title: [Skin cancer in primary care: frequency, need to further education and subjective diagnostic certainty. A cross sectional survey among general practitioners in Canton of Zurich].
abstract: BACKGROUND
  Incidence of malignant skin lesions is rising in Switzerland. We wanted to assess the frequency of patients with suspicious skin lesions in daily practice. Furthermore, we asked for diagnostic certainty and the need of further education in skin cancer.
  
  
  METHODS
  Survey with 1212 GPs in the canton of Zurich, descriptive analysis, regression analysis.
  
  
  RESULTS
  Response rate 41,4%. 23,2% of the GPs saw daily/weekly patients with suspicious skin lesions, another 34,8% monthly. 79,0% reported need for further education in skin cancer. This need was lower in urban GPs and in GPs with higher diagnostic certainty.
  
  
  CONCLUSIONS
  GPs saw relatively often patients with suspicious skin lesions. Despite high diagnostic certainty, there was a clear need for further education in skin cancer.
authors.affiliation: Institut für Hausarztmedizin, Universität Zürich.
authors.forename: Nina
authors.initials: N
authors.lastname: Badertscher
authors.forename: Oliver
authors.initials: O
authors.lastname: Senn
authors.forename: Pascal O
authors.initials: PO
authors.lastname: Rossi
authors.forename: Michel
authors.initials: M
authors.lastname: Wensing
authors.forename: Thomas
authors.initials: T
authors.lastname: Rosemann
authors.forename: Ryan
authors.initials: R
authors.lastname: Tandjung
mesh_terms: D000328:Adult; D000368:Aged; D002280:Basal Cell Carcinoma / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control; D003430:Cross-Sectional Studies; D003479:Curriculum; D003880:Dermatology / Q000193:education*; D004502:Education, Medical, Continuing; D005260:Female; D058006:General Practice / Q000193:education*; D006801:Humans; D008297:Male; D008495:Medical Oncology / Q000193:education*; D008545:Melanoma / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control; D008875:Middle Aged; D011320:Primary Health Care; D012307:Risk Factors; D012878:Skin Neoplasms / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control; D011795:Surveys and Questionnaires; D013557:Switzerland
keywords: Dermatologie; Hausarzt; Hausarztmedizin; Hautkrebs; Hautläsion; cancer de la peau; dermatologie; dermatology; general practitioner; lésions cutanées; médecine de premier recours; médecins généralistes; primary care; skin cancer; skin lesion