scholarly journals Regional variations in the use of statutory skin cancer screenings in Germany: population‐based spatial multisource analysis

2020 ◽  
Vol 34 (8) ◽  
pp. 1736-1743
Author(s):  
J. Augustin ◽  
C. Sorbe ◽  
M. Augustin ◽  
N. Zander ◽  
A. Kis
2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Ying-Yi Lu ◽  
Hung-Pin Tu ◽  
Chieh-Hsin Wu ◽  
Chien-Hui Hong ◽  
Kuo-Chia Yang ◽  
...  

AbstractKeloid is a skin disease characterized by exaggerated scar formation, excessive fibroblast proliferation, and excessive collagen deposition. Cancers commonly arise from a fibrotic microenvironment; e.g., hepatoma arises from liver cirrhosis, and oral cancers arise from submucosal fibrosis. As keloids are a prototypic fibroproliferative disease, this study investigated whether patients with keloids have an increased cancer risk. In a matched, population-based study, first 17,401 patients treated for keloids during 1998–2010 with 69,604 controls without keloids at a ratio of 1:4 were evaluated. The association between keloids and risk of cancer was estimated by logistic regression or Cox proportional hazard regression models after adjustment of covariates. In total, 893 first-time cases of cancer were identified in the 17,401 patients with keloids. The overall cancer risk was 1.49-fold higher in the keloids group compared to controls. Regarding specific cancers, the keloids group, had a significantly higher risk of skin cancer compared to controls (Relative risk = 1.73). The relative risk for skin cancer was even higher for males with keloids (Relative risk = 2.16). Further stratified analyses also revealed a significantly higher risk of developing pancreatic cancer in female patients with keloids compared to controls (Relative risk = 2.19) after adjustment for known pancreatic cancer risk factors. This study indicates that patients with keloids have a higher than normal risk for several cancer types, especially skin cancers (both genders) and pancreatic cancer (females). Therefore, patients with keloids should undergo regular skin examinations, and females with keloids should regularly undergo abdominal ultrasonography.


2021 ◽  
Author(s):  
Julie Merten ◽  
Ashley Dedrick ◽  
Jessica King

BACKGROUND Skin cancer rates are rising in the United State yet screening rates remain low. Meanwhile, social media has evolved to become a primary sources of health information with 40% of daily users of Pinterest reporting the platform as a “go-to” source. OBJECTIVE To examine how skin cancer screenings were portrayed on Pinterest. METHODS Using the search terms “skin cancer screening” and “skin cancer exam, researchers sampled every fifth pin to collect 274 relevant pins. Two researchers coded pins and interrater agreement was established at 94%. RESULTS Of the sample, twenty-two percent depicted skin cancer screening in a negative way yet 41.5% noted that early detection leads to better outcomes. The pins were geared toward younger, white, women with minimal depiction of people of color. Few pins included comprehensive information about skin cancer risk factors, importance of routine self-screenings, or what to expect with a medical provider. Fifty-eight percent of pins included links to personal blogs. CONCLUSIONS Social media has become a powerful source of health information yet much of the posted information is incomplete. These findings present public health experts with an opportunity to disseminate more comprehensive skin cancer screening information on social media. CLINICALTRIAL NA


2020 ◽  
Author(s):  
Ming‐Li Chen ◽  
Shuo‐Hsuan Wang ◽  
James Cheng‐Chung Wei ◽  
Hei‐Tung Yip ◽  
Yao‐Min Hung ◽  
...  

2007 ◽  
Vol 10 (2) ◽  
pp. 406-415 ◽  
Author(s):  
Babak Khoshnood ◽  
Béatrice Blondel

AbstractThe aim of the study was to assess, using population-based data, trends and regional variations in multiple births during the period of increasing use and changes in practice patterns for infertility treatments. National data for 24,554,977 births (live births and stillbirths) were used, including 569,423 twins during the period 1972 to 2003, and 14,599 triplets for 1984 to 2003. Statistical analyses included age-adjusted hierarchical logistic regression models for twin births and separate analyses for triple, same-sex, and different-sex twin births. Due to confidentiality considerations, the only variable available for adjustment was maternal age. Regionallevel variations were estimated using median odds ratios based on random-intercept hierarchical logistic regression models. Overall, twin births increased from 18.1 per 1000 births (95% confidence interval [CI] 17.9–18.2) in 1972 to 1975 to 29.9 per 1000 (95% CI 29.7–30.1) in 2000 to 2003. Twin births increased progressively across all regions, whereas triple births reached a peak in the early 1990s and decreased thereafter. Trends for both twin and triple births varied significantly across regions. Both trends and regional variations were greater for different-sex as compared with same-sex twin births. Regional variations in the proportion of multiple births increased in the case of twin births and decreased for triple births. Differences in multiple births at the regional level in France were comparable to country-level differences observed across several western and northern European countries. Regional differences in multiple births need to be monitored and used to inform policies aimed at regulating the use of infertility treatments.


2020 ◽  
Vol 34 (12) ◽  
pp. 2775-2780 ◽  
Author(s):  
H.J. Ryu ◽  
J.‐H. Park ◽  
M. Choi ◽  
J.‐H. Jung ◽  
K. Han ◽  
...  

2016 ◽  
Vol 175 (6) ◽  
pp. 1175-1182 ◽  
Author(s):  
C.-C. Wang ◽  
C.-H. Tang ◽  
C.-Y. Wang ◽  
S.-Y. Huang ◽  
Y.-M. Sue

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