Online Training on Skin Cancer Diagnosis in Rheumatologists: Results from a Nationwide Randomized Web-Based Survey

被引:9
作者
Viguier, Manuelle [1 ,2 ]
Rist, Stephanie [3 ]
Aubin, Franois [4 ]
Leccia, Marie-Therese
Richard, Marie-Aleth [5 ,6 ]
Esposito-Farese, Marina [7 ,8 ,9 ]
Gaudin, Philippe [10 ]
Thao Pham [11 ]
Richette, Pascal [12 ]
Wendling, Daniel [13 ]
Sibilia, Jean [14 ]
Tubach, Florence [7 ,8 ,9 ]
机构
[1] Univ Paris Diderot, Sorbonne Paris Cite, Paris, France
[2] Hop St Louis, AP HP, Paris, France
[3] CHR, Serv Rhumatol, Orleans, France
[4] Univ Franche Comte, CHU Besancon, Serv Dermatol, EA3181,SFR4234, F-25030 Besancon, France
[5] CHU Grenoble, Clin Dermatol Allergol & Photobiol, F-38043 Grenoble, France
[6] Univ Aix Marseille, Hop Enfants La Timone, Ctr Rech Oncol Biol & Oncopharmacol, Assistance Publ Hop Marseille,Serv Dermatol, Marseille, France
[7] Univ Paris Diderot, Sorbonne Paris Cite, UMR 1123, Paris, France
[8] Hop Bichat Claude Bernard, AP HP, Ctr Pharmacoepidemiol Cephepi, Dept Epidemiol & Rech Clin, F-75877 Paris, France
[9] INSERM, CIC EC 1425, UMR 1123, Paris, France
[10] Clin Univ Rhumatol, CHU Grenoble, Hop Sud, F-38043 Grenoble, France
[11] CHU, APHM, Serv Rhumatol, Marseille, France
[12] Univ Paris Diderot, Hop Lariboisiere, AP HP, Serv Rhumatol, Paris, France
[13] Univ Franche Comte, CHU Besancon, Serv Rhumatol, F-25030 Besancon, France
[14] Univ Strasbourg, Fed Med Translat, Ctr Rech Immunol & Hematol, INSERM UMR S1109, Strasbourg, France
来源
PLOS ONE | 2015年 / 10卷 / 05期
关键词
RHEUMATOID-ARTHRITIS; THERAPY;
D O I
10.1371/journal.pone.0127564
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Patients with inflammatory rheumatisms, such as rheumatoid arthritis, are more prone to develop skin cancers than the general population, with an additional increased incidence when receiving TNF blockers. There is therefore a need that physicians treating patients affected with inflammatory rheumatisms with TNF blockers recognize malignant skin lesions, requiring an urgent referral to the dermatologist and a potential withdrawal or modification of the immunomodulatory treatment. We aimed to demonstrate that an online training dedicated to skin tumors increase the abilities of rheumatologists to discriminate skin cancers from benign skin tumors. A nationwide randomized web-based survey involving 141 French rheumatologists was conducted. The baseline evaluation included short cases with skin lesion pictures and multiple choice questions assessing basic knowledge on skin cancers. For each case, rheumatologists had to indicate the nature of skin lesion (benign; premalignant/ malignant), their level of confidence in this diagnosis (10-points Likert scale), and the precise dermatological diagnosis among 5 propositions. Different scores were established. After randomization, only one group had access to the online formation consisting in 4 elearning modules on skin tumors, of 15 minutes each (online training group). After reevaluation, the trained and the non-trained group (control group) were compared. The primary end-point was the number of adequate diagnoses of the nature of the skin lesions. The mean number of adequate diagnosis for the benign versus premalignant/malignant nature of the lesions was higher in the online training group (13.4 vs. 11.2 points; p value <0.0001). While the other knowledge scores were also significantly higher, no statistical difference was observed on the level of self-confidence between the 2 groups. In conclusion, the online formation was effective to improve the rheumatologists' ability to diagnose skin cancer.
引用
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页数:9
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