{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T12:01:54Z","timestamp":1785240114822,"version":"3.55.0"},"reference-count":24,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,4,22]],"date-time":"2019-04-22T00:00:00Z","timestamp":1555891200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["552429"],"award-info":[{"award-number":["552429"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust J Dermatology"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background\/Objective<\/jats:title><jats:p>To describe the clinical settings in which keratinocyte cancers are excised in Queensland and describe the types of practitioners who excise them; to examine costs; and to identify predictors of hospital admission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We used linked data for participants from the <jats:styled-content style=\"fixed-case\">QS<\/jats:styled-content>kin study (<jats:italic>n<\/jats:italic> = 43 794), including Medicare claims and Queensland hospital admissions relating to treatment episodes for incident keratinocyte cancers from July 2011 to June 2015. We used multinomial logistic regression to measure associations between demographic and clinical characteristics and treatment setting. The median costs of Medicare claims (<jats:styled-content style=\"fixed-case\">AU<\/jats:styled-content>$) were calculated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During 4 years of follow\u2010up, there were 18 479 skin cancer excision episodes among 8613 people. Most excisions took place in private clinical rooms (89.7%), the remainder in hospitals (7.9% private; 2.4% public). Compared with other anatomical sites, skin cancers on the nose, eyelid, ear, lip, finger or genitalia were more likely to be treated in hospitals than in private clinical rooms (public hospital <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 5.7; 95%<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 4.5\u20137.2; private hospital <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 8.3; 95%<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 7.3\u20139.4). Primary care practitioners excised 83% of keratinocyte cancers, followed by plastic surgeons (9%) and dermatologists (6%). The median Medicare benefit paid was $253 in private clinical rooms and $334 in private hospitals. Out\u2010of\u2010pocket payments by patients treated in private hospitals were fourfold higher than those in private clinical rooms ($351 vs $80).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Most keratinocyte cancers are excised in primary care, although more than 10% of excisions occur in hospital settings.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajd.13056","type":"journal-article","created":{"date-parts":[[2019,4,23]],"date-time":"2019-04-23T06:11:03Z","timestamp":1555999863000},"page":"294-300","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Keratinocyte cancer excisions in Australia: Who performs them and associated costs"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0316-9293","authenticated-orcid":false,"given":"Bridie S","family":"Thompson","sequence":"first","affiliation":[{"name":"Department of Population Health QIMR Berghofer Medical Research Institute Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1462-4968","authenticated-orcid":false,"given":"Nirmala","family":"Pandeya","sequence":"additional","affiliation":[{"name":"Department of Population Health QIMR Berghofer Medical Research Institute Herston Queensland Australia"},{"name":"School of Public Health University of Queensland Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4483-1888","authenticated-orcid":false,"given":"Catherine M","family":"Olsen","sequence":"additional","affiliation":[{"name":"Department of Population Health QIMR Berghofer Medical Research Institute Herston Queensland Australia"},{"name":"Faculty of Health University of Queensland Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5721-100X","authenticated-orcid":false,"given":"Jean Claude","family":"Dusingize","sequence":"additional","affiliation":[{"name":"Department of Population Health QIMR Berghofer Medical Research Institute Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2753-4841","authenticated-orcid":false,"given":"Adele C","family":"Green","sequence":"additional","affiliation":[{"name":"Department of Population Health QIMR Berghofer Medical Research Institute Herston Queensland Australia"},{"name":"Manchester Academic Health Science Centre Cancer Research UK Manchester Institute and University of Manchester Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7162-0854","authenticated-orcid":false,"given":"Rachel E","family":"Neale","sequence":"additional","affiliation":[{"name":"Department of Population Health QIMR Berghofer Medical Research Institute Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2563-9559","authenticated-orcid":false,"given":"David C","family":"Whiteman","sequence":"additional","affiliation":[{"name":"Department of Population Health QIMR Berghofer Medical Research Institute Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,4,22]]},"reference":[{"key":"e_1_2_5_2_1","volume-title":"Skin Cancer in Australia","author":"Australian Institute of Health and Welfare","year":"2016"},{"key":"e_1_2_5_3_1","volume-title":"Cancer in Australia 2017","author":"Australian Institute of Health and Welfare","year":"2017"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja17.00284"},{"key":"e_1_2_5_5_1","volume-title":"Health System Expenditure on Cancer and Other Neoplasms in Australia: 2008\u201309","author":"Australian Institute of Health and Welfare","year":"2013"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2007.tb01201.x"},{"key":"e_1_2_5_7_1","first-page":"476","article-title":"Nonmelanoma skin cancers \u2013 treatment options","volume":"41","author":"Clarke P","year":"2012","journal-title":"Aust. Fam. Physician"},{"key":"e_1_2_5_8_1","unstructured":"Skin Cancer College Australasia. Available from URL:https:\/\/www.skincancercollege.org\/. (Accessed 5 March 2019.)"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.5694\/j.1326-5377.2007.tb01202.x"},{"key":"e_1_2_5_10_1","unstructured":"Referring and requesting Medicare services. Available from URL:https:\/\/www.humanservices.gov.au\/organisations\/health-professionals\/subjects\/referring-and-requesting-medicare-services. (Accessed 5 March 2019.)"},{"key":"e_1_2_5_11_1","volume-title":"Basal Cell Carcinoma, Squamous Cell Carcinoma (and Related Lesions) \u2013 A Guide to Clinical Management in Australia","author":"Australian Cancer Network Working Party","year":"2008"},{"key":"e_1_2_5_12_1","volume-title":"The 2002 National Non\u2010Melanoma Skin Cancer Survey. A Report by the NCCI Non\u2010Melanoma Skin Cancer Working Group","author":"National Cancer Control Initiative","year":"2003"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dys107"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/1753-6405.12478"},{"key":"e_1_2_5_15_1","unstructured":"State of Queensland (Queensland Health).Queensland Hospital Admitted Patient Data Collection (QHAPDC) Manual 2015\u20132016 collection year 2015. Available from URL:https:\/\/www.health.qld.gov.au\/__data\/assets\/pdf_file\/0023\/392432\/1516-qhapdcmanual-final-v1.0.pdf. (Accessed 20 February 2018.)"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4725.2006.32288.x"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e31828d73f0"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/dsu.12024"},{"key":"e_1_2_5_19_1","unstructured":"Australian Bureau of Statistics 2014 Population Estimates by Remoteness Area 2003 to 2013 \u2018Table 1: Estimated Residents Population Remoteness Areas Australia\u2019 data cube: Excel spreadsheet cat. no. 3218.0. Available from URL:http:\/\/www.abs.gov.au\/AUSSTATS\/abs@.nsf\/DetailsPage\/3218.02012-13?OpenDocument. (Accessed 27 February 2019.)"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja12.10654"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/1753-6405.12738"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.3109\/09546630902936760"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.15458"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1524-4725.2003.29185.x"},{"key":"e_1_2_5_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwp352"}],"container-title":["Australasian Journal of Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fajd.13056","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajd.13056","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajd.13056","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajd.13056","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T15:51:15Z","timestamp":1694188275000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ajd.13056"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,22]]},"references-count":24,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,11]]}},"alternative-id":["10.1111\/ajd.13056"],"URL":"https:\/\/doi.org\/10.1111\/ajd.13056","archive":["Portico"],"relation":{},"ISSN":["0004-8380","1440-0960"],"issn-type":[{"value":"0004-8380","type":"print"},{"value":"1440-0960","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,4,22]]},"assertion":[{"value":"2019-01-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-03-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-04-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}