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The evaluation on the diagnostic accuracy of actinic keratosis recognition by general practitioners before and after participation on an e-learning program.
Actinic keratosis is defined as the most frequent common intra-epithelial neoplasm in the Caucasian population, with an increasing prevalence. If left untreated, actinic keratosis has the potency to develop into a cutaneous squamous-cell carcinoma. Treatment of actinic keratosis is aimed at both lesion reduction and to prevent malignant transformation. To achieve treatment adherence for patients, it is necessary to raise physician awareness about actinic keratosis.
This study primarily aimed to investigate whether the sensitivity of establishing a correct actinic keratosis diagnosis by general practitioners (in training) would increase after participating in an e-learning program about the recognition of actinic keratosis. This was achieved by comparing the results of a pre- and post-test completed by general practitioners which was incorporated in the e-learning program.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| General practitioners | All participants were general practitioners (in training). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| e-learning program | Other | All participants participate in this intervention: an e-learning program about the recognition of actinic keratosis. The program exists of 30 cases. Each case exists of a question and thorough explanation including references to various sources. |
| Measure | Description | Time Frame |
|---|---|---|
| Difference in sensitivity | Difference in sensitivity of participants in the recognition of actinic keratosis, before and after the use of an e-learning program (paired). | Measurement by baseline and after finalising the e-learning program (same day up until 30 days) |
| Difference in specificity | Difference in specificity of participants in the recognition of actinic keratosis, before and after the use of an e-learning program (paired). | Measurement by baseline and after finalising the e-learning program (same day up until 30 days) |
| Measure | Description | Time Frame |
|---|---|---|
| Difference in area under the receiver operating characteristic (ROC) curve | Difference in area under the curve of participants in the recognition of actinic keratosis, before and after the use of an e-learning program. | Measurement by baseline and after finalising the e-learning program (same day up until 30 days) |
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Inclusion Criteria:
Exclusion Criteria:
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Data from general practitioners who
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| Name | Affiliation | Role |
|---|---|---|
| Klara Mosterd, prof.dr. | Maastricht UMC | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ellen Oyen | Maastricht | Netherlands |
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| ID | Term |
|---|---|
| D055623 | Keratosis, Actinic |
| ID | Term |
|---|---|
| D011230 | Precancerous Conditions |
| D009369 | Neoplasms |
| D007642 | Keratosis |
| D012871 | Skin Diseases |
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| D017437 |
| Skin and Connective Tissue Diseases |