Practice Gaps |

Barriers in Melanoma Detection in Ethnic Minorities:  Comment on Anatomic Distribution of Malignant Melanoma on the Non-Hispanic Black Patient, 1998-2007

Roopal V. Kundu, MD
Arch Dermatol. 2012;148(7):801-802. doi:10.1001/archdermatol.2012.910.
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Compared with non-Hispanic white patients, Hispanic and black patients have been disproportionately affected by a later stage at melanoma diagnosis and higher melanoma-related mortality. By tackling a population-based study, Myles et al1 contribute to our knowledge of the clinical presentation of melanoma in the black population. They suggest the gap is due to some inherent difficulty with melanoma detection in these patients: (1) atypical, non–sun-exposed locations (eg, acral), (2) unclear etiology, and (3) patient and physician misperception of risk. As they conclude, “By increasing knowledge about the burden of this disease within the black population, our findings can be used to improve the early detection of melanoma by both the patient and the provider.” To better address the gap, we must explore some key issues in knowledge, patient perception, and provider education.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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