Survey of dermoscopy use by Taiwanese dermatologists

Abstract Background Dermoscopy is a useful technique for improving the diagnostic accuracy of various types of skin disorders. Although the technique has been widely adopted by European, Australian, and United States dermatologists, only limited information is available on the prevalence of dermoscopy use in Taiwan. Objectives We assessed the use and barriers to adoption of dermoscopy among Taiwanese dermatologists to determine the relationship between dermoscopy use and the characteristics of dermoscopy users. Methods A questionnaire of 20 items regarding demographic characteristics, dermoscopy training, and application was mailed to all dermatologists listed in the 2013 Taiwanese Dermatological Association registry. Results: Of the 950 mailed questionnaires, 202 were returned and 195 were identified to be eligible. Of the valid respondents, 51.8% used dermoscopy and 62.1% had attended courses for dermoscopy training. Dermoscopy use was significantly associated with women ( p  = 0.018), residents ( p p p p p p Conclusion This is the first published survey about the application of dermoscopy in Taiwan. Despite a low response rate and potential selection bias, our study revealed that dermoscopy is increasingly being accepted by Taiwanese dermatologists in daily practice. In addition, the study offered an opportunity to introduce all dermatologists to this technique.

[1]  E. Warshaw,et al.  Dermatoscopy use by US dermatologists: a cross-sectional survey. , 2010, Journal of the American Academy of Dermatology.

[2]  S. Menzies,et al.  Dermoscopy compared with naked eye examination for the diagnosis of primary melanoma: a meta‐analysis of studies performed in a clinical setting , 2008, The British journal of dermatology.

[3]  K. Peris,et al.  Dermoscopy in the diagnosis and management of non-melanoma skin cancers. , 2012, European journal of dermatology : EJD.

[4]  A. Dupuy,et al.  Accuracy of standard dermoscopy for diagnosing scabies. , 2007, Journal of the American Academy of Dermatology.

[5]  S. Menzies,et al.  Impact of dermoscopy and short‐term sequential digital dermoscopy imaging for the management of pigmented lesions in primary care: a sequential intervention trial , 2009, The British journal of dermatology.

[6]  A. Marghoob,et al.  Ex vivo dermoscopy of melanocytic tumors: time for dermatopathologists to learn dermoscopy. , 2007, Archives of dermatology.

[7]  I. Zalaudek,et al.  Dermoscopy of squamous cell carcinoma and keratoacanthoma. , 2012, Archives of dermatology.

[8]  W. Bergman,et al.  The impact of dermoscopy on the management of pigmented lesions in everyday clinical practice of general dermatologists: a prospective study , 2010, The British journal of dermatology.

[9]  Vitaly Terushkin,et al.  Analysis of the benign to malignant ratio of lesions biopsied by a general dermatologist before and after the adoption of dermoscopy. , 2011, Archives of dermatology.

[10]  P. Carli,et al.  Improvement of malignant/benign ratio in excised melanocytic lesions in the ‘dermoscopy era’: a retrospective study 1997–2001 , 2004, The British journal of dermatology.

[11]  R. Schwartz,et al.  Dermatoscopy: alternative uses in daily clinical practice. , 2011, Journal of the American Academy of Dermatology.

[12]  H. Soyer,et al.  Dermoscopy use in the next generation: A survey of Australian dermatology trainees , 2014, The Australasian journal of dermatology.

[13]  Mariya Miteva,et al.  Hair and scalp dermatoscopy. , 2012, Journal of the American Academy of Dermatology.

[14]  L. Thomas,et al.  Dermoscopy use by French private practice dermatologists: a nationwide survey , 2013, The British journal of dermatology.

[15]  Michael Bailey,et al.  Dermatoscopy aids in the diagnosis of the solitary red scaly patch or plaque-features distinguishing superficial basal cell carcinoma, intraepidermal carcinoma, and psoriasis. , 2008, Journal of the American Academy of Dermatology.

[16]  A. Lallas,et al.  Accuracy of dermoscopic criteria for the diagnosis of psoriasis, dermatitis, lichen planus and pityriasis rosea , 2012, The British journal of dermatology.

[17]  Josep Malvehy,et al.  Time required for a complete skin examination with and without dermoscopy: a prospective, randomized multicenter study. , 2008, Archives of dermatology.

[18]  P. Carli,et al.  The role of pattern analysis and the ABCD rule of dermoscopy in the detection of histological atypia in melanocytic naevi , 2000, The British journal of dermatology.

[19]  R. Hofmann-Wellenhof,et al.  Dermoscopy for the Pediatric Dermatologist Part I: Dermoscopy of Pediatric Infectious and Inflammatory Skin Lesions and Hair Disorders , 2013, Pediatric dermatology.

[20]  A. Lallas,et al.  New Trends in Dermoscopy to Minimize the Risk of Missing Melanoma , 2012, Journal of skin cancer.

[21]  Paolo Carli,et al.  Addition of dermoscopy to conventional naked-eye examination in melanoma screening: a randomized study. , 2004, Journal of the American Academy of Dermatology.

[22]  S. Menzies,et al.  Results of a nationwide dermoscopy survey investigating the prevalence, advantages and disadvantages of dermoscopy use among Australian dermatologists , 2011, The Australasian journal of dermatology.

[23]  A. Marghoob,et al.  Dermoscopy: what's new? , 2009, Clinics in dermatology.