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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


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.



Publications

Effect of a web-based curriculum on primary care practice: basic skin cancer triage trial.
Authors: Markova A. , Weinstock M.A. , Risica P. , Kirtania U. , Shaikh W. , Ombao H. , Chambers C.V. , Kabango M.L. , Kallail J.K. , Post D. .
Source: Family medicine, 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 M.A. , Risica P. , Kirtania U. , Ombao H. .
Source: Archives of internal medicine, 2011-12-12; 171(22), p. 2061-3.
PMID: 22158580
Related Citations

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 A.P. , Lapane K.L. , Weinstock M.A. , VATTC Trial Group .
Source: Pharmacoepidemiology and drug safety, 2011 Sep; 20(9), p. 922-9.
EPub date: 2011-06-18.
PMID: 21688346
Related Citations

Prospective quality of life impact of keratinocyte carcinomas: observations from the Veterans Affairs Topical Tretinoin Chemoprevention Trial.
Authors: Lee K.C. , Weinstock M.A. , Veterans Affairs Topical Tretinoin Chemoprevention (VATTC) Trial Group .
Source: Journal of the American Academy of Dermatology, 2010 Dec; 63(6), p. 1107-9.
PMID: 21093671
Related Citations

Incidence estimate of nonmelanoma skin cancer in the United States, 2006.
Authors: Rogers H.W. , Weinstock M.A. , Harris A.R. , Hinckley M.R. , Feldman S.R. , Fleischer A.B. , Coldiron B.M. .
Source: Archives of dermatology, 2010 Mar; 146(3), p. 283-7.
PMID: 20231499
Related Citations

Melanoma thickness trends in the United States, 1988-2006.
Authors: Criscione V.D. , Weinstock M.A. .
Source: The Journal of investigative dermatology, 2010 Mar; 130(3), p. 793-7.
EPub date: 2009-10-15.
PMID: 19829301
Related Citations

Tolerability of high-dose topical tretinoin: the Veterans Affairs Topical Tretinoin Chemoprevention Trial.
Authors: Geng A. , Weinstock M.A. , Hall R. , Eilers D. , Naylor M. , Kalivas J. , VATTC Trial Group .
Source: The British journal of dermatology, 2009 Oct; 161(4), p. 918-24.
EPub date: 2009-06-11.
PMID: 19681859
Related Citations

Mortality of bullous skin disorders from 1979 through 2002 in the United States.
Authors: Risser J. , Lewis K. , Weinstock M.A. .
Source: Archives of dermatology, 2009 Sep; 145(9), p. 1005-8.
PMID: 19770439
Related Citations

Quality of life in the actinic neoplasia syndrome: The VA Topical Tretinoin Chemoprevention (VATTC) Trial.
Authors: Weinstock M.A. , Lee K.C. , Chren M.M. , Marcolivio K. , VATTC Trial Group .
Source: Journal of the American Academy of Dermatology, 2009 Aug; 61(2), p. 207-15.
EPub date: 2009-04-26.
PMID: 19398145
Related Citations

Actinic keratoses: Natural history and risk of malignant transformation in the Veterans Affairs Topical Tretinoin Chemoprevention Trial.
Authors: Criscione V.D. , Weinstock M.A. , Naylor M.F. , Luque C. , Eide M.J. , Bingham S.F. , Department of Veteran Affairs Topical Tretinoin Chemoprevention Trial Group .
Source: Cancer, 2009-06-01; 115(11), p. 2523-30.
PMID: 19382202
Related Citations

Demographic and socioeconomic predictors of melanoma prognosis in the United States.
Authors: Eide M.J. , Weinstock M.A. , Clark M.A. .
Source: Journal of health care for the poor and underserved, 2009 Feb; 20(1), p. 227-45.
PMID: 19202259
Related Citations

Association between statin use and risk for keratinocyte carcinoma in the veterans affairs topical tretinoin chemoprevention trial.
Authors: Dore D.D. , Lapane K.L. , Trivedi A.N. , Mor V. , Weinstock M.A. .
Source: Annals of internal medicine, 2009-01-06; 150(1), p. 9-18.
PMID: 19124815
Related Citations

The association of physician-specialty density and melanoma prognosis in the United States, 1988 to 1993.
Authors: Eide M.J. , Weinstock M.A. , Clark M.A. .
Source: Journal of the American Academy of Dermatology, 2009 Jan; 60(1), p. 51-8.
EPub date: 2008-10-19.
PMID: 18937998
Related Citations

Components of a successful intervention for monthly skin self-examination for early detection of melanoma: the "Check It Out" trial.
Authors: Lee K.B. , Weinstock M.A. , Risica P.M. .
Source: Journal of the American Academy of Dermatology, 2008 Jun; 58(6), p. 1006-12.
EPub date: 2008-04-11.
PMID: 18406492
Related Citations

Trends in nonmelanoma skin cancer mortality rates in the United States, 1969 through 2000.
Authors: Lewis K.G. , Weinstock M.A. .
Source: The Journal of investigative dermatology, 2007 Oct; 127(10), p. 2323-7.
EPub date: 2007-05-24.
PMID: 17522705
Related Citations

Incidence of cutaneous T-cell lymphoma in the United States, 1973-2002.
Authors: Criscione V.D. , Weinstock M.A. .
Source: Archives of dermatology, 2007 Jul; 143(7), p. 854-9.
PMID: 17638728
Related Citations

Melanoma early detection with thorough skin self-examination: the "Check It Out" randomized trial.
Authors: Weinstock M.A. , Risica P.M. , Martin R.A. , Rakowski W. , Dubé C. , Berwick M. , Goldstein M.G. , Acharyya S. , Lasater T. .
Source: American journal of preventive medicine, 2007 Jun; 32(6), p. 517-24.
PMID: 17533068
Related Citations

Descriptive epidemiology of dermatofibrosarcoma protuberans in the United States, 1973 to 2002.
Authors: Criscione V.D. , Weinstock M.A. .
Source: Journal of the American Academy of Dermatology, 2007 Jun; 56(6), p. 968-73.
EPub date: 2006-12-01.
PMID: 17141362
Related Citations

The use of mole-mapping diagrams to increase skin self-examination accuracy.
Authors: Chiu V. , Won E. , Malik M. , Weinstock M.A. .
Source: Journal of the American Academy of Dermatology, 2006 Aug; 55(2), p. 245-50.
EPub date: 2006-05-15.
PMID: 16844506
Related Citations

Progress and prospects on melanoma: the way forward for early detection and reduced mortality.
Authors: Weinstock M.A. .
Source: Clinical cancer research : an official journal of the American Association for Cancer Research, 2006-04-01; 12(7 Pt 2), p. 2297s-2300s.
PMID: 16609048
Related Citations

Public health challenges in sun protection.
Authors: Eide M.J. , Weinstock M.A. .
Source: Dermatologic clinics, 2006 Jan; 24(1), p. 119-24.
PMID: 16311174
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