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252


The American Academy of Dermatology: challenges and opportunities as we approach the new century

Rigel DS
PMID: 10635611
ISSN: 0385-2407
CID: 16820

Deaths related to liposuction [Comment]

Rigel DS; Wheeland RG
PMID: 10498478
ISSN: 0028-4793
CID: 16821

Skin cancer: in your face

Robinson JK; Rigel DS
PMCID:1115935
PMID: 10356043
ISSN: 0959-8146
CID: 16822

Effects of altitude and latitude on ambient UVB radiation

Rigel DS; Rigel EG; Rigel AC
PMID: 9922027
ISSN: 0190-9622
CID: 7434

The ABCDs of moles and melanomas

Chapter by: Friedman RJ; Rigel DS; Kopf AW
in: Cancer management: a multidisciplinary approach: medical, surgical & radiation oncology by Pazdur R [Eds]
Huntington NY : PRR, 1999
pp. 337-339
ISBN: 1891483013
CID: 3877

Is the ounce of screening and prevention for skin cancer worth the pound of cure? [Comment]

Rigel DS
PMID: 9676538
ISSN: 0007-9235
CID: 7758

What promotes skin self-examination?

Robinson JK; Rigel DS; Amonette RA
The American Academy of Dermatology's national program of Melanoma/Skin Cancer Detection and Prevention, developed in response to the rising incidence of invasive melanoma in the United States, has annually produced extensive print, radio, and television coverage about performing skin self-examination (SSE). This study was conducted to determine factors that motivate people to perform SSE. A 1996 telephone survey evaluated performance of SSE for skin cancer and used questions to identify self-perceived. The performance of SSE was directly correlated with the self-perceived risk of the development of melanoma or skin cancer and discussions with physicians or nurses. People were motivated to perform SSE based on their perceived risk and discussions with doctors. Because patients most easily have access to primary care physicians, these physicians must be educated to identify those who are at risk for the development of melanoma. Primary care physicians and nurses should be encouraged to counsel patients about risk levels, the utility of SSE in limiting their risk, and how to perform SSE. To facilitate this process, risk levels for the development of melanoma (defined on the basis of simple and readily ascertained characteristics that help to educate physicians, nurses, and patients) are provided
PMID: 9591820
ISSN: 0190-9622
CID: 16823

Predicting ten-year survival of patients with primary cutaneous melanoma: corroboration of a prognostic model

Sahin S; Rao B; Kopf AW; Lee E; Rigel DS; Nossa R; Rahman IJ; Wortzel H; Marghoob AA; Bart RS
BACKGROUND: Recently, the Pigmented Lesion Group at the University of Pennsylvania described a 4-variable model for predicting 10-year survival for patients with primary cutaneous melanoma. The variables are tumor thickness, anatomic site of the lesion, age, and gender. The objective of the current study was to test the validity of this model, employing the large data base of the New York University Melanoma Cooperative Group. METHODS: The predicted probabilities of 10-year survival for 780 patients with primary cutaneous melanoma were determined by multivariate logistic regression, using the 4 variables. RESULTS: The overall 10-year survival rate of the current study group was 78.4%. Of the four variables, tumor thickness, anatomic site of the lesion, and age were found to be independent predictors of survival. Although survival was better for women, gender was not a statistically significant factor in predicting 10-year survival when entered into the multivariate logistic regression model. In the current study, the probability of 10-year survival of patients with melanomas < 0.76 mm ranged from 93-99%, depending on the age and primary site. Age and site had more impact on the prognosis of intermediate and thick melanomas than on thin melanomas. Thus, for melanomas 0.76-1.69 mm, 1.70-3.60 mm, and thicker than 3.60 mm, the probabilities of survival ranged from 70-94%, 39-82%, and 23-68%, respectively. CONCLUSIONS: The wider ranges in survival rates for thicker melanomas, depending on the other variables, emphasize the importance of including variables in addition to tumor thickness in a prognostic model. Using a large data base from a medical center, the current study supports the prognostic multivariate model of the Pigmented Lesions Group of the University of Pennsylvania; however, the authors of the current study did not find gender to be statistically significant in this multivariate model
PMID: 9338466
ISSN: 0008-543x
CID: 12271

Trends in sun exposure knowledge, attitudes, and behaviors: 1986 to 1996

Robinson JK; Rigel DS; Amonette RA
BACKGROUND: The American Academy of Dermatology's national program Melanoma/Skin Cancer Detection and Prevention, developed in response to the rising incidence of invasive melanoma in the United States, has annually during the past decade produced extensive print, radio, and television coverage about the dangers of sun exposure and benefits of sun protection. OBJECTIVE: We measured the progress achieved in increasing the awareness and knowledge of skin cancer and changing the attitudes, beliefs, and behaviors that affect skin cancer risk. We also describe current sun-related behavior including sunburning, assess the likelihood of practicing sun protection strategies, and provide a baseline against which future changes in sun protection behavior may be evaluated. METHODS: A 1996 telephone survey repeated questions used in 1986 to evaluate change and used classifying questions to better define attitudes and behaviors. RESULTS: From 1986 to 1996, the knowledge of the perceived harmful effects of the sun significantly broadened, but the UV exposure behavior as measured by sunburning (30% to 39%) and regular use of a tanning booth (2% to 6%) also increased. There was a decline in the attitude that having a tan was healthy; however, in 1996 having a tan was still considered to enhance appearance, particularly by men. Sunscreen use increased (35% to 53%). Women, younger persons, persons residing in areas with fewer sunny days, and whites were more likely to tan intentionally, but men who lived in the South were more likely to sunburn. CONCLUSION: During the past decade, the early process of change involving cognitive and emotional activities began. With this study, high-risk population subsets performing specific adverse behavior were identified. In the future, they can be targeted with messages that promote attitudinal and behavioral change
PMID: 9270501
ISSN: 0190-9622
CID: 16824

Epiluminescence microscopy in clinical diagnosis of pigmented skin lesions?

Rigel DS
PMID: 9174555
ISSN: 0140-6736
CID: 7246