1. Online training on skin cancer diagnosis in rheumatologists: results from a nationwide randomized web-based survey
- Author
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Viguier, Manuelle, Rist, Stéphanie, Aubin, François, Leccia, Marie-Thérèse, Richard, Marie-Aleth, Esposito-Farèse, Marina, Gaudin, Philippe, Pham, Thao, Richette, Pascal, Wendling, Daniel, Sibilia, Jean, Tubach, Florence, Dufrene, Charles, Darras, Yannick, Sauvage, Eric, Carret, Sophie, Amoura, Zahir, Benveniste, Olivier, Boyer, Olivier, Durez, Patrick, Fautrel, Bruno, Guerne, Pierre-André, Hachulla, Eric, Jullien, Denis, Mouthon, Luc, Puechal, Xavier, Sellam, Jérémie, Hôpital Saint-Louis, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Diderot - Paris 7 (UPD7), Service de Rhumatologie, Centre Hospitalier Régional d'Orléans (CHRO), Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC (EA 3181) (CEF2P / CARCINO), Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon)-Université de Franche-Comté (UFC), Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC), Clinique de Dermatologie Allergologie et Photobiologie, Centre Hospitalier Universitaire [Grenoble] (CHU), Centre de Recherches en Oncologie biologique et Oncopharmacologie (CRO2), Aix Marseille Université (AMU)- Hôpital de la Timone [CHU - APHM] (TIMONE)-Institut National de la Santé et de la Recherche Médicale (INSERM), Service de Dermatologie, Assistance Publique - Hôpitaux de Marseille (APHM)- Hôpital de la Timone [CHU - APHM] (TIMONE), Centre de Pharmacoépidémiologie de l'AP-HP (Cephepi), CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Clinique Universitaire de Rhumatologie, hôpital Sud, CHU de Grenoble, Assistance Publique - Hôpitaux de Marseille (APHM)-CHU Marseille, Université Paris Diderot - Paris 7 (UPD7)-Hôpital Lariboisière-APHP, Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon), Immuno-Rhumatologie Moléculaire, Université de Strasbourg (UNISTRA)-Institut National de la Santé et de la Recherche Médicale (INSERM), Club Rhumatismes et Inflammation, HAL AMU, Administrateur, Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC (UR 3181) (CEF2P / CARCINO), Assistance publique - Hôpitaux de Paris (AP-HP)-Université Paris Diderot - Paris 7 ( UPD7 ), Centre Hospitalier Régional d'Orléans ( CHR ), Carcinogénèse épithéliale : facteurs prédictifs et pronostiques - UFC ( CEF2P / CARCINO ), Centre Hospitalier Régional Universitaire [Besançon] ( CHRU Besançon ) -Université Bourgogne Franche-Comté ( UBFC ) -Université de Franche-Comté ( UFC ), Centre Hospitalier Universitaire [Grenoble] ( CHU ), Centre de Recherches en Oncologie biologique et Oncopharmacologie ( CRO2 ), Aix Marseille Université ( AMU ) - Hôpital de la Timone [CHU - APHM] ( TIMONE ) -Institut National de la Santé et de la Recherche Médicale ( INSERM ), Assistance Publique - Hôpitaux de Marseille ( APHM ) - Hôpital de la Timone [CHU - APHM] ( TIMONE ), Centre de Pharmaco-épidémiologie (Céphépi), Université Paris Diderot - Paris 7 ( UPD7 ) -AP-HP - Hôpital Bichat - Claude Bernard [Paris], Assistance Publique - Hôpitaux de Marseille ( APHM ) -CHU Marseille, Université Paris Diderot - Paris 7 ( UPD7 ) -Hôpital Lariboisière-APHP, Centre Hospitalier Régional Universitaire [Besançon] ( CHRU Besançon ), Immunorhumathologie moléculaire, Institut National de la Santé et de la Recherche Médicale ( INSERM ), and Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)
- Subjects
Adult ,Male ,medicine.medical_specialty ,Randomization ,Skin Neoplasms ,Population ,lcsh:Medicine ,[SDV.CAN]Life Sciences [q-bio]/Cancer ,THERAPY ,[ SDV.CAN ] Life Sciences [q-bio]/Cancer ,[SDV.CAN] Life Sciences [q-bio]/Cancer ,Rheumatology ,Internal medicine ,Physicians ,Surveys and Questionnaires ,medicine ,NECROSIS-FACTOR INHIBITORS ,Humans ,Medical diagnosis ,education ,lcsh:Science ,METAANALYSIS ,RISK ,education.field_of_study ,Internet ,Multidisciplinary ,integumentary system ,business.industry ,Incidence (epidemiology) ,lcsh:R ,Middle Aged ,medicine.disease ,Confidence interval ,3. Good health ,Surgery ,RHEUMATOID-ARTHRITIS ,Rheumatoid arthritis ,lcsh:Q ,Education, Medical, Continuing ,Female ,Skin cancer ,business ,Research Article - Abstract
International audience; Patients with inflammatory rheumatisms, such as rheumatoid arthritis, are more prone to develop skin cancers than the general population, with an additional increased incidence when receiving TNF blockers. There is therefore a need that physicians treating patients affected with inflammatory rheumatisms with TNF blockers recognize malignant skin lesions, requiring an urgent referral to the dermatologist and a potential withdrawal or modification of the immunomodulatory treatment. We aimed to demonstrate that an online training dedicated to skin tumors increase the abilities of rheumatologists to discriminate skin cancers from benign skin tumors. A nationwide randomized web-based survey involving 141 French rheumatologists was conducted. The baseline evaluation included short cases with skin lesion pictures and multiple choice questions assessing basic knowledge on skin cancers. For each case, rheumatologists had to indicate the nature of skin lesion (benign; premalignant/ malignant), their level of confidence in this diagnosis (10-points Likert scale), and the precise dermatological diagnosis among 5 propositions. Different scores were established. After randomization, only one group had access to the online formation consisting in 4 elearning modules on skin tumors, of 15 minutes each (online training group). After reevaluation, the trained and the non-trained group (control group) were compared. The primary end-point was the number of adequate diagnoses of the nature of the skin lesions. The mean number of adequate diagnosis for the benign versus premalignant/malignant nature of the lesions was higher in the online training group (13.4 vs. 11.2 points; p value
- Published
- 2015