Patient Attitude towards Videodermatoscopy for the Detection of Skin Cancer: A Cross-Sectional Study

Oncol Res Treat. 2019;42(6):319-325. doi: 10.1159/000499630. Epub 2019 Apr 17.

Abstract

Background: Videodermatoscopy (VD) is a useful device for supporting dermatologists in the distinction between benign and malignant lesions. However, only few patients have access to VD in daily practice.

Objectives: To investigate patient attitudes towards VD.

Method: A cross-sectional study was conducted between May and June 2018. Patients were asked to complete a self-administered questionnaire on the popularity of VD. Descriptive analysis was performed including contingency tables and χ2 tests to investigate associations between sociodemographic data and the popularity of VD.

Results: A total of 61.2% (123/201) of the patients had not heard of VD at the time of assessment or were unsure. Of the 38.8% of patients (78/201) who already knew of VD, 64.1% (50/78) reported that they had already been investigated by VD; 57.5% (111/193) were willing to pay an extra fee for VD. A high level of education and private insurance status had a statistically significant association with the popularity of VD (p = 0.036 and p = 0.026, respectively).

Conclusions: There was a strong information deficit, especially in patients with lower education and statutory health insurance. Nevertheless, the willingness to pay an extra fee for a VD-assisted skin examination was high. Dermatologists should actively offer and inform their patients about VD when performing skin cancer screening.

Keywords: Dermoscopy; Digital dermatoscopy; Skin cancer; Videodermatoscopy; Willingness to pay.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Dermoscopy / methods
  • Dermoscopy / psychology*
  • Early Detection of Cancer / methods
  • Early Detection of Cancer / psychology*
  • Education
  • Female
  • Germany
  • Hospitals, University
  • Humans
  • Insurance Coverage
  • Male
  • Microscopy, Video* / methods
  • Middle Aged
  • Patient Acceptance of Health Care / psychology*
  • Patients / psychology*
  • Skin Neoplasms / diagnostic imaging*
  • Surveys and Questionnaires