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| Name | Class |
|---|---|
| University of Calgary | OTHER |
| University of Alberta | OTHER |
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The overall aim of this population-based screening study is to assess whether the skin cancer screening training of family physicians and dermatologists leads to improved screening outcomes. The training course aims to increase the accuracy of detecting early stages of skin cancer. Screening outcomes of an intervention region (Calgary, Canada) in which physicians receive training will be compared with screening outcomes of a control region (Edmonton, Canada) where no physician training is administered.
The investigators will determine whether:
The investigators are aiming to recruit 100 physicians per region (total of 200 physicians) who will screen 40,000 to 80,000 individuals over a period of 20 months.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Skin Cancer Screening Training | Experimental | Recruited family physicians and dermatologists in Calgary, Canada, take part in a 5.5-hour face-to-face skin cancer screening training program. Screening for skin cancer will be conducted by trained physicians according to instructions they received in the training program. |
|
| No Skin Cancer Screening Training | No Intervention | Recruited family physicians and dermatologists in Edmonton, Canada, WILL BE TRAINED AFTER THE SCREENING PHASE, i.e. during the screening phase non-trained physicians will carry out skin cancer screenings according to standard medical practice. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Skin Cancer Screening Training | Other | Topics of the 5.5-hour in-class course include: the screening test, types of skin cancer (signs and symptoms), case history taking, epidemiology of skin cancer, etiology, risk factors and risk groups, communicative aspects of primary and secondary preventive measures, and benefits and harms of cancer screenings. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in the diagnostic accuracy including knowledge on skin cancer screening | Educational outcomes of physicians will be measured pre- and post-training using knowledge tests in the intervention and control region | month 1 pre-training (intervention and control region), month 1 post-training (intervention region only), and month 12 (both regions) |
| Number needed to screen (NNS) to identify 1 skin tumor and number needed to excise (NNE) to identify 1 skin tumor | Case report forms will be analyzed to determine clinical screening outcomes such as the NNS, NNE and tumor thickness. | 20 months |
| Patient-rated well-being | A patient questionnaire will be used to assess psycho-social harms of skin cancer screenings. | 20 months |
| Trends of overall skin cancer incidence and stage-specific-incidence | Up to 6 years (2012-2018) |
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Inclusion Criteria:
Screenees
Physicians
Exclusion Criteria:
Physicians who have undergone special training in skin cancer screening within the last 2 years
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| Name | Affiliation | Role |
|---|---|---|
| Lynne H Robertson, MD, FRCPC | University of Calgary | Principal Investigator |
| Gordon E Searles, MD, FRCPC | University of Alberta | Principal Investigator |
| Eckhard W Breitbart, MD, PhD | Association of Dermatological Prevention, Germany | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Calgary, University of Alberta | Calgary, Edmonton | Alberta | Canada |
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| Label | URL |
|---|---|
| Study website | View source |
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| ID | Term |
|---|---|
| D012878 | Skin Neoplasms |
| D008545 | Melanoma |
| D002280 | Carcinoma, Basal Cell |
| D002294 | Carcinoma, Squamous Cell |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| D018358 |
| Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
| D009380 | Neoplasms, Nerve Tissue |
| D018326 | Nevi and Melanomas |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D018295 | Neoplasms, Basal Cell |
| D018307 | Neoplasms, Squamous Cell |