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- W4386040558 abstract "Skin cancer screening is a common reason for dermatology visits, though it is not guideline-supported in the US for the general population. There are no estimates of how much of US dermatologists’ time is spent on skin cancer screening. We aimed to investigate the proportion of dermatology visits that include skin cancer screening over time. We used a de-identified, random sample of 4,999,999 Medicare beneficiaries aged ≥65 years from 2009-2018. We included all encounters with dermatologists and excluded procedure-only visits. We identified skin cancer screening encounters using a published skin cancer screening identification algorithm, which was previously validated in Medicare patients and uses evaluation and management codes, as well as ICD-9/ICD-10 diagnosis codes. We calculated the proportion of all dermatology encounters that included skin cancer screening. 9,679,601 dermatology encounters in 1,207,619 patients met inclusion criteria. Most of the patients were female (55.5%), white (95.8%), and lived in the South (42.6%). The mean age at first eligible encounter was 73.6 years (SD 7.8). 6,050,456 (62.5%, 95% CI 62.5%-62.5%) dermatology encounters included skin cancer screening. Skin cancer screening encounters had a higher proportion of male patients, younger mean patient age, and more frequently included history of skin cancer and actinic keratosis (all P<0.0001). We observed an increase in the proportion of skin cancer screening encounters over time, from 53.1% of dermatology encounters in 2009 to 73.0% in 2018. This study of 1.2 million Medicare beneficiaries with over 9.6 million dermatology encounters shows that skin cancer screening comprises a significant proportion of total dermatology encounters in the US, and this proportion is increasing. Our findings highlight an important potential contributor to access issues and long wait times in dermatology in the US." @default.
- W4386040558 created "2023-08-22" @default.
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- W4386040558 date "2023-09-01" @default.
- W4386040558 modified "2023-10-09" @default.
- W4386040558 title "LB1709 Prevalence of skin cancer screening visits in medicare data: A retrospective cohort study" @default.
- W4386040558 doi "https://doi.org/10.1016/j.jid.2023.06.084" @default.
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