澳大利亚全科医师对基底细胞癌的治疗(德语)

来源 :世界核心医学期刊文摘(皮肤病学分册) | 被引量 : 0次 | 上传用户:wanghan0106
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Background: Basal cell carcinomas (BCCs) are a relatively common form of skin damage in Australians, involving approximately 1 in 200 general practice encounters per year. Aim: To determine current treatments and the associated healthcare resource costs of BCC therapy in Australia. Methods: A retrospective survey was undertaken relating to the treatment of patients presenting to their doctor with previously untreated BCCs. Data were collected from a sample of general practitioners who were asked to randomly select two BCC patients from their medical records and complete a questionnaire. Information about treatment types,number of doctor visits, treatment complications, and specialist referrals was extracted from the patient records. Results: One hundred and sixty-four patients were recruited into the study (59%male), who were treated for a total of 244 BCCs (average of 1.5 lesions per patient). Twenty two percent of patients were referred to a specialist, most being referred to a general surgeon (45%) or plastic surgeon (25%). Excision was the preferred therapy; second choices were cryosurgery or curettage and cautery. Few adverse events were recorded. The typical number of doctor visits varied from 3.2 to 7.4, with a range of total cost per patient of AUS$146.60-496.20, depending on complexity and the need for referral. Conclusion: With a reported incidence in Australia of approximately 788 per 100,000 persons, BCCs are not inexpensive to treat for such a relatively common condition. Background: Basal cell carcinomas (BCCs) are a substantially common form of skin damage in Australians, involving approximately one in 200 general practice encounters per year. Aim: To determine current treatments and the associated healthcare resource costs of BCC therapy in Australia. A retrospective survey was conducted relating to the treatment of patients presenting to their doctor with previously untreated BCCs. Data were collected from a sample of general practitioners who were asked to randomly select two BCC patients from their medical records and complete a questionnaire. Information about treatment Types, number of doctor visits, treatment complications, and specialist referrals was extracted from the patient records. Results: One hundred and sixty-four patients were recruited into the study (59% male), who were treated for a total of 244 BCCs ( Average of 1.5 lesions per patient). Twenty two percent of patients referred to a specialist, most been referred to a gener (15%) or plastic surgeon (25%). Excision was the preferred therapy; second choices were cryosurgery or curettage and cautery. The typical number of doctor visits varied from 3.2 to 7.4, with a range. Of total cost per patient of AUS$146.60-496.20, depending on complexity and the need for referral. Conclusion: With a reported incidence in Australia of approximately 788 per 100,000 persons, BCCs are not inexpensive to treat for such a relatively common condition.
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患者,女,62岁,因颈部肿块就诊。既往32年前因胆囊疾病行胆囊切除术。15年前因多发性甲状腺结节行甲状腺次全切除术,病理结果为小灶性甲状腺癌。10年前因血尿诊断为肾癌,行右