1 370 826 patient encounters, of which skin cancer-related conditions were managed 65 411 times (rate of 47.72 per 1000 encounters, 95% CI 46.41 to 49.02). Across the whole period, 'skin conditions' managed were solar keratosis (29.87%), keratinocyte cancer (24.85%), other skin lesion (12.93%), nevi (10.98%), skin check (10.37%), benign skin neoplasm (8.76%) and melanoma (2.42%). Over time, management rates increased for keratinocyte cancers, skin checks, skin lesions, benign skin neoplasms and melanoma; but remained stable for solar keratoses and nevi. Skin cancer-related encounter rates were higher for patients aged 65-89 years, male, living in Queensland or in regional or remote areas, with lower area-based socioeconomic status, of English-speaking background, Veteran card holders and non-healthcare card holders; and for GPs who were aged 35-44 years or male. CONCLUSION: These findings show the spectrum and burden of skin cancer-related conditions managed in general practice in Australia, which can guide GP education, policy and interventions to optimise skin cancer prevention and management.
dc.format	Electronic
dc.language	eng
dc.publisher	BMJ
dc.relation.ispartof	BMJ Open
dc.relation.isbasedon	10.1136/bmjopen-2022-067744
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1103 Clinical Sciences, 1117 Public Health and Health Services, 1199 Other Medical and Health Sciences
dc.subject.classification	32 Biomedical and clinical sciences
dc.subject.classification	42 Health sciences
dc.subject.classification	52 Psychology
dc.subject.mesh	Humans
dc.subject.mesh	Male
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Australia
dc.subject.mesh	General Practice
dc.subject.mesh	General Practitioners
dc.subject.mesh	Skin Neoplasms
dc.subject.mesh	Nevus
dc.subject.mesh	Melanoma
dc.subject.mesh	Keratosis, Actinic
dc.subject.mesh	Humans
dc.subject.mesh	Melanoma
dc.subject.mesh	Nevus
dc.subject.mesh	Skin Neoplasms
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Australia
dc.subject.mesh	Male
dc.subject.mesh	Keratosis, Actinic
dc.subject.mesh	General Practitioners
dc.subject.mesh	General Practice
dc.subject.mesh	Humans
dc.subject.mesh	Male
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Australia
dc.subject.mesh	General Practice
dc.subject.mesh	General Practitioners
dc.subject.mesh	Skin Neoplasms
dc.subject.mesh	Nevus
dc.subject.mesh	Melanoma
dc.subject.mesh	Keratosis, Actinic
dc.title	Skin cancer-related conditions managed in general practice in Australia, 2000-2016: a nationally representative, cross-sectional survey.
dc.type	Journal Article
utslib.citation.volume	13
utslib.location.activity	England
utslib.for	1103 Clinical Sciences
utslib.for	1117 Public Health and Health Services
utslib.for	1199 Other Medical and Health Sciences
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
dc.date.updated	2024-05-28T03:43:58Z
pubs.issue	5
pubs.publication-status	Published online
pubs.volume	13
utslib.citation.issue	5

Abstract:

OBJECTIVE: Skin cancer is Australia's most common and costly cancer. We examined the frequency of Australian general practice consultations for skin cancer-related conditions, by patient and general practitioner (GP) characteristics and by time period. DESIGN: Nationally representative, cross-sectional survey of general practice clinical activity. SETTING, PARTICIPANTS: Patients aged 15 years or older having a skin cancer-related condition managed by GPs in the Bettering the Evaluation And Care of Health study between April 2000 and March 2016. PRIMARY OUTCOME MEASURES: Proportions and rates per 1000 encounters. RESULTS: In this period, 15 678 GPs recorded 1 370 826 patient encounters, of which skin cancer-related conditions were managed 65 411 times (rate of 47.72 per 1000 encounters, 95% CI 46.41 to 49.02). Across the whole period, 'skin conditions' managed were solar keratosis (29.87%), keratinocyte cancer (24.85%), other skin lesion (12.93%), nevi (10.98%), skin check (10.37%), benign skin neoplasm (8.76%) and melanoma (2.42%). Over time, management rates increased for keratinocyte cancers, skin checks, skin lesions, benign skin neoplasms and melanoma; but remained stable for solar keratoses and nevi. Skin cancer-related encounter rates were higher for patients aged 65-89 years, male, living in Queensland or in regional or remote areas, with lower area-based socioeconomic status, of English-speaking background, Veteran card holders and non-healthcare card holders; and for GPs who were aged 35-44 years or male. CONCLUSION: These findings show the spectrum and burden of skin cancer-related conditions managed in general practice in Australia, which can guide GP education, policy and interventions to optimise skin cancer prevention and management.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/179269