Factors associated with suspected nonmelanoma skin cancers, dysplastic nevus, and cutaneous melanoma among first-time SPOTme screening program participants (2009-2010)

Publication date: Available online 11 December 2018

Source: Journal of the American Academy of Dermatology

Author(s): Derek Beaulieu, Hensin Tsao, Dominique S. Michaud, Jean-Phillip Okhovat, Allan C. Halpern, Alan C. Geller

Abstract

Background

There have been no studies of the American Academy of Dermatology's SPOTme skin cancer screening program that have collectively analyzed the factors associated with suspected diagnoses of basal cell carcinoma (BCC), squamous cell carcinoma (SCC), dysplastic nevus (DN), and cutaneous melanoma (CM).

Objective

Describe the demographics, risk factors, and access to care profile associated with suspected diagnoses of BCC, SCC, DN, and CM among first-time SPOTme screenees from 2009 to 2010.

Methods

We conducted a cross-sectional analysis of data from SPOTme skin cancer screenings conducted in 2009 and 2010. We performed multivariable logistic regression analysis for each diagnosis, incorporating traditional demographic, access to care, and risk factor variables in the models.

Results

Men, those without a regular dermatologist, persons reporting recently changing moles, and those with a personal history of melanoma were at increased risk for each of the suspected diagnoses analyzed. The uninsured were at increased risk for the suspected malignancies (BCC, SCC, and CM).

Limitations

Lack of histological confirmation for diagnoses; cross-sectional design.

Conclusion

Among first-time SPOTme participants, suspected diagnoses of BCC, SCC, DN, and CM shared several associated factors which may be considered when planning outreach and screening for populations at risk for skin cancer.

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