A5008022026- Cutaneous Melanoma Detection and Management
- Nonmelanoma Skin Cancer Studies
- Cutaneous lymphoproliferative disorders research
- Melanoma and MAPK Pathways
- Psoriasis: Treatment and Pathogenesis
- CAR-T cell therapy research
- Genetic and rare skin diseases.
- Cancer and Skin Lesions
- Autoimmune Bullous Skin Diseases
- Nail Diseases and Treatments
- Health Systems, Economic Evaluations, Quality of Life
- Dermatologic Treatments and Research
- Infectious Diseases and Mycology
- Autoimmune and Inflammatory Disorders
- AI in cancer detection
- Hair Growth and Disorders
- COVID-19 and healthcare impacts
- Pregnancy and Medication Impact
- Medicine and Dermatology Studies History
- Cancer Diagnosis and Treatment
- Optical Coherence Tomography Applications
- Cell Image Analysis Techniques
- Genital Health and Disease
- Skin Protection and Aging
- Polyomavirus and related diseases
Hebron University
2025
Hospital Universitario Virgen Macarena
2015-2024
Universidad de Sevilla
2015-2023
Andalusian Health Service
2023
Hospital Jerez Puerta del Sur
2021
Universitat de Barcelona
2018-2019
Hospital Clínic de Barcelona
2017-2019
Vall d'Hebron Hospital Universitari
2011-2015
University Dermatology
2013
Hospital Universitari Germans Trias i Pujol
2011
<h3>Objective</h3> To evaluate a store-and-forward teledermatology system aimed at the routine triage of patients with skin cancer. <h3>Design</h3> A multicenter, longitudinal, 4-phase, descriptive and evaluation study referred sample attended through teleconsultation between March 2004 July 2005 (n = 2009). Clinical dermoscopical examination histopathological were considered gold standard. <h3>Setting</h3> cancer unit public university hospital 12 primary care centers in southern Spain....
Background During recent years numerous studies have suggested that personal and environmental factors might influence cancer development. Objectives To investigate characteristics associated with skin risk. Methods A multicentre hospital‐based case–control study was performed in Finland, Germany, Greece, Italy, Malta, Poland, Scotland Spain, including 409 patients squamous cell carcinoma (SCC), 602 basal (BCC) 360 cutaneous malignant melanoma (CMM) 1550 control persons. Exposures were...
Background There are limited data regarding the association of actinic keratosis (AK) and other types nonmelanoma skin cancer (NMSC); studies investigating possible correlation AK with melanocytic naevi even scarcer. To our knowledge, there no examining risk in people using specific medications. Objective investigate constitutional exposure factors leading to coexistence NMSC melanoma. Methods A multicentre hospital‐based case–control study was performed Finland, Germany, Greece, Italy,...
We conducted an economic analysis of a store-and-forward teledermatology system for the routine triage skin cancer patients. A cost-identification, cost-effectiveness and sensitivity under societal perspective was used to compare with conventional care alternative. In period March 2004 July 2005, total 2009 referrals were managed from 12 Primary Care Centres (PCCs) public health system. The unit cost €79.78 per patient in teledermatology, €129.37 ( P < 0.005), incremental €49.59 favour...
Objective: To evaluate differences in the initial prognosis of patients with cutaneous melanoma managed by teledermatology (TD) vs other non-TD referral systems.Design: Descriptive and longitudinal study a storeand-forward TD system aimed at triage suspicious pigmented lesions.Setting: In 2003, store-and-forward selection skin growths suggestive cancer was implemented clinic.This has been shown to be accurate reliable able significantly shorten waiting periods for consultation...
Abstract Mitotic rate is no longer considered a staging criterion for thin melanoma in the 8th edition of American Joint Committee on Cancer Staging Manual. The aim this observational study was to identify prognostic factors and predictors significance sentinel lymph node (SLN) involvement large multicenter cohort patients with from nine tertiary care hospitals. A total 4249 consecutive diagnosed January 1, 1998 December 31, 2016 were included. main outcomes disease‐free interval...
Teledermatology was evaluated as a filtering system for pigmented lesion clinic (PLC). A total of 219 teleconsultations were received at the PLC in 12-week period. The outcome teleconsultation that 49% patients referred to face-to-face clinic. Teleconsultation reports available general practitioner (GP) mean time 44 h and attended within following two weeks. Agreement between different dermatologists almost perfect, with k =0.91 (95% confidence interval [CI] 0.87-0.96) diagnosis kappa =0.92...
