Are we seeing the effects of public awareness campaigns? A 10-year analysis of Breslow thickness at presentation of malignant melanoma in the South West of England

2.50
Hdl Handle:
http://hdl.handle.net/11287/593886
Title:
Are we seeing the effects of public awareness campaigns? A 10-year analysis of Breslow thickness at presentation of malignant melanoma in the South West of England
Authors:
Armstrong, A.; Powell, C.; Powell, Roy ( 0000-0002-4959-5717 ) ; Hallam, N.; Taylor, J.; Bird, J.; Sarran, C.; Oliver, David
Abstract:
INTRODUCTION: The last 20 years has seen a marked improvement in skin cancer awareness campaigns. We sought to establish whether this has affected the presenting Breslow thickness of malignant melanoma in the South West. METHOD: This is a retrospective study looking at the first presentation of melanomas from 2003 to 2011. Data was accessed using the local online melanoma database. RESULTS: A total of 2001 new melanomas presented from 2003 to 2012 (Male:Female = 1:1.062). The average yearly number of melanomas was 200.1 (range = 138-312). The mean age was 62.5 years (range 12-99). Data was analysed using a Chi(2) test. For 0-1 mm melanomas, there is a significant difference in the observed versus expected values over the 10 years (p = 0.0018). There is an increasing proportion of 0-1 mm (thin) melanomas presenting year on year, with a positive linear trend. This is very statistically significant (p < 0.0001). The 1-2 mm melanomas are decreasing in proportion with a negative linear trend (p = 0.0013). The 2-4 mm are also decreasing in proportion (p = 0.0253). There is no significant change in the thick >4 mm melanomas (p = 0.1456). CONCLUSION: The proportion of thin 0-1 mm melanomas presenting in South West England has significantly increased from 2003 to 2012. There is no significant change in the thick >4 mm melanomas. This may be a result of increased public awareness due to effective public health campaigns which has significant prognostic and financial implications.
Citation:
J Plast Reconstr Aesthet Surg. 2014 Mar;67(3):324-30.
Publisher:
Elsevier
Journal:
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
Issue Date:
1-Mar-2014
URI:
http://hdl.handle.net/11287/593886
DOI:
10.1016/j.bjps.2013.12.023
PubMed ID:
24434052
Additional Links:
http://linkinghub.elsevier.com/retrieve/pii/S1748-6815(13)00687-6
Type:
Journal Article
Language:
eng
ISSN:
1878-0539
Appears in Collections:
Plastic & Reconstructive Surgery; 2014 RD&E publications; Research & Development staff

Full metadata record

DC FieldValue Language
dc.contributor.authorArmstrong, A.en
dc.contributor.authorPowell, C.en
dc.contributor.authorPowell, Royen
dc.contributor.authorHallam, N.en
dc.contributor.authorTaylor, J.en
dc.contributor.authorBird, J.en
dc.contributor.authorSarran, C.en
dc.contributor.authorOliver, Daviden
dc.date.accessioned2016-01-19T12:36:20Zen
dc.date.available2016-01-19T12:36:20Zen
dc.date.issued2014-03-01en
dc.identifier.citationJ Plast Reconstr Aesthet Surg. 2014 Mar;67(3):324-30.en
dc.identifier.issn1878-0539en
dc.identifier.pmid24434052en
dc.identifier.doi10.1016/j.bjps.2013.12.023en
dc.identifier.urihttp://hdl.handle.net/11287/593886en
dc.description.abstractINTRODUCTION: The last 20 years has seen a marked improvement in skin cancer awareness campaigns. We sought to establish whether this has affected the presenting Breslow thickness of malignant melanoma in the South West. METHOD: This is a retrospective study looking at the first presentation of melanomas from 2003 to 2011. Data was accessed using the local online melanoma database. RESULTS: A total of 2001 new melanomas presented from 2003 to 2012 (Male:Female = 1:1.062). The average yearly number of melanomas was 200.1 (range = 138-312). The mean age was 62.5 years (range 12-99). Data was analysed using a Chi(2) test. For 0-1 mm melanomas, there is a significant difference in the observed versus expected values over the 10 years (p = 0.0018). There is an increasing proportion of 0-1 mm (thin) melanomas presenting year on year, with a positive linear trend. This is very statistically significant (p < 0.0001). The 1-2 mm melanomas are decreasing in proportion with a negative linear trend (p = 0.0013). The 2-4 mm are also decreasing in proportion (p = 0.0253). There is no significant change in the thick >4 mm melanomas (p = 0.1456). CONCLUSION: The proportion of thin 0-1 mm melanomas presenting in South West England has significantly increased from 2003 to 2012. There is no significant change in the thick >4 mm melanomas. This may be a result of increased public awareness due to effective public health campaigns which has significant prognostic and financial implications.en
dc.language.isoengen
dc.publisherElsevieren
dc.relation.urlhttp://linkinghub.elsevier.com/retrieve/pii/S1748-6815(13)00687-6en
dc.titleAre we seeing the effects of public awareness campaigns? A 10-year analysis of Breslow thickness at presentation of malignant melanoma in the South West of Englanden
dc.typeJournal Articleen
dc.identifier.journalJournal of plastic, reconstructive & aesthetic surgery : JPRASen

Related articles on PubMed

All Items in RD&E Research Repository are protected by copyright, with all rights reserved, unless otherwise indicated.