Abstract
ObjectiveSkin cancer is Australia’s most common and costly cancer. We examined the frequency of Australian general practice consultations for skin cancer-related conditions, by patient and general practitioner (GP) characteristics and by time period.DesignNationally representative, cross-sectional survey of general practice clinical activity.Setting, participantsPatients aged 15 years or older having a skin cancer-related condition managed by GPs in the Bettering the Evaluation And Care of Health study between April 2000 and March 2016.Primary outcome measuresProportions and rates per 1000 encounters.ResultsIn this period, 15 678 GPs recorded 1 370 826 patient encounters, of which skin cancer-related conditions were managed 65 411 times (rate of 47.72 per 1000 encounters, 95% CI 46.41 to 49.02). Across the whole period, ‘skin conditions’ managed were solar keratosis (29.87%), keratinocyte cancer (24.85%), other skin lesion (12.93%), nevi (10.98%), skin check (10.37%), benign skin neoplasm (8.76%) and melanoma (2.42%). Over time, management rates increased for keratinocyte cancers, skin checks, skin lesions, benign skin neoplasms and melanoma; but remained stable for solar keratoses and nevi. Skin cancer-related encounter rates were higher for patients aged 65–89 years, male, living in Queensland or in regional or remote areas, with lower area-based socioeconomic status, of English-speaking background, Veteran card holders and non-healthcare card holders; and for GPs who were aged 35–44 years or male.ConclusionThese findings show the spectrum and burden of skin cancer-related conditions managed in general practice in Australia, which can guide GP education, policy and interventions to optimise skin cancer prevention and management.
Funder
National Health and Medical Research Council of Australia
Reference26 articles.
1. Australian Institute of Health Welfare . Health system expenditure on cancer and other neoplasms in Australia, 2015–16. Canberra: AIHW, 2021.
2. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries
3. Australian Institute of Health Welfare . Disease expenditure in Australia 2018-19. Canberra: AIHW, 2021.
4. Early detection of melanoma: a consensus report from the Australian skin and skin cancer research centre melanoma screening Summit;Janda;Aust N Z J Public Health,2020
5. Estimated healthcare costs of melanoma in Australia over 3 years post-diagnosis;Elliott;Appl Health Econ Health Policy,2017
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