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Br J Dermatol. 2016 Dec;175(6):1329-1337. doi: 10.1111/bjd.14895. Epub 2016 Nov 15.

Factors driving the use of dermoscopy in Europe: a pan-European survey.

Author information

1
Dermatology Department, Elias University Hospital, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
2
Department of Dermatology, Medical University of Vienna, Vienna, Austria.
3
Dermatology Department, Universite Libre de Bruxelles, Hopital Erasme, Brussels, Belgium.
4
Department of Dermatology and Venereology, Non-Melanoma Skin Cancer Unit, Medical University of Graz, Graz, Austria.
5
Dermatology Research Centre, The University of Queensland, School of Medicine, Translational Research Institute, Brisbane, Australia.
6
Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, U.S.A.
7
Dermatology Unit, Second University of Naples, Naples, Italy.

Erratum in

Abstract

BACKGROUND:

When used correctly, dermoscopy is an essential tool for helping clinicians in the diagnosis of skin diseases and the early detection of skin cancers. Despite its proven benefits, there is a lack of data about how European dermatologists use dermoscopy in everyday practice.

OBJECTIVES:

To identify the motivations, obstacles and modifiable factors influencing the use of dermoscopy in daily dermatology practice across Europe.

METHODS:

All registered dermatologists in 32 European countries were invited to complete an online survey of 20 questions regarding demographic and practice characteristics, dermoscopy training and self-confidence in dermoscopic skills, patterns of dermoscopy use, reasons for not using dermoscopy and attitudes relating to dermoscopy utility.

RESULTS:

We collected 7480 valid answers, of which 89% reported use of dermoscopy. The main reasons for not using dermoscopy were lack of equipment (58% of nonusers) and lack of training (42%). Dermoscopy training during residency was reported by 41% of dermoscopy users and by 12% of nonusers (P < 0·001). Dermatologists working in public hospitals were the least likely to use dermoscopy. High use of dermoscopy across the spectrum of skin diseases was reported by 62% of dermoscopy users and was associated with dermoscopy training during residency, the use of polarized light and digital dermoscopy devices, longer dermoscopy practice, younger age and female gender.

CONCLUSIONS:

Expanding access to dermoscopy equipment, especially in public healthcare facilities and establishing dermoscopy training during dermatology residency would further enhance the substantially high dermoscopy use across European countries.

PMID:
27469990
DOI:
10.1111/bjd.14895
[Indexed for MEDLINE]

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