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Increased distance to physician associated with thicker skin cancer at diagnosis
Date:8/20/2007

creased by 1 percent. Breslow thickness was 19 percent greater for patients aged 51 to 80 years than for those aged 0 to 50 years and was 109 percent greater for patients older than 80 years than for those aged 0 to 50 years, the authors write. Sex, rurality and supply of dermatologists were not associated with Breslow thickness.

Further work is needed to characterize the determinants of distance to diagnosing provider, as well as the pathways and barriers to melanoma care, the authors conclude. Once potential barriers are identified, interventions can be developed to minimize the effect of travel distance and other sociodemographic factors on access to melanoma care.


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Contact: Ramona Dubose
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JAMA and Archives Journals
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