Dermatology

Noninvasive Diagnostic Techniques for the Detection of Skin Cancers – AHRQ – September 2011

Posted on October 24, 2011. Filed under: Dermatology, Health Technology Assessment, Oncology | Tags: |

Parsons SK et al   Noninvasive Diagnostic Techniques for the Detection of Skin Cancers. Technical Brief No. 11.  (Prepared by the Tufts University Evidence-based Practice Center under Contract No. 290-2007-1055-1.) AHRQ Publication No. 11-EHC085-EF. Rockville, MD: Agency for Healthcare Research and Quality. September 2011.

Structured Abstract
Background. Cancers of the skin are the most common forms of cancer. Timely diagnosis and treatment are critical to reducing the rates of morbidity and mortality. Newer noninvasive imaging technologies may assist with earlier detection.
Objective. To provide an objective description of noninvasive imaging modalities in diagnosing cancerous tumors of the skin, to proffer an analytic framework for assessing the applications of the imaging modalities, to summarize the state of ongoing research, and to delineate future research needs.
Methods. We searched the MEDLINE® database for English-language literature published between 1990 and March 2011 for selected noninvasive imaging  technologies. We included all publications types and study designs. We extracted data solely from relevant abstracts. Our search also included grey literature  (manufacturers’ Web sites, Food and Drug Administration’s relevant databases, and ClinicalTrials.gov), and incorporated expert input from our key informants.  devices were classified as in general clinical use, limited clinical use, or investigational use, based on all available information.
Findings. We screened in 629 abstracts that were relevant to the noninvasive imaging technologies of interest. Only 11 abstracts were on randomized controlled trials. Of the devices in general clinical use, we found a total of 51 abstracts on photography and 433 on dermoscopy. Of note, only one abstract reported clinical outcomes. None of the abstracts reported adverse events. Photography is principally used in specialty and subspecialty settings (i.e., oncology) and while widely used by dermatologists, dermoscopy is still not used in primary care. We did not identify any consistent guidelines for the assessment of suspicious skin lesions. Devices in limited clinical use are principally used in research settings. Available literature was limited for these devices as well as those still considered investigational.
Summary. A review of the literature reveals predominant use of noninvasive devices by dermatologists with limited diffusion of this technology in primary care. When compared with the use of biopsy, future research is needed to evaluate the test accuracies, clinical impact, and the potential adverse events associated with the use of noninvasive imaging technologies.”

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Quality standards for dermatology: providing the right care for people with skin conditions [NHS] – August 2011

Posted on August 8, 2011. Filed under: Clin Governance / Risk Mgmt / Quality, Dermatology |

Quality standards for dermatology: providing the right care for people with skin conditions [NHS] – August 2011

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Guidance and competences for the provision of services using Pharmacists with Special Interests (PhwSIs): people with skin conditions – UK – May 2009

Posted on May 20, 2009. Filed under: Dermatology, Educ for Hlth Professions, Pharmacy, Workforce |

Guidance and competences for the provision of services using Pharmacists with Special Interests (PhwSIs): people with skin conditions (pdf)

This guidance is the latest in a series of frameworks for pharmacists with special interests. These frameworks aim to facilitate the delivery and accreditation of services in primary and community settings.

Primary Care Contracting – publications

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Revised guidance for tanning salons and their customers from the UK Health and Safety Executive May 2009

Posted on May 4, 2009. Filed under: Dermatology, Oncology | Tags: , , |

01/05/2009 16:51   From:

UK Health and Safety Executive (East) (HSE) Revised guidance for tanning salons and their customers

“New advice for businesses in England and Wales about the safe operation of sunbeds has been published today by the Health and Safety Executive (HSE).

The revised guidance – which was produced in support of the Department of Health’s Cancer Reform Strategy – provides recommendations about how to safely operate ultraviolet tanning equipment, including advice about potential hazards and risk assessments.

Two key changes have been made from previous versions – HSE now recommends that under-18s do not use sunbeds and that all coin-operated salons are supervised by trained staff.  A poster and leaflet spelling out advice to operators and customers have also been published. These are available to download from a number of websites and distributed free from HSE books.”  …. continues on the website

1. The revised sunbed guidelines constitute one component of the larger Cancer Reform Strategy, which is produced by the Department of Health.

2. Copies of the guidance [INDG209] and information for consumers can be downloaded from the websites of HSE, the Department for Health and Cancer Research UK. Salons can also order copies free by calling HSE’s bookline on 01787 881165. The leaflet is called ‘Reducing health risks from the use of UV tanning’ and the poster is called ‘UV tanning equipment’.

3. HSE priced and free publications are available the website and by mail order from HSE Books: PO Box 1999, Sudbury, Suffolk CO10 2WA Tel: 01787 881165 Fax: 01787 313995 Website HSE priced publications are also available from bookshops and free leaflets can be downloaded from HSE’s website.

4. As well as falling in-line with WHO recommendations, the revised guidance has been aligned with the European Union’s Scientific Committee on Consumer Products (SCCP) advice. It is also in line with the new legislation recently passed in Scotland, the Public Health (Scotland) Act 2008.

5. Organisations involved in revising the sunbed guidance included the Local Authorities Co-Ordinators of Regulatory Services (LACORS), Cancer Research UK (CRUK), the Committee on Medical Aspects of Radiation in the Environment (COMARE), the Chartered Institute of Environmental Health (CIEH) and The Sunbed Association (TSA) as well as a range of central government departments.

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