{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T05:43:35Z","timestamp":1790747015626,"version":"4.1.0"},"reference-count":26,"publisher":"BMJ","issue":"5","license":[{"start":{"date-parts":[[2023,4,25]],"date-time":"2023-04-25T00:00:00Z","timestamp":1682380800000},"content-version":"unspecified","delay-in-days":24,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"National Health and Medical Research Council of Australia","award":["1163058"],"award-info":[{"award-number":["1163058"]}]},{"name":"National Health and Medical Research Council of Australia","award":["1165936"],"award-info":[{"award-number":["1165936"]}]},{"name":"National Health and Medical Research Council of Australia","award":["2008454"],"award-info":[{"award-number":["2008454"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2023,4,5]]},"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Skin cancer is Australia\u2019s most common and costly cancer. We examined the frequency of Australian general practice consultations for skin cancer-related conditions, by patient and general practitioner (GP) characteristics and by time period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Nationally representative, cross-sectional survey of general practice clinical activity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting, participants<\/jats:title>\n                    <jats:p>Patients aged 15 years or older having a skin cancer-related condition managed by GPs in the Bettering the Evaluation And Care of Health study between April 2000 and March 2016.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary outcome measures<\/jats:title>\n                    <jats:p>Proportions and rates per 1000 encounters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In this period, 15\u2009678 GPs recorded 1\u2009370\u2009826 patient encounters, of which skin cancer-related conditions were managed 65\u2009411 times (rate of 47.72 per 1000 encounters, 95% CI 46.41 to 49.02). Across the whole period, \u2018skin conditions\u2019 managed were solar keratosis (29.87%), keratinocyte cancer (24.85%), other skin lesion (12.93%), nevi (10.98%), skin check (10.37%), benign skin neoplasm (8.76%) and melanoma (2.42%). Over time, management rates increased for keratinocyte cancers, skin checks, skin lesions, benign skin neoplasms and melanoma; but remained stable for solar keratoses and nevi. Skin cancer-related encounter rates were higher for patients aged 65\u201389 years, male, living in Queensland or in regional or remote areas, with lower area-based socioeconomic status, of English-speaking background, Veteran card holders and non-healthcare card holders; and for GPs who were aged 35\u201344 years or male.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings show the spectrum and burden of skin cancer-related conditions managed in general practice in Australia, which can guide GP education, policy and interventions to optimise skin cancer prevention and management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2022-067744","type":"journal-article","created":{"date-parts":[[2023,5,4]],"date-time":"2023-05-04T11:10:48Z","timestamp":1683198648000},"page":"e067744","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":14,"title":["Skin cancer-related conditions managed in general practice in Australia, 2000\u20132016: a nationally representative, cross-sectional survey"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3250-0961","authenticated-orcid":false,"given":"Gillian","family":"Reyes-Marcelino","sequence":"first","affiliation":[{"name":"The Daffodil Centre, The University of Sydney, a joint venture with Cancer Council NSW, Sydney, NSW, Australia"},{"name":"Melanoma Institute Australia, The University of Sydney, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirstie","family":"McLoughlin","sequence":"additional","affiliation":[{"name":"The Daffodil Centre, The University of Sydney, a joint venture with Cancer Council NSW, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8769-6877","authenticated-orcid":false,"given":"Christopher","family":"Harrison","sequence":"additional","affiliation":[{"name":"Menzies Centre for Health Policy and Economics, Sydney School of Public Health, The University of Sydney, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3811-4797","authenticated-orcid":false,"given":"Caroline G","family":"Watts","sequence":"additional","affiliation":[{"name":"The Daffodil Centre, The University of Sydney, a joint venture with Cancer Council NSW, Sydney, NSW, Australia"},{"name":"Melanoma Institute Australia, The University of Sydney, Sydney, NSW, Australia"},{"name":"Kirby Institute, UNSW, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4045-1941","authenticated-orcid":false,"given":"Yoon-Jung","family":"Kang","sequence":"additional","affiliation":[{"name":"The Daffodil Centre, The University of Sydney, a joint venture with Cancer Council NSW, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanchia","family":"Aranda","sequence":"additional","affiliation":[{"name":"Centre for Health Economics Research and Evaluation, University of Technology Sydney, Sydney, NSW, Australia"},{"name":"Department of Nursing, The University of Melbourne, Melbourne, VIC, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanne F","family":"Aitken","sequence":"additional","affiliation":[{"name":"Cancer Council Queensland, Brisbane, QLD, Australia"},{"name":"School of Public Health, The University of Queensland, Brisbane, QLD, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9519-110X","authenticated-orcid":false,"given":"Pascale","family":"Guitera","sequence":"additional","affiliation":[{"name":"Melanoma Institute Australia, The University of Sydney, Sydney, NSW, Australia"},{"name":"Sydney Medical School, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia"},{"name":"Sydney Melanoma Diagnostic Centre, Royal Prince Alfred Hospital, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5331-6370","authenticated-orcid":false,"given":"Anne E","family":"Cust","sequence":"additional","affiliation":[{"name":"The Daffodil Centre, The University of Sydney, a joint venture with Cancer Council NSW, Sydney, NSW, Australia"},{"name":"Melanoma Institute Australia, The University of Sydney, Sydney, NSW, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,5,4]]},"reference":[{"key":"2025121407395816000_13.5.e067744.1","unstructured":"Australian Institute of Health Welfare . 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