MedPage Today November 14, 2024
— Greatest diagnostic accuracy with experienced dermatologists using dermoscopy
The accuracy of skin cancer diagnosis varied by lesion type, physician specialty and experience, and examination method, with the greatest accuracy observed for dermatologists using dermoscopy, according to findings from a systematic review and meta-analysis.
Across 100 studies, experienced dermatologists had 5.7-fold higher odds of accurate diagnosis of melanoma using dermoscopy compared with clinical examination, and 13.3-fold higher odds of accurate diagnosis of melanoma using dermoscopic images compared with primary care physicians, reported Maria L. Wei, MD, PhD, of the University of California San Francisco, and colleagues.
Experienced dermatologists also had 2.5-fold higher odds of accurate diagnosis of keratinocytic carcinomas using in-person dermoscopy and dermoscopic images compared with in-person clinical examination...