Epidemiology of melanoma in rural southern Queensland

Article


Kitchener, Scott, Pinidiyapathirage, Janani, Hunter, Keegan, Cochrane, Lynsey, Gederts, Stephanie, Sy, Tim, Watts, Brianna, Murray, Adrienne, Poologasundrum, Manish, Bose, Swaha, Do, Alexander, Hall, John, Reedy, Andrew, Hudson, Lynton and Masel, Matthew. 2019. "Epidemiology of melanoma in rural southern Queensland." Australian Journal of Rural Health. 27 (5), pp. 386-391. https://doi.org/10.1111/ajr.12545
Article Title

Epidemiology of melanoma in rural southern Queensland

ERA Journal ID13436
Article CategoryArticle
AuthorsKitchener, Scott (Author), Pinidiyapathirage, Janani (Author), Hunter, Keegan (Author), Cochrane, Lynsey (Author), Gederts, Stephanie (Author), Sy, Tim (Author), Watts, Brianna (Author), Murray, Adrienne (Author), Poologasundrum, Manish (Author), Bose, Swaha (Author), Do, Alexander (Author), Hall, John (Author), Reedy, Andrew (Author), Hudson, Lynton (Author) and Masel, Matthew (Author)
Journal TitleAustralian Journal of Rural Health
Journal Citation27 (5), pp. 386-391
Number of Pages6
Year2019
PublisherJohn Wiley & Sons
Place of PublicationAustralia
ISSN1038-5282
1440-1584
Digital Object Identifier (DOI)https://doi.org/10.1111/ajr.12545
Web Address (URL)https://onlinelibrary.wiley.com/doi/abs/10.1111/ajr.12545
Abstract

Objective: The objective of this study is to define the epidemiology of melanoma in rural communities in southern Queensland.

Design: The design used was a 6‐year clinical record audit of melanoma cases identified by billing records and electronic clinical records, confirmed and typed with histology.

Setting and Participants: This study was based on seven agricultural communities on the Darling Downs with patients presenting to local primary care clinics.

Main outcome measures: Outcomes measured were confirmed type, depth and anatomic distribution of melanoma identified at these practices during the study period.

Results: The results from 317 cases of melanoma found anatomic distribution was significantly different (χ2 = 9.6, P < 0.05) to that reported previously from the Queensland Cancer Registry. A high proportion (87%) of melanoma diagnosed by these general practitioners were 1 mm or less when treated.

Conclusions: Conclusions drawn from these findings are that melanoma risk is not so much lesser in rural, inland communities compared with coastal and metropolitan
regions, but different. Differences may relate to comprehensive data capture available in rural community studies and to different sun exposure and protection behaviours. The higher proportion of melanoma identified at early stages suggests rural primary care is an effective method of secondary prevention.

Keywordsepidemiology; melanoma; rural
ANZSRC Field of Research 2020420299. Epidemiology not elsewhere classified
Public Notes

File reproduced in accordance with the copyright policy of the publisher/author.

Byline AffiliationsGriffith University
Agricultural Health and Medicine Research Group
Downs Rural Medicine, Australia
Millmerran Medical Practice, Australia
Condamine Medical Centre, Australia
Goondiwindi Medical Centre, Australia
Institution of OriginUniversity of Southern Queensland
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