Epidemiology of melanoma in rural southern Queensland

Kitchener, Scott and Pinidiyapathirage, Janani ORCID: https://orcid.org/0000-0003-2947-3015 and Hunter, Keegan and Cochrane, Lynsey and Gederts, Stephanie and Sy, Tim and Watts, Brianna and Murray, Adrienne and Poologasundrum, Manish and Bose, Swaha and Do, Alexander and Hall, John and Reedy, Andrew and Hudson, Lynton and Masel, Matthew (2019) Epidemiology of melanoma in rural southern Queensland. Australian Journal of Rural Health, 27 (5). pp. 386-391. ISSN 1038-5282

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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
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.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Faculty/School / Institute/Centre: Historic - Institute for Resilient Regions - Centre for Health, Informatics and Economic Research (1 Aug 2018 - 31 Mar 2020)
Faculty/School / Institute/Centre: Historic - Institute for Resilient Regions - Centre for Health, Informatics and Economic Research (1 Aug 2018 - 31 Mar 2020)
Date Deposited: 02 Jul 2020 05:07
Last Modified: 21 Sep 2020 08:25
Uncontrolled Keywords: epidemiology; melanoma; rural
Fields of Research (2008): 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111706 Epidemiology
Fields of Research (2020): 42 HEALTH SCIENCES > 4202 Epidemiology > 420299 Epidemiology not elsewhere classified
Socio-Economic Objectives (2008): E Expanding Knowledge > 97 Expanding Knowledge > 970111 Expanding Knowledge in the Medical and Health Sciences
Identification Number or DOI: https://doi.org/10.1111/ajr.12545
URI: http://eprints.usq.edu.au/id/eprint/38528

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