lunes, 27 de enero de 2014

Total body skin examination for skin cancer screeni... [Prev Med. 2014] - PubMed - NCBI

2014 Jan 10. pii: S0091-7435(14)00020-6. doi: 10.1016/j.ypmed.2014.01.003. [Epub ahead of print]

Total body skin examination for skin cancer screening among U.S. adults from 2000 to 2010.

Lakhani NA1, Saraiya M2, Thompson TD3, King SC4, Guy GP Jr5.

Author information

Abstract

OBJECTIVE:

Melanoma incidence and mortality are increasing among United States (U.S.) adults. Currently, routine skin cancer screening total body skin examinations (TBSEs) by a physician are not recommended by the United States Preventive Services Task Force (USPSTF); while organizations such as the American Cancer Society recommend screening. Currently, there are limited data on the prevalence, correlates, and trends of TBSE among U.S. adults.

METHODS:

We analyzed data by race/ethnicity, age, and skin cancer risk level, among other characteristics from three different National Health Interview Survey (NHIS) cancer control supplements conducted every five years since 2000 in random U.S. households. High-risk status and middle-risk status were defined based on the USPSTF criteria (age, race, sunburn, and family history).

RESULTS:

Prevalence of having at least one TBSE increased from 14.5 in 2000 to 16.5 in 2005 to 19.8 in 2010 (P<0.0001). In 2010, screening rates were higher among the elderly, the fair-skinned, those reporting sunburn(s), and individuals with a family history of skin cancer. Approximately 104.7million (51.1%) U.S. adults are at high-risk for developing melanoma, of which 24.0% had at least one TBSE.

CONCLUSIONS:

TBSE rates have been increasing since 2000 both overall and among higher-risk groups. Data on screening trends could help tailor future prevention strategies.