Epidemiological Survey of Melanoma in the Auvergne Region (France): Is There an Increased Incidence in Auvergne?

To assess the efficiency of melanoma screening and prevention campaigns in the Auvergne region (France), cases of melanoma have been recorded since 1st June 1998. The epidemiological follow-up of melanoma was carried out using two sentinel networks; one involving the pathologists, and the other, the...

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Bibliographic Details
Published in:European journal of epidemiology 2003-01, Vol.18 (4), p.331-335
Main Authors: Gerbaud, L., Lejeune, M. L., Abou-Samra, T., Doz, M., Mathey, M. F., D'Incan, M., Déchelotte, P., Souteyrand, P., Glanddier, P. Y., Sentinel Networks of Pathologists and Dermatologists for Melanoma
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age groups
Aged
Aged, 80 and over
Biological and medical sciences
Cancer
Dermatology
Epidemiologic Studies
Epidemiology
Estimation methods
Female
France - epidemiology
Histology
Humans
Hutchinsons melanotic freckle
Incidence
Male
Medical sciences
Melanoma
Melanoma - epidemiology
Men
Middle Aged
Mortality
Mountain regions
Mountains
Pathology
Polls & surveys
Prevention
Tumors of the skin and soft tissue. Premalignant lesions
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Summary:To assess the efficiency of melanoma screening and prevention campaigns in the Auvergne region (France), cases of melanoma have been recorded since 1st June 1998. The epidemiological follow-up of melanoma was carried out using two sentinel networks; one involving the pathologists, and the other, the dermatologists of the region. Incidence was calculated using the capture-recapture method, by cross-matching the data supplied by both dermatologists and pathologists. Between June 1st 1998 and December 31st 2000, 363 cases of melanoma were recorded. The crude incidence rate of melanoma per 100,000 person-years was 17.1 for all melanomas and 14.6 for invasive melanomas. These rates of incidence were higher than the estimated national rate of France, and were close to incidences found in countries of Northern Europe. This might be explained by an increase in screening for melanoma, by more precise estimation of the incidence due to the capture-recapture method, or by geographic factors (mountainous area). An answer may be provided by following the variation in time of incidence and thickness of melanomas; the increase in the number of thin (low Breslow index) melanomas corresponding with increased screening.
ISSN:0393-2990
1573-7284
DOI:10.1023/A:1023643219686