作者
Giovanni Pellacani, A Witkowski, AM Cesinaro, A Losi, GL Colombo, A Campagna, Caterina Longo, Simonetta Piana, N De Carvalho, F Giusti, Francesca Farnetani
发表日期
2016/3
期刊
Journal of the European Academy of Dermatology and Venereology
卷号
30
期号
3
页码范围
413-419
简介
Background
The sub‐optimal diagnostic accuracy for melanoma leads to excise a high number of benign lesions, with consequent costs. Reflectance confocal microscopy (RCM) improves diagnostic specificity, thus possibly inducing a reduction in unnecessary excisions and related costs.
Objective
To estimate the influence of RCM on number of benign lesions needed to excise (NNE) a melanoma, in term of clinical outcomes and costs per patient.
Patients and Methods
Skin neoplasms excised by the dermatology public service in the Province of Modena were retrieved form centralized pathology database. Differences in NNE between the territorial service (using dermoscopy only) and the University Hospital (adding also RCM to the patients’ workflow) were calculated and cost analysis was performed through a micro‐costing approach.
Results
A large reduction in benign lesions excised at University Hospital …
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G Pellacani, A Witkowski, AM Cesinaro, A Losi… - Journal of the European Academy of Dermatology and …, 2016