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Skin Cancer Prevention Education for Kidney Transplant Recipients: A Systematic Evaluation of Internet Sites
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Skin Cancer Prevention Education for Kidney Transplant Recipients: A Systematic Evaluation of Internet Sites
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Skin Cancer Prevention Education for Kidney Transplant Recipients: A Systematic Evaluation of Internet Sites
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Journal Article
Skin Cancer Prevention Education for Kidney Transplant Recipients: A Systematic Evaluation of Internet Sites
2010
Overview
Context
Repeated patient education about skin cancer prevention is important to self-care after transplant.
Objective
Examine educational materials for kidney transplant recipients available on the Internet that address sun protection and skin self-examination for early detection of squamous cell carcinoma.
Design
Systematic review of Web sites for kidney transplant recipients endorsed by transplant physicians and dermatologists.
Participants
An expert panel of 8 dermatologists providing care for kidney transplant recipients and 1 research medical anthropologist.
Main Outcome Measures
Reading grade level, inclusion of people with skin of color, sufficient content to support effective sun protection, and description of 4 sun-protection strategies and skin self-examination.
Results
Of the 40 sites identified, 11 contained information about sun protection or increased risk of any type of cancer. The Web sites had a ninth-grade median reading level (range, seventh grade to college senior). Interrater reliability for the 25-item assessment tool was assessed by Fleiss' kappa (κ = 0.87). Skin cancer risk was presented as relevant to those with fair skin. Sites recommended regular use of sunscreen with sun-protection factor of 15 or greater (n=3) to reduce the risk of skin cancer (n= 4). Few sites recommended using protective clothing (n = 5), seeking shade (n=4), and avoiding deliberate tanning with indoor or outdoor light (n = 1). Five sites recommended skin self-examination
Conclusion
Because many patients seek self-management information from the Internet, Web sites must provide more thorough educational information about skin cancer prevention and health promotion at a lower reading grade level.
Publisher
SAGE Publications,SAGE PUBLICATIONS, INC
Subject
/ Humans
/ Immunosuppression - adverse effects
/ Internet - organization & administration
/ Kidney Transplantation - adverse effects
/ Kidney Transplantation - immunology
/ Neoplasms, Squamous Cell - diagnosis
/ Neoplasms, Squamous Cell - etiology
/ Neoplasms, Squamous Cell - prevention & control
/ Patient Education as Topic - organization & administration
