Original Article

Effects of Physician Supply on Melanoma Incidence and Mortality in Florida

Authors: Daniel J. Van Durme, MD, Robert Ullman, MD, Robert J. Campbell, MD, Richard Roetzheim, MD, MSPH

Abstract

Background: Increasing supplies of dermatologists and family physicians have been associated with earlier detection of malignant melanoma. We investigated whether physician supply was similarly related to incidence and mortality rates of malignant melanoma.

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References

1. Miller B, Ries L, Hankey B, Kosary C, Edwards B. Cancer Statistics Review: 1973–1989(NIH Pub. No. 92-278). Bethesda, MD, U.S. Department of Health and Human Services, 1992.
2. Friedman RJ, Rigel DS, Silverman MK, Kopf AW, Vossaert KA. Malignant melanoma in the 1990s: The continued importance of early detection and the role of physician examination and self-examination of the skin. CA Cancer J Clin 1991; 41: 201–226.
3. Greenlee RT, Murray T, Bolden S, Wingo PA. Cancer statistics, 2000. CA Cancer J Clin 2000; 50: 7–33.
4. Rigel DS, Carucci JA. Malignant melanoma: Prevention, early detection, and treatment in the 21st century. CA Cancer J Clin 2000; 50: 215–236.
5. Ahmed I. Malignant melanoma: Prognostic indicators. Mayo Clin Proc 1997; 72: 356–361.
6. Girgis A, Campbell EM, Redman S, Sanson-Fisher RW. Screening for melanoma: A community survey of prevalence and predictors. Med J Aust 1991; 154: 338–343.
7. Geller AC, Koh HK, Miller DR, Clapp RW, Mercer MB, Lew RA. Use of health services before the diagnosis of melanoma: implications for early detection and screening. J Gen Intern Med 1992; 7: 154–157.
8. Koh HK, Miller DR, Geller AC, Clapp RW, Mercer MB, Lew RA. Who discovers melanoma? Patterns from a population-based survey. J Am Acad Dermatol 1992; 26: 914–919.
9. Epstein DS, Lange JR, Gruber SB, Mofid M, Koch SE. Is physician detection associated with thinner melanomas? JAMA 1999; 281: 640–643.
10. Roetzheim RG, Pal N, Van Durme DJ, Wathington D, Ferrante JM, Gonzalez EC, et al. Increasing supplies of dermatologists and family physicians are associated with earlier stage of melanoma detection. J Am Acad Dermatol 2000; 43: 211–218.
11. Kamath D, Cantor AB, Glass F, Fenske N, Cruse CW, Wells K, et al. Florida's undeclared epidemic: Malignant melanoma. J Fla Med Assoc 1997; 84: 161–165.
12. Kenward K. The scope of the data available in the AMA's Physician Masterfile. Am J Public Health 1996; 86: 1481–1482(letter).
13. Kindig D. Counting generalist physicians. JAMA 1994; 271: 1505–1507.
14. Shea JA, Kletke PR, Wozniak GD, Polsky D, Escarce JJ. Self-reported physician specialties and the primary care content of medical practice: A study of the AMA Physician Masterfile—American Medical Association. Med Care 1999; 37: 333–338.
15. Grumbach K, Becker SH, Osborn EH, Bindman AB. The challenge of defining and counting generalist physicians: An analysis of Physician Masterfile data. Am J Public Health 1995; 85: 1402–1407.
16. Williams P, Whitcomb M, Kessler J. Quality of the family physician component of the AMA Masterfile. J Am Board Fam Pract 1996; 9: 94–99.
17. Austin PF, Cruse CW, Lyman G, Schroer K, Glass F, Reintgen DS. Age as a prognostic factor in the malignant melanoma population. Ann Surg Oncol 1994; 1: 487–494.
18. Goodwin JS, Samet JM, Key CR, Humble C, Kutvirt D, Hunt C. Stage at diagnosis of cancer varies with the age of the patient. J Am Geriatr Soc 1986; 34: 20–26.
19. Chang AE, Karnell LH, Menck HR. The National Cancer Data Base report on cutaneous and noncutaneous melanoma: A summary of 84,836 cases from the past decade—The American College of Surgeons Commission on Cancer and the American Cancer Society. Cancer 1998; 83: 1664–1678.
20. Cress RD, Holly EA. Incidence of cutaneous melanoma among non-Hispanic whites, Hispanics, Asians, and blacks: An analysis of California cancer registry data, 1988–1993. Cancer Causes Control 1997; 8: 246–252.
21. Hersey P, Sillar RW, Howe CG, Burton RC, Darbar SV, Foster HM, et al. Factors related to the presentation of patients with thick primary melanomas. Med J Aust 1991; 154: 583–587.
22. Roetzheim RG, Pal N, Tennant C, Voti L, Ayanian JZ, Schwabe A, et al. Effects of health insurance and race on early detection of cancer. J Natl Cancer Inst 1999; 91: 1409–1415.
23. Vagero D, Persson G. Risks, survival and trends of malignant melanoma among white and blue collar workers in Sweden. Soc Sci Med 1984; 19: 475–478.
24. Geller AC, Miller DR, Lew RA, Clapp RW, Wenneker MB, Koh HK. Cutaneous melanoma mortality among the socioeconomically disadvantaged in Massachusetts. Am J Public Health 1996; 86: 538–544.
25. Berwick M, Begg CB, Fine JA, Roush GC, Barnhill RL. Screening for cutaneous melanoma by skin self-examination. J Natl Cancer Inst 1996; 88: 17–23.
26. Swerlick RA, Chen S. The melanoma epidemic: Is increased surveillance the solution or the problem? Arch Dermatol 1996; 132: 881–884.
27. Roetzheim RG, Pal N, Gonzalez EC, Ferrante JM, Van Durme DJ, Ayanian JZ, et al. The effects of physician supply on the early detection of colorectal cancer. J Fam Pract 1999; 48: 850–858.
28. Jones TP, Boiko PE, Piepkorn MW. Skin biopsy indications in primary care practice: A population-based study. J Am Board Fam Pract 1996; 9: 397–404.
29. Boiko PE, Koepsell TD, Larson EB, Wagner EH. Skin cancer diagnosis in a primary care setting. J Am Acad Dermatol 1996; 34: 608–611.
30. Rivo ML, Saultz JW, Wartman SA, DeWitt TG. Defining the generalist physician's training. JAMA 1994; 271: 1499–1504.

To me old age is always 15 years older than I am. - ––Bernard Baruch (1870–1965)