Protocol - Skin Cancer
Description
The protocol developed by Quereux et al. (2010) includes a self administered questionnaire that captures the main skin cancer risk factors, such as skin type, presence of freckles and moles, occurrence of blistering sunburns and personal and family history of melanoma. After the respondent completes the questionnaire, the physician then examines the respondent regarding the number of nevi, freckling tendency, and phototype (hair and eye color, complexion and tanning ability). Then the physician checks the answers provided by the respondent and completes the questionnaire.
Specific Instructions
Questions 1-3 of the questionnaire for self-assessment of melanoma risk factors have been deleted. These questions asked the respondents age, gender, and occupation. The PhenX Skin, Bone, Muscle and Joint Working Group (WG) recommends that this information be obtained via the PhenX measures titled Current Age, Gender, and Current Employment Status, respectively.
The Working Group recommends that as an alternative to a physician, a trained technician can conduct the physical examination.
Availability
Protocol
Self-Assessment of Melanoma Risk Factors
Answer each question by putting a cross in the corresponding square (left column)
1. What type of skin do you have?
[ ] Skin-type I: very fair skin, blond or red hair, light eyes (blue or green), never tan and always sunburn after sun exposure
[ ] Skin-type II: fair skin, blond or light-brown hair, light eyes (blue or green), usual sunburn
[ ] Skin-type III: deep skin, brown hair, light to medium eye colour
[ ] Skin-type IV: olive skin, dark-brown hair, brown eyes
[ ] Skin-type V: brown skin, black hair, black eyes
[ ] Skin-type VI: black skin, black hair, black eyes
2. Do you have freckles?
[ ] Yes
[ ] No
3. How many moles do you approximately have on the whole body?
[ ] More than 50
[ ] Fewer than 50
4. Did you have one or more severe blistering sunburn as a child or teenage?
[ ] Yes
[ ] No
5. Did you live for more than one year in a country where sunshine is high (Africa, French West Indies, South of United States, Australia…)
[ ] Yes
[ ] No
6. Have you been diagnosed with melanoma in the past (its a skin cancer, arising in melanocytes, skin cells that make skin pigment)?
[ ] Yes
[ ] No
7. Has any of your first degree relatives (parents, children, brother or sister) ever had melanoma?
[ ] Yes
[ ] No
[ ] Dont know
Note from the Skin, Bone, Muscle and Joint Working Group: After completing a physical examination, the physician selects answers for questions 8-14 below. This selection is based on the physical examination. The questions are not asked of the patient.
Physicians Assessment of Melanoma Risk Factors
8. What type of skin do you have?
[ ] Skin-type I
[ ] Skin-type II
[ ] Skin-type III
[ ] Skin-type IV
[ ] Skin-type V
[ ] Skin-type VI
9. Do you have freckles?
[ ] Yes
[ ] No
10. How many moles do you approximately have on the whole body?
[ ] > 50
[ ] < 50
11. Did you have one or more severe blistering sunburn as a child or teenage?
[ ] Yes
[ ] No
12. Did you live for more than one year in a country where sunshine is high (Africa, French West Indies, South of United States, Australia…)
[ ] Yes
[ ] No
13. Have you been diagnosed with melanoma in the past (its a skin cancer, arising in melanocytes, skin cells that make skin pigment)?
[ ] Yes
[ ] No
14. Has any of your first degree relatives (parents, children, brother or sister) ever had melanoma?
[ ] Yes
[ ] No
[ ] Dont know
Personnel and Training Required
The interviewer must be trained and found to be competent (i.e., tested by an expert) in the conduct of physical examinations regarding nevi, freckling tendency, and phototype (hair and eye color, complexion and tanning ability).
Equipment Needs
A copy of the questionnaire for self-assessment of melanoma risk factors.
Requirements
| Requirement Category | Required |
|---|---|
| Major equipment | No |
| Specialized training | No |
| Specialized requirements for biospecimen collection | No |
| Average time of greater than 15 minutes in an unaffected individual | No |
Mode of Administration
Self-administered questionnaire and physical examination
Lifestage
Adult, Senior
Participants
Adults, aged 18–70
Selection Rationale
The questionnaire for self-assessment of melanoma risk factors was chosen because it has been vetted against other indexes, and for its ease of patient use, brevity, and ability to compare patient and physician assessment.
