Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot143610.32687/0869-866X-2024-32-1-83-88НеопределенThe actual issues of improvement of organization of screening of skin neoplasms in out-patient conditionsGusarovMikhail Vyacheslavovichnot@provid.edTaytsBoris Mikhailovichboris.tayts@szgmu.ruBarinovaAnna Nikolaevnanot@provid.edThe Federal State Budget Educational Institution of Higher Education “The I. I. Mechnikov North-Western State medical University of Minzdrav of Russia”, 191015, St. Petersburg, Russia110220243211904202519042025Copyright © 2025,2025<p>The skin malignant neoplasms constitute one of significant problems of public health. The increasing of morbidity and mortality of melanoma and other types of skin cancers is registered. The early detection of disease assures mortality decreasing and increases survival of patients.<br />The purpose of the study is to develop optimal model of organizational and preventive measures of early diagnostic of malignant skin tumors. The comprehensive study was carried out, which included assessment of survey of patients using questionnaire Melanoma Diagnosis Day. Also it included identification of level of awareness of physicians about screening, medical records of patients during COVID-19 pandemic, risk groups identification and effectiveness of selecting patient for screening. The total number of observations is 21 581. The selective and continuous observation method was applied and parametric and non-parametric methods as well. The study determined that during COVID-19 pandemic in 2020, there was significant reliable uncompensated decrease in the number of patients with diagnosis of ICD D23, L82, C44 and decrease in the number of detected diseases. The melanoma, basalioma and other skin malignant neoplasms are reliably more common in patients of medium-high risk group, aged 60 years and older and in persons sunburned at the age of 18 years. The assignation of separate specialist to diagnose skin neoplasms allows statistically reliably increase rate of morphological confirmation of malignant neoplasms as compared to common reception by dermatologist. The sociological survey of physicians revealed statistically reliable difference in knowledge between dermatovenereologists, oncologists and physicians of other specialties concerning screening issues. The results of the study permitted to develop complex of organizational measures to improve screening. The model of organizational and preventive measures for early diagnostic of skin malignant tumors in outpatient conditions was proposed.</p>malignant neoplasmskinmelanomaorganization of screeningmodelorganizational and preventive measuresзлокачественные новообразования кожимеланомаорганизация скринингамодель организационных и профилактических мероприятий1.American Cancer Society. Cancer Facts & Figures 2021. Atlanta, Ga: American Cancer Society; 2021. 21 p.2.Kaprin A. D., Starinsky V. V., Shakhzadova A. O. (eds). Malignant neoplasms in Russia in 2019 (morbidity and mortality). Moscow: National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation; 2020. P. 4–11 (in Russian).3.Heistein J., Acharya U., Mukkamalla S. Malignant Melanoma. Treasure Island: StatPearls Publishing; 2022.4.Schadendorf D., van Akkooi A. C. J., Berking C., Griewank K. G., Gutzmer R., Hauschild A., Stang A., Roesch A., Ugurel S. Melanoma. Lancet. 2018;392(15):971–84. doi: 10.1016/S0140-6736(18)31559-95.Screening programmes: a short guide. Increase eff ectiveness, maximize benefits and minimize harm. Copenhagen: WHO Regional Office for Europe; 2020.6.Neprash H., Chernew M. Physician Practice Interruptions in the Treatment of Medicare Patients During the COVID-19 Pandemic. JAMA. 2021;326(13):1325–8.7.Barinova A. N., Gusarov M. V., Tayts B. M., Plavinskij S. L. Necessity of organizational model improvement of skin neoplasms screening within covid-19 pandemic restrictions. Profilakticheskaya i klinicheskaya medicina. 2021;80(3):21–7 (in Russian).8.Litchman G. H., Rigel D. S. The immediate impact of COVID-19 on US dermatology practices. J. Am. Acad. Dermatol. 2020;83(2):685–6.9.Garbe C., Keim U., Eigentler T. K. Time trends in incidence and mortality of cutaneous melanoma in Germany. J. Eur. Acad. Dermatol. Venereol. 2019;33:1272–80.10.Demidov L., Samoylenko I., Vandet N. Screening for Melanoma and Other Skin Cancer Shows a Higher Early Melanoma Incidence: Social Educational Program “Life Fear-Free”. Dermatopathology (Basel). 2021;8(1):54–68.11.Davies J. R. Development and validation of a melanoma risk score based on pooled data from 16 case-control studies. Cancer Epidemiol. Biomarkers Prev. 2015;24(5):817—24.