Actinic keratosis (AK) is the main precursor of invasive cutaneous squamous cell carcinoma (cSCC). Since it impossible to predict which lesions will progress cSCC, early treatment AK crucial. Although treatments are effective, some associated with local skin reactions that may impact compliance and effectiveness. The aim this modified Delphi study was review efficacy safety different treatments, gain an understanding dermatologists' perspectives on their use, provide guidelines for clinical...
To date, no previous experiences of teledermatology (TD) as a preoperative management facility have been published.The objective was to evaluate store-and-forward TD (SFTD) system aimed at the presurgical nonmelanoma skin cancer patients.This multicenter, longitudinal, descriptive, and evaluative pilot study. Patients included in TD-based surgical referral presented with or fast-growth vascular tumor suitable for surgery under local anesthesia. Waiting intervals on-the-day cancellation rates...
Las lesiones cutáneas figuradas son muy frecuentes en la práctica diaria, y mayoría de las ocasiones requieren una adecuada correlación clínico-patológica para llegar a un diagnóstico correcto. En algunos casos biopsia mostrará hallazgos específicos que permitirán hacer el diagnóstico, pero mayor parte ellos los datos serán inespecíficos. intento aproximarnos al estas dermatosis hemos clasificado anulares según tipo infiltrado inflamatorio: linfocitario, neutrofílico-eosinofílico,...
Skin-cancer screening should rely on simple, low-cost and high-sensitivity diagnostic procedures.To compare diagnosis management options after the evaluation of clinical dermatoscopic teleconsultations with a store-and-forward teledermatology system for pigmented lesions.Kappa values between telediagnoses gold standard (histological examination) were assessed. Referral rates, confidence level (DCL), sensitivity specificity evaluated in both approaches. Picture quality time cost investments...
Methotrexate (MTX) is the most frequently used conventional systemic drug in treatment of psoriasis. Despite over 50 years experience this setting, certain aspects use clinical practice are still little standardized and poorly understood. For reason, a group 15 experts took part consensus development conference to achieve on series recommendations MTX The guidelines, which were developed basis systematic review literature, validated by 2 rounds voting categorized level evidence grade...
Many follow‐up guidelines for patients with high‐risk melanoma include expensive imaging studies, serum biomarkers and regular visits to the dermatologist, little attention cost‐effectiveness. To establish cost‐effectiveness of chest–abdomen–pelvis computed tomography (CT) brain magnetic resonance (MRI) in a protocol at high risk relapse. This was prospective single‐centre cohort study 290 clinicopathological American Joint Committee on Cancer (AJCC) stage IIB, IIC III melanoma. Patients had...
Frontal fibrosing alopecia is a clinical entity characterized by recession of the frontotemporal hairline in middle-aged and older women. Since it was first described 1994, more than 100 cases have been reported describing other manifestations such as eyebrow axillary alopecia, perifollicular inflammation that help diagnosis disease differential with scarring alopecias. Histopathology reveals an inflammatory infiltrate lamellar fibrosis. Although numerous therapeutic options tested,...
Background A wide variety of both surgical and nonsurgical therapies is currently available for patients with skin cancer. Objectives This part the EPIDERM (European Prevention Initiative Dermatological Malignancies) project aimed at evaluation treatment preferences cancer in eight countries European Union. Methods multicentre hospital‐based case–control study was carried out dermatology departments Finland, Germany, Greece, Italy, Malta, Poland, Scotland Spain. Patients (basal cell...
There are poorly documented variations in the journey a skin cancer patient will follow from diagnosis to treatment European Union.To investigate possible difficulties or obstacles that person with malignancy Union may have overcome order receive adequate medical screening and care for his/her condition. In addition, we wished explore differences health systems, which lead inequalities inequities within Europe.Ten countries took part this investigation (in alphabetical order): Finland,...
The clinical value of sentinel lymph node (SLN) biopsy in thick melanoma patients (Breslow >4 mm) has not been sufficiently studied. aim the study is to evaluate whether SLN increases survival with cutaneous melanoma, and, as a secondary objective, investigate correlations between and status. We included 1,211 consecutive melanomas (>4 registered participating hospitals' databases 1997 2015. Median follow-up was 40 months. Of these patients, 752 were matched into pairs by propensity scores...