Distance as a barrier to melanoma care

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dc.contributor.authorMcCarthy, S.
dc.contributor.authorFeeley, K.
dc.contributor.authorMurphy, Michelle
dc.contributor.authorBourke, J. F.
dc.date.accessioned2020-01-14T13:19:52Z
dc.date.available2020-01-14T13:19:52Z
dc.date.issued2019-08
dc.date.updated2020-01-14T13:15:55Z
dc.description.abstractAim: 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.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleidP974en
dc.identifier.citationMcCarthy, 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.endpage3en
dc.identifier.issn0332-3102
dc.identifier.issued7en
dc.identifier.journaltitleIrish Medical Journalen
dc.identifier.startpage1en
dc.identifier.urihttps://hdl.handle.net/10468/9504
dc.identifier.volume112en
dc.language.isoenen
dc.publisherIrish Medical Organisationen
dc.relation.urihttp://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.subjectPigmented lesion clinicen
dc.subjectUniversity Hospital Kerryen
dc.subjectMelanomaen
dc.subjectDistance to travelen
dc.titleDistance as a barrier to melanoma careen
dc.typeArticle (peer-reviewed)en
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