Distance as a barrier to melanoma care

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dc.contributor.author McCarthy, S.
dc.contributor.author Feeley, K.
dc.contributor.author Murphy, Michelle
dc.contributor.author Bourke, J. F.
dc.date.accessioned 2020-01-14T13:19:52Z
dc.date.available 2020-01-14T13:19:52Z
dc.date.issued 2019-08
dc.identifier.citation McCarthy, S., Feeley, K., Murphy, M. and Bourke, J. F. (2019) 'Distance as a barrier to melanoma care', Irish Medical Journal, 112(7), P974 (3pp). en
dc.identifier.volume 112 en
dc.identifier.issued 7 en
dc.identifier.startpage 1 en
dc.identifier.endpage 3 en
dc.identifier.issn 0332-3102
dc.identifier.uri http://hdl.handle.net/10468/9504
dc.description.abstract Aim: Our aim was to review cases of melanoma diagnosed histologically in UHK in 2016 and to compare them to cases of melanoma nationally and in Kerry. Methods: For each patient we recorded age, Breslow depth, and shortest distance to travel by car and travelling time (without traffic) to the South Infirmary Victoria University Hospital (SIVUH) from their primary residence (calculated using Google maps™ (2018)). Results: 20 cases of invasive melanoma were diagnosed in UHK in 2016. Of the 20 cases, 9 (45%) presented at a very advanced stage with a Breslow depth of greater than 4mm. A further 7 (35%) cases had a depth of 1.5-4mm. These patients with invasive melanoma had a mean age of 72.5 (±15). The mean shortest distance to travel from the patient’s primary residence to the SIVUH was 114.8km (±15.5) taking an average of 102 minutes (±14.6) by car. Conclusion: Cases of melanoma diagnosed locally in UHK presented at an advanced stage compared to the national average. We suspect that the long distances to travel to the SIVUH pigmented lesion clinic is a barrier for these patients. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Irish Medical Organisation en
dc.relation.uri http://imj.ie/wp-content/uploads/2019/08/Distance-as-a-Barrier-to-Melanoma-Care.pdf
dc.rights © 2019, Irish Medical Journal. All rights reserved. en
dc.subject Pigmented lesion clinic en
dc.subject University Hospital Kerry en
dc.subject Melanoma en
dc.subject Distance to travel en
dc.title Distance as a barrier to melanoma care en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Michelle Murphy, Paediatrics & Child Health, University College Cork, Cork, Ireland. +353-21-490-3000 Email: michelle.murphy@ucc.ie en
dc.internal.availability Full text available en
dc.date.updated 2020-01-14T13:15:55Z
dc.description.version Published Version en
dc.internal.rssid 500174492
dc.description.status Peer reviewed en
dc.identifier.journaltitle Irish Medical Journal en
dc.internal.copyrightchecked Yes
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress michelle.murphy@ucc.ie en
dc.identifier.articleid P974 en


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