Language
Chinese, English, Other languages available at source
Standards
| Standard | Name | ID | Source |
|---|---|---|---|
| Logical Observation Identifiers Names and Codes (LOINC) | Skin cancer proto | 62908-9 | LOINC |
| Human Phenotype Ontology | Neoplasm of the skin | HP:0008069 | HPO |
| caDSR Form | PhenX PX170601 - Skin Cancer | 6186266 | caDSR Form |
Derived Variables
None
Process and Review
Not applicable.
Protocol Name from Source
Quereux, G., et al. Creation and test of a questionnaire for self-assessment of melanoma risk factors. EUR J CANCER PREV, 2010
Source
Quereux, G., Nguyen, J. M., Volteau, C., Lequeux, Y., & Dreno, B. (2010). Creation and test of a questionnaire for self-assessment of melanoma risk factors. European Journal of Cancer Prevention, 19(1), 48–54, Jan.
The questions in the protocol text section were originally numbered 4-10; these numbers have been changed to 1-7 and 8-14.
General References
None
Protocol ID
170601
Variables
Export Variables| Variable Name | Variable ID | Variable Description | dbGaP Mapping | |
|---|---|---|---|---|
| PX170601_Examiner_Assessed_Country_High_Sunshine | ||||
| PX170601120000 | Did you live for more than one year in a more | N/A | ||
| PX170601_Examiner_Assessed_Freckles | ||||
| PX170601090000 | Do you have freckles? | N/A | ||
| PX170601_Examiner_Assessed_Melanoma | ||||
| PX170601130000 | Have you been diagnosed with melanoma in the more | Variable Mapping | ||
| PX170601_Examiner_Assessed_Melanoma_Family_History | ||||
| PX170601140000 | Has any of your first degree relatives more | N/A | ||
| PX170601_Examiner_Assessed_Moles | ||||
| PX170601100000 | How many moles do you approximately have on more | N/A | ||
| PX170601_Examiner_Assessed_Skin_Type | ||||
| PX170601080000 | What type of skin do you have? | N/A | ||
| PX170601_Examiner_Assessed_Sunburn | ||||
| PX170601110000 | Did you have one or more severe blistering more | N/A | ||
| PX170601_Self_Assessed_Country_High_Sunshine | ||||
| PX170601050000 | Did you live for more than one year in a more | N/A | ||
| PX170601_Self_Assessed_Freckles | ||||
| PX170601020000 | Do you have freckles? | Variable Mapping | ||
| PX170601_Self_Assessed_Melanoma | ||||
| PX170601060000 | Have you been diagnosed with melanoma in the more | Variable Mapping | ||
| PX170601_Self_Assessed_Melanoma_Family_History | ||||
| PX170601070000 | Has any of your first degree relatives more | Variable Mapping | ||
| PX170601_Self_Assessed_Moles | ||||
| PX170601030000 | How many moles do you approximately have on more | N/A | ||
| PX170601_Self_Assessed_Skin_Type | ||||
| PX170601010000 | What type of skin do you have? | N/A | ||
| PX170601_Self_Assessed_Sunburn | ||||
| PX170601040000 | Did you have one or more severe blistering more | N/A | ||
Measure Name
Skin Cancer
Release Date
November 12, 2010
Definition
This measure consists of a questionnaire and a physical examination to determine whether respondents are at risk for developing melanoma.
Purpose
This measure can be used to assess the main melanoma risk factors, such as family history, number of nevi, sun exposure, freckling tendency and skin type.
Keywords
skin cancer, melanoma, freckles, nevi, moles, sunburn, sun damage, skin damage, skin pigmentation, ultraviolet radiation, Ultraviolet light, ultraviolet exposure, UV, melanin, skin
Measure Protocols
| Protocol ID | Protocol Name |
|---|---|
| 170601 | Skin Cancer |
Publications
There are no publications listed for this protocol.