Melanoma

Reference/Study Question

Methods

Current practice of patient follow-up after potentially curative resection of cutaneous melanoma (Virgo et al., 2000)

How surgeon age affects post-treatment surveillance strategies for melanoma patients (Margenthaler et al., 2001)

Effect of initial tumor stage on patient follow-up after potentially curative surgery for cutaneous melanoma (Johnson et al., 2001)

Geographic variation in post-treatment surveillance intensity for patients with cutaneous melanoma (Margenthaler et al., 2003)

Method: Physician mail survey.

Sample: 3,032 members of the American Society of Plastic and Reconstructive Surgeons (ASPRS; randomly chosen from the 4,320 members) surveyed in 1998 on use of 14 follow-up modalities during years 1–5 and 10 following primary treatment for patients with cutaneous melanoma.

  1. Office visit

  2. CBC

  3. Liver function tests

  4. CEA

  5. Alpha-fetoprotein

  6. Chest X ray

  7. 5S-cysteinyl dopa

  8. Abdominal ultrasound

  9. CT brain

  10. CT chest/abdomen

  11. MRI brain

  12. MRI chest/abdomen

  13. PET scan

  14. Bone scan

RR = 38% (1,142/3,032); 35% (395/1,142) were evaluable because practice included follow-up in addition to treatment.

 

Statistical methods: Repeated-measures analysis of variance.

 

Explanatory variables: TNM stage, year post-surgery, and physician age.



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