A multicenter case-control study comparing sun exposure habits and use of photoprotection measures in patients diagnosed with different types of skin cancer
Por:
Navarro-Bielsa A., Gracia-Cazaña T., Almagro M., De la Fuente-Meira, S, Florez Á., Yélamos O., Montero-Vilchez T., González-Cruz C., Diago A., Abadías-Granado I., Fuentelsaz V., Colmenero M., Banuls, J, Arias-Santiago S., Buendía-Eisman A., Almenara-Blasco M., Gil-Pallares P., Gilaberte Y.
Publicada:
2 may 2023
Ahead of Print:
1 may 2023
Resumen:
BackgroundWhile skin cancer awareness programs have significantly furthered public understanding about the harmful effects of the sun, there is a disparity between photoprotection knowledge and protection practices. ObjectiveTo compare sun exposure habits and photoprotection measures in patients diagnosed with basal cell carcinoma (BCC), squamous cell carcinoma (SCC), and melanoma versus controls. MethodsMulticentre case-control observational study carried out by 13 Spanish dermatologists between April 2020 and August 2022. Patients diagnosed with BCC, SCC, or melanoma were considered cases. The control group consisted of individuals with no history of skin cancer. ResultsOf the 254 cases (56.2% female; mean age, 62.67 +/- 15.65), 119 (31.2%) had BCC, 62 (16.27%) SCC, and 73 (19.1%) melanoma. The control group consisted of 127 (33.33%) individuals. Avoiding sun exposure between 12:00 and 16:00 was the most commonly used photoprotection measure (habitually/always: 63.1%), followed by the use of sunscreen (habitually/always: 58.9%). Patients with melanoma were less likely to use clothing and shade to avoid sun exposure (p < .05), whereas those with BCC and SCC reported greater use of head coverings (p = .01). BCC and SCC groups reported greater sun exposure 15 years prior, whereas controls reported greater use of sunscreen. However, at the time of this study all groups reported using SPF >= 21, and the majority SPF > 50. No differences were observed in photoprotection measures between people with and without a previous history of skin cancer. ConclusionsWe describe differences in photoprotection measures and sun exposure patterns among patients diagnosed with different skin tumor types. Whether these differences may influence the type of tumor each developed will require further investigation.
Filiaciones:
Navarro-Bielsa A.:
Univ Zaragoza, Miguel Servet Univ Hosp, Dept Dermatol, IIS Aragon, Zaragoza, Spain
Hosp Miguel Servet, Dept Dermatol, Paseo Isabel Catolica 1 3, Zaragoza 50009, Spain
Gracia-Cazaña T.:
Department of Dermatology, Miguel Servet University Hospital, IIS Aragón, Universidad de Zaragoza, Zaragoza, Spain
Almagro M.:
Complejo Hosp Univ, Dept Dermatol, La Coruna, Spain
De la Fuente-Meira, S:
Hosp Clin Lozano Blesa, Dept Dermatol, Zaragoza, Spain
Florez Á.:
Univ Hosp Pontevedra, Dept Dermatol, Pontevedra, Spain
Yélamos O.:
Department of Dermatology, Hospital de la Santa Creu i Sant Pau, IIB SANT PAU, Universitat Autònoma de Barcelona, Barcelona, Spain
Montero-Vilchez T.:
Univ Autonoma Barcelona, Hosp St Creu & St Pau, Dept Dermatol, IIB St PAU, Barcelona, Spain
Hosp Univ Virgen Nieves, Dept Dermatol, Granada, Spain
González-Cruz C.:
Hosp Univ Vall dHebron, Dept Dermatol, Barcelona, Spain
Diago A.:
Department of Dermatology, Miguel Servet University Hospital, IIS Aragón, Universidad de Zaragoza, Zaragoza, Spain
Abadías-Granado I.:
Hosp Barbastro, Dept Dermatol, Huesca, Spain
Fuentelsaz V.:
Hosp Royo Villanova, Dept Dermatol, Zaragoza, Spain
Colmenero M.:
Hosp Costa Sol, Dept Dermatol, Marbella, Spain
Banuls, J:
Hosp Gen Univ Alicante, Departmment Dermatol, ISABIAL, Alicante, Spain
Arias-Santiago S.:
Department of Dermatology, Hospital Universitario Virgen de las Nieves, Granada, Spain
Buendía-Eisman A.:
Univ Granada, Fac Med, Granada, Spain
Almenara-Blasco M.:
Univ Zaragoza, Miguel Servet Univ Hosp, Dept Dermatol, IIS Aragon, Zaragoza, Spain
Gil-Pallares P.:
Complejo Hosp Univ Ferrol, Dept Dermatol, La Coruna, Spain
Gilaberte Y.:
Univ Zaragoza, Miguel Servet Univ Hosp, Dept Dermatol, IIS Aragon, Zaragoza, Spain
hybrid, All Open Access, Hybrid Gold
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