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Grant Details

Grant Number: 5R01CA106592-04 Interpret this number
Primary Investigator: Weinstock, Martin
Organization: Rhode Island Hospital
Project Title: Efficacy of Web-Based Training in Skin Cancer Triage
Fiscal Year: 2007
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Abstract

DESCRIPTION (provided by applicant): Melanoma is a major public health problem with significant morbidity and mortality, and is increasing in frequency, unlike most cancer sites. The vast majority of the ultimately fatal melanomas were perfectly visible on the skin surface before they metastasized, yet they were not detected in time, hence not excised until it was too late for cure. Primary care clinicians are well-positioned to have a substantial impact on melanoma mortality by detecting these lesions on the skin surface prior to metastasis, yet we have found that they generally do not inspect the areas of the skin on which melanomas most commonly arise. This proposal seeks to change the skin examination practices of primary care physicians by developing the Basic Skin Cancer Triage curriculum into a web-based course and evaluating its efficacy in a geographically diverse sample of community-based primary care physicians. Specifically, we will develop the above course and compare it, in a randomized trial, to a web-based course in weight, diet, and physical activity assessment and counseling. Our primary outcomes will be performance of skin examination and counseling during routine primary care visits, as assessed by patient exit interviews. We will also assess self-reported practices and other measures. If this course is found to be efficacious, it will be made freely available on the web, and we will plan efforts to encourage its broad dissemination.

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Publications

Effect of a web-based curriculum on primary care practice: basic skin cancer triage trial.
Authors: Markova A, Weinstock MA, Risica P, Kirtania U, Shaikh W, Ombao H, Chambers CV, Kabango ML, Kallail JK, Post D
Source: Fam Med, 2013 Sep;45(8), p. 558-68.
PMID: 24129868
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The role of gender in examination and counseling for melanoma in primary care.
Authors: Markova A, Weinstock MA, Risica P, Kirtania U, Ombao H
Source: Arch Intern Med, 2011 Dec 12;171(22), p. 2061-3.
PMID: 22158580
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Association between non-steroidal anti-inflammatory drugs and keratinocyte carcinomas of the skin among participants in the Veterans Affairs Topical Tretinoin Chemoprevention Trial.
Authors: Nunes AP, Lapane KL, Weinstock MA, VATTC Trial Group
Source: Pharmacoepidemiol Drug Saf, 2011 Sep;20(9), p. 922-9.
EPub date: 2011 Jun 18.
PMID: 21688346
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Prospective quality of life impact of keratinocyte carcinomas: observations from the Veterans Affairs Topical Tretinoin Chemoprevention Trial.
Authors: Lee KC, Weinstock MA, Veterans Affairs Topical Tretinoin Chemoprevention (VATTC) Trial Group
Source: J Am Acad Dermatol, 2010 Dec;63(6), p. 1107-9.
PMID: 21093671
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Incidence estimate of nonmelanoma skin cancer in the United States, 2006.
Authors: Rogers HW, Weinstock MA, Harris AR, Hinckley MR, Feldman SR, Fleischer AB, Coldiron BM
Source: Arch Dermatol, 2010 Mar;146(3), p. 283-7.
PMID: 20231499
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Melanoma thickness trends in the United States, 1988-2006.
Authors: Criscione VD, Weinstock MA
Source: J Invest Dermatol, 2010 Mar;130(3), p. 793-7.
EPub date: 2009 Oct 15.
PMID: 19829301
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Mortality of bullous skin disorders from 1979 through 2002 in the United States.
Authors: Risser J, Lewis K, Weinstock MA
Source: Arch Dermatol, 2009 Sep;145(9), p. 1005-8.
PMID: 19770439
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Tolerability of high-dose topical tretinoin: the Veterans Affairs Topical Tretinoin Chemoprevention Trial.
Authors: Geng A, Weinstock MA, Hall R, Eilers D, Naylor M, Kalivas J, VATTC Trial Group
Source: Br J Dermatol, 2009 Oct;161(4), p. 918-24.
EPub date: 2009 Jun 11.
PMID: 19681859
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Actinic keratoses: Natural history and risk of malignant transformation in the Veterans Affairs Topical Tretinoin Chemoprevention Trial.
Authors: Criscione VD, Weinstock MA, Naylor MF, Luque C, Eide MJ, Bingham SF, Department of Veteran Affairs Topical Tretinoin Chemoprevention Trial Group
Source: Cancer, 2009 Jun 1;115(11), p. 2523-30.
PMID: 19382202
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Demographic and socioeconomic predictors of melanoma prognosis in the United States.
Authors: Eide MJ, Weinstock MA, Clark MA
Source: J Health Care Poor Underserved, 2009 Feb;20(1), p. 227-45.
PMID: 19202259
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Association between statin use and risk for keratinocyte carcinoma in the veterans affairs topical tretinoin chemoprevention trial.
Authors: Dore DD, Lapane KL, Trivedi AN, Mor V, Weinstock MA
Source: Ann Intern Med, 2009 Jan 6;150(1), p. 9-18.
PMID: 19124815
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The association of physician-specialty density and melanoma prognosis in the United States, 1988 to 1993.
Authors: Eide MJ, Weinstock MA, Clark MA
Source: J Am Acad Dermatol, 2009 Jan;60(1), p. 51-8.
EPub date: 2008 Oct 19.
PMID: 18937998
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Components of a successful intervention for monthly skin self-examination for early detection of melanoma: the "Check It Out" trial.
Authors: Lee KB, Weinstock MA, Risica PM
Source: J Am Acad Dermatol, 2008 Jun;58(6), p. 1006-12.
EPub date: 2008 Apr 11.
PMID: 18406492
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Incidence of cutaneous T-cell lymphoma in the United States, 1973-2002.
Authors: Criscione VD, Weinstock MA
Source: Arch Dermatol, 2007 Jul;143(7), p. 854-9.
PMID: 17638728
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Melanoma early detection with thorough skin self-examination: the "Check It Out" randomized trial.
Authors: Weinstock MA, Risica PM, Martin RA, Rakowski W, Dubé C, Berwick M, Goldstein MG, Acharyya S, Lasater T
Source: Am J Prev Med, 2007 Jun;32(6), p. 517-24.
PMID: 17533068
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Trends in nonmelanoma skin cancer mortality rates in the United States, 1969 through 2000.
Authors: Lewis KG, Weinstock MA
Source: J Invest Dermatol, 2007 Oct;127(10), p. 2323-7.
EPub date: 2007 May 24.
PMID: 17522705
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Descriptive epidemiology of dermatofibrosarcoma protuberans in the United States, 1973 to 2002.
Authors: Criscione VD, Weinstock MA
Source: J Am Acad Dermatol, 2007 Jun;56(6), p. 968-73.
EPub date: 2006 Dec 1.
PMID: 17141362
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The use of mole-mapping diagrams to increase skin self-examination accuracy.
Authors: Chiu V, Won E, Malik M, Weinstock MA
Source: J Am Acad Dermatol, 2006 Aug;55(2), p. 245-50.
EPub date: 2006 May 15.
PMID: 16844506
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Progress and prospects on melanoma: the way forward for early detection and reduced mortality.
Authors: Weinstock MA
Source: Clin Cancer Res, 2006 Apr 1;12(7 Pt 2), p. 2297s-2300s.
PMID: 16609048
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Public health challenges in sun protection.
Authors: Eide MJ, Weinstock MA
Source: Dermatol Clin, 2006 Jan;24(1), p. 119-24.
PMID: 16311174
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