{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T05:20:48Z","timestamp":1761110448347,"version":"3.40.5"},"reference-count":15,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,7,26]],"date-time":"2019-07-26T00:00:00Z","timestamp":1564099200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The objective of this study is to define the epidemiology of melanoma in rural communities in southern Queensland.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>The design used was a 6\u2010year clinical record audit of melanoma cases identified by billing records and electronic clinical records, confirmed and typed with histology.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting and Participants<\/jats:title><jats:p>This study was based on seven agricultural communities on the Darling Downs with patients presenting to local primary care clinics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Outcomes measured were confirmed type, depth and anatomic distribution of melanoma identified at these practices during the study period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The results from 317 cases of melanoma found anatomic distribution was significantly different (<jats:italic>\u03c7<\/jats:italic><jats:sup>2\u00a0<\/jats:sup>=\u00a09.6, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.05) to that reported previously from the Queensland Cancer Registry. A high proportion (87%) of melanoma diagnosed by these general practitioners were 1\u00a0mm or less when treated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Conclusions drawn from these findings are that melanoma risk is not so much lesser in rural, inland communities compared with coastal and metropolitan regions, but different. Differences may relate to comprehensive data capture available in rural community studies and to different sun exposure and protection behaviours. The higher proportion of melanoma identified at early stages suggests rural primary care is an effective method of secondary prevention.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajr.12545","type":"journal-article","created":{"date-parts":[[2019,7,26]],"date-time":"2019-07-26T12:45:39Z","timestamp":1564145139000},"page":"386-391","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Epidemiology of melanoma in rural southern Queensland"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2656-7588","authenticated-orcid":false,"given":"Scott","family":"Kitchener","sequence":"first","affiliation":[{"name":"Griffith School of Medicine Southport Queensland Australia"},{"name":"Clifton Health Services Clifton Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janani","family":"Pinidiyapathirage","sequence":"additional","affiliation":[{"name":"Agricultural Health and Medical Research Centre USQ Toowoomba Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keegan","family":"Hunter","sequence":"additional","affiliation":[{"name":"Griffith Rural Summer Scholar, Griffith Health Toowoomba Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lynsey","family":"Cochrane","sequence":"additional","affiliation":[{"name":"Griffith Rural Summer Scholar, Griffith Health Toowoomba Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Gederts","sequence":"additional","affiliation":[{"name":"Griffith Rural Summer Scholar, Griffith Health Toowoomba Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tim","family":"Sy","sequence":"additional","affiliation":[{"name":"Griffith Rural Summer Scholar, Griffith Health Toowoomba Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brianna","family":"Watts","sequence":"additional","affiliation":[{"name":"Griffith Rural Summer Scholar, Griffith Health Toowoomba Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrienne","family":"Murray","sequence":"additional","affiliation":[{"name":"Griffith Rural Summer Scholar, Griffith Health Toowoomba Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manish","family":"Poologasundrum","sequence":"additional","affiliation":[{"name":"Griffith Rural Summer Scholar, Griffith Health Toowoomba Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Swaha","family":"Bose","sequence":"additional","affiliation":[{"name":"Griffith Rural Summer Scholar, Griffith Health Toowoomba Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Do","sequence":"additional","affiliation":[{"name":"Griffith Rural Summer Scholar, Griffith Health Toowoomba Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Hall","sequence":"additional","affiliation":[{"name":"Downs Rural Medicine Oakey Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Reedy","sequence":"additional","affiliation":[{"name":"Millmerran Medical Practice Millmerran Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lynton","family":"Hudson","sequence":"additional","affiliation":[{"name":"Condamine Medical Centre Warwick Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Masel","sequence":"additional","affiliation":[{"name":"Goodniwindi Medical Centre Goondiwindi Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,7,26]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja13.10055"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-842X.2006.tb00089.x"},{"volume-title":"Cancer in Australia 2017","year":"2017","author":"AIHW","key":"e_1_2_8_4_1"},{"volume-title":"Cancer Incidence and Mortality by Small Geographic Areas","author":"Incidence persons 2009\u20102013","key":"e_1_2_8_5_1"},{"key":"e_1_2_8_6_1","unstructured":"Australian Institute of Health and Welfare (AIHW).Australian Cancer Incidence and Mortality (ACIM) books: Melanoma of the Skin.Canberra:AIHW;2017.www.aihw.gov.au\/acim-books. 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