Efficacy of an Educational Intervention With Kidney Transplant Recipients to Promote Skin Self-examination for Squamous Cell Carcinoma Detection | Cancer Screening, Prevention, Control | JAMA Dermatology | JAMA Network
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    1 Comment for this article
    Comment for Test
    Joy Moore | Silverchair
    This is a test comment to see if there is a bug
    CONFLICT OF INTEREST: None Reported
    Study
    June 20, 2011

    Efficacy of an Educational Intervention With Kidney Transplant Recipients to Promote Skin Self-examination for Squamous Cell Carcinoma Detection

    Author Affiliations

    Author Affiliations: Department of Dermatology, Feinberg School of Medicine (Drs Robinson, Boone, and Kim and Ms Riyat), and Institute for Healthcare Studies and the Comprehensive Transplant Center (Dr Gordon), Northwestern University, Chicago, Illinois; and Biobehavioral Health and Prevention Research Center, The Pennsylvania State University, University Park (Drs Turrisi, Mallett, and Stapleton).

    Arch Dermatol. 2011;147(6):689-695. doi:10.1001/archdermatol.2011.10
    Abstract

    Objectives  To develop easily disseminated educational materials that enable early detection of skin cancer, and to examine the effectiveness of the materials to promote skin self-examination (SSE) among kidney transplant recipients (KTRs).

    Design  Randomized controlled trial of an educational intervention in comparison with a group that received only the assessment, education, and treatment as part of usual care with a nephrologist.

    Setting  Academic ambulatory nephrology practice.

    Patients  Seventy-five KTRs returning for routine care to their nephrologists 1 to 1.2 years or 3 to 7 years after transplantation.

    Intervention  Educational workbook.

    Main Outcome Measures  Skin self-examination performance and new appointments with a dermatologist if a concerning skin lesion was found.

    Results  Twenty-two percent of those in the control group checked their skin after the visit compared with 89% of the treatment condition; thus, KTRs receiving the intervention were significantly more likely to have checked their skin (χ2; P < .001). Among the 8 control KTRs who checked their skin, none found areas of concern. Of the 34 intervention KTRs who checked their skin, 12 participants (35%) found areas of concern. All 12 of these individuals made appointments with a dermatologist for follow-up.

    Conclusions  The KTRs were receptive to performing SSE and acted on the recommendation made in the workbook to make an appointment with a dermatologist when a concerning lesion was discovered. Printed educational materials can be initiated in the tertiary care center 1 year after transplantation and used across a continuum of time during which KTRs may be transferred from the tertiary care center to community nephrologists.

    Trial Registration  clinicaltrials.gov Identifier: NCT01127737

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