Skin cancer screening: recommendations for data-driven screening guidelines and a review of the US Preventive Services Task Force controversy

Author:

Johnson Mariah M1,Leachman Sancy A1,Aspinwall Lisa G2,Cranmer Lee D3,Curiel-Lewandrowski Clara4,Sondak Vernon K5,Stemwedel Clara E6,Swetter Susan M7,Vetto John6,Bowles Tawnya8,Dellavalle Robert P9,Geskin Larisa J10,Grossman Douglas2,Grossmann Kenneth F2,Hawkes Jason E2,Jeter Joanne M11,Kim Caroline C12,Kirkwood John M13,Mangold Aaron R14,Meyskens Frank15,Ming Michael E16,Nelson Kelly C17,Piepkorn Michael3,Pollack Brian P18,Robinson June K19,Sober Arthur J12,Trotter Shannon11,Venna Suraj S20,Agarwala Sanjiv21,Alani Rhoda22,Averbook Bruce23,Bar Anna6,Becevic Mirna24,Box Neil9,E Carson William11,Cassidy Pamela B6,Chen Suephy C18,Chu Emily Y16,Ellis Darrel L25,Ferris Laura K13,Fisher David E26,Kendra Kari11,Lawson David H27,Leming Philip D28,Margolin Kim A29,Markovic Svetomir30,Martini Mary C19,Miller Debbie6,Sahni Debjani22,Sharfman William H31,Stein Jennifer32,Stratigos Alexander J33,Tarhini Ahmad13,Taylor Matthew H6,Wisco Oliver J34,Wong Michael K35

Affiliation:

1. Department of Dermatology, Oregon Health & Science University, 3303 SW Bond Ave., Portland, OR, USA

2. University of Utah, Salt Lake City, UT, USA

3. University of Washington, Seattle, WA, USA

4. University of Arizona Cancer Center, Tucson, AZ, USA

5. Moffitt Cancer Center, Tampa, FL, USA

6. Oregon Health & Science University, Portland, OR, USA

7. Stanford University Medical Center & VA Palo Alto Health Care System, Palo Alto, CA, USA

8. Intermountain Healthcare & University of Utah, Salt Lake City, UT, USA

9. University of Colorado, Aurora, CO, USA

10. Columbia University, New York, NY, USA

11. The Ohio State University, Columbus, OH, USA

12. Harvard Medical School, Boston, MA, USA

13. University of Pittsburgh, Pittsburgh, PA, USA

14. Mayo Clinic Arizona, Scottsdale, AZ, USA

15. University of California, Irvine, Orange, CA, USA

16. University of Pennsylvania, Philadelphia, PA, USA

17. The University of Texas MD Anderson Cancer Center, Houston, TX, USA

18. Emory University & Atlanta VA Medical Center, Atlanta, GA, USA

19. Northwestern University Feinberg School of Medicine, Chicago, IL USA

20. Inova Medical Group, Fairfax, VA, USA

21. St Luke's University Hospital & Temple University, Bethlehem, PA, USA

22. Boston University, Boston, MA, USA

23. Case Western Reserve University, Cleveland, OH, USA

24. University of Missouri, Columbia, MO, USA

25. Vanderbilt University, Nashville, TN, USA

26. Harvard Medical School & Massachusetts General Hospital, Charlestown, MA, USA

27. Winship Cancer Institute of Emory University, Atlanta, GA, USA

28. The Christ Hospital, Cincinnati, OH, USA

29. City of Hope National Cancer Center, Duarte, CA, USA

30. Mayo Clinic Rochester, MN, USA

31. Johns Hopkins University, Baltimore, MD

32. NYU Langone Medical Center, New York, NY, USA

33. Department of Dermatology, University of Athens, Andreas Sygros Hospital, Athens, Greece

34. Bend Memorial Clinic, Bend, OR, USA

35. University of Texas MD Anderson Cancer Center, Houston, TX, USA

Abstract

Melanoma is usually apparent on the skin and readily detected by trained medical providers using a routine total body skin examination, yet this malignancy is responsible for the majority of skin cancer-related deaths. Currently, there is no national consensus on skin cancer screening in the USA, but dermatologists and primary care providers are routinely confronted with making the decision about when to recommend total body skin examinations and at what interval. The objectives of this paper are: to propose rational, risk-based, data-driven guidelines commensurate with the US Preventive Services Task Force screening guidelines for other disorders; to compare our proposed guidelines to recommendations made by other national and international organizations; and to review the US Preventive Services Task Force's 2016 Draft Recommendation Statement on skin cancer screening.

Publisher

Future Medicine Ltd

Subject

Dermatology,Oncology

Reference96 articles.

1. American Cancer Society. Cancer Facts & Figures 2016. https://cancer.org/research/cancerfactsstatistics/cancerfactsfigures2016/.

2. National Cancer Institute Surveillance, Epidemiology, and End Results Program. SEER Stat Fact Sheets: Melanoma of the Skin. http://seer.cancer.gov/statfacts/html/melan.html.

3. Visual Screening for Malignant Melanoma

4. American Academy of Dermatology. SPOTme®Skin Cancer Screenings. https://aad.org/public/spot-skin-cancer/programs/screenings.

5. Survival Is Not the Only Valuable End Point in Melanoma Screening

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