{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T12:05:40Z","timestamp":1792757140972,"version":"4.5.0"},"reference-count":18,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,8,16]],"date-time":"2017-08-16T00:00:00Z","timestamp":1502841600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The role of general practitioners (<jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content>s) in skin cancer care is increasing. Previous, hospital\u2010based studies suggest that <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content>s might not have the capabilities to gain responsibility concerning skin cancer care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To evaluate the current approach of <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content>s towards skin lesions suspected of malignancy in the Netherlands.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In three general practices, all consultations in 2015 concerning skin lesions suspected of malignancy were identified and reviewed. Patients demographics, circumstances of consultation, evaluation of skin lesion(s), presumed diagnosis, diagnostic accuracy and policy were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Five hundred and eighty consultations were identified. Patient took initiative for encounter in 90%. Case\u2010finding occurred in 2%. Diagnostic tools were used in 22%; dermoscopy was used in 8% and a diagnostic excision in 10%. The <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content> diagnosed a benign lesion in 69%. Therapeutic interventions were applied in 31% and a wait\u2010and\u2010see policy in 40%. The diagnosis after referral was a benign tumour in 39% of the cases, a malignancy in 29% and a premalignant lesion in 17%. The positive predictive value (<jats:styled-content style=\"fixed-case\">PPV<\/jats:styled-content>) of the presumed benign, malignant and premalignant diagnoses was 86%, 54% and 18%, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Most lesions that are presented to the <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content> with a suspicion of a malignancy appear to be benign lesions. In the examined practices, the diagnosis of the <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content> is mainly based on clinical examination and little use is made of available diagnostic tools. The use of a diagnostic tool like a biopsy might prevent unnecessary referrals.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdv.14484","type":"journal-article","created":{"date-parts":[[2017,7,27]],"date-time":"2017-07-27T16:26:40Z","timestamp":1501172800000},"page":"236-241","source":"Crossref","is-referenced-by-count":19,"title":["Current approach of skin lesions suspected of malignancy in general practice in the Netherlands: a quantitative overview"],"prefix":"10.1111","volume":"32","author":[{"given":"K.","family":"Ahmadi","sequence":"first","affiliation":[{"name":"Department of Family Medicine Maastricht University Medical Centre Maastricht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Prickaerts","sequence":"additional","affiliation":[{"name":"Department of Dermatology Maastricht University Medical Centre Maastricht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.G.E.","family":"Smeets","sequence":"additional","affiliation":[{"name":"Department of Family Medicine Maastricht University Medical Centre Maastricht The Netherlands"},{"name":"General Practice Health Care Centre Heer Maastricht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.H.M.J.","family":"Joosten","sequence":"additional","affiliation":[{"name":"Department of Dermatology Maastricht University Medical Centre Maastricht The Netherlands"},{"name":"GROW Research Institute for Oncology and Developmental Biology Maastricht The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N.W.J.","family":"Kelleners\u2010Smeets","sequence":"additional","affiliation":[{"name":"Department of Dermatology Maastricht University Medical Centre Maastricht The Netherlands"},{"name":"GROW Research Institute for Oncology and Developmental Biology Maastricht The 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