Measuring performance in skin cancer practice: the SCARD initiative

Int J Dermatol. 2011 Jan;50(1):44-51. doi: 10.1111/j.1365-4632.2010.04608.x.

Abstract

Background: The Skin Cancer College of Australia and New Zealand (SCCANZ) has developed a unique project named SCARD - the Skin Cancer Audit and Research Database. Designed initially as a self-audit tool for primary care skin cancer practitioners, SCARD acts as a tracking tool to enhance practice safety, and it also creates practice performance reports. Pooling of de-identified data enables participating practitioners to confidentially compare their own practice to that of their peers. Additionally, this creates a large database with significant research potential, as SCARD records for every lesion de-identified practitioner and patient data, and extensive details of location, provisional and histological diagnosis, and the procedure(s) performed in its treatment.

Methods: Preliminary data collected in the database have been presented in this study.

Results: An initial pool of data from 177 practitioners contains 77,553 specimens from 41,006 individual patients.

Conclusions: The data presented are being analyzed for further studies, and additional data continues to be collected from this ongoing project. SCARD is a useful tool at practice level, and substantial uptake by Australian primary care skin cancer practitioners has provided a unique opportunity for research into skin cancer and its management. SCCANZ, a professional college of predominantly primary care medical practitioners, with a commitment to the management of skin cancer in Australia and New Zealand, has formed a partnership with the School of Medicine at the University of Queensland to ensure that these data are managed and analyzed appropriately.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Australia / epidemiology
  • Carcinoma, Basal Cell / diagnosis*
  • Carcinoma, Basal Cell / epidemiology
  • Carcinoma, Basal Cell / pathology
  • Carcinoma, Squamous Cell / diagnosis*
  • Carcinoma, Squamous Cell / epidemiology
  • Carcinoma, Squamous Cell / pathology
  • Child
  • Child, Preschool
  • Databases, Factual*
  • Female
  • Humans
  • Keratoacanthoma / diagnosis*
  • Keratoacanthoma / epidemiology
  • Keratoacanthoma / pathology
  • Male
  • Medical Audit*
  • Melanoma / diagnosis*
  • Melanoma / epidemiology
  • Melanoma / pathology
  • Middle Aged
  • New Zealand / epidemiology
  • Practice Guidelines as Topic
  • Skin Neoplasms / diagnosis*
  • Skin Neoplasms / epidemiology
  • Skin Neoplasms / pathology
  • Young Adult