Melanoma Management (Mar 2017)

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

  • Mariah M Johnson,
  • Sancy A Leachman,
  • Lisa G Aspinwall,
  • Lee D Cranmer,
  • Clara Curiel-Lewandrowski,
  • Vernon K Sondak,
  • Clara E Stemwedel,
  • Susan M Swetter,
  • John Vetto,
  • Tawnya Bowles,
  • Robert P Dellavalle,
  • Larisa J Geskin,
  • Douglas Grossman,
  • Kenneth F Grossmann,
  • Jason E Hawkes,
  • Joanne M Jeter,
  • Caroline C Kim,
  • John M Kirkwood,
  • Aaron R Mangold,
  • Frank Meyskens,
  • Michael E Ming,
  • Kelly C Nelson,
  • Michael Piepkorn,
  • Brian P Pollack,
  • June K Robinson,
  • Arthur J Sober,
  • Shannon Trotter,
  • Suraj S Venna,
  • Sanjiv Agarwala,
  • Rhoda Alani,
  • Bruce Averbook,
  • Anna Bar,
  • Mirna Becevic,
  • Neil Box,
  • William E Carson,
  • Pamela B Cassidy,
  • Suephy C Chen,
  • Emily Y Chu,
  • Darrel L Ellis,
  • Laura K Ferris,
  • David E Fisher,
  • Kari Kendra,
  • David H Lawson,
  • Philip D Leming,
  • Kim A Margolin,
  • Svetomir Markovic,
  • Mary C Martini,
  • Debbie Miller,
  • Debjani Sahni,
  • William H Sharfman,
  • Jennifer Stein,
  • Alexander J Stratigos,
  • Ahmad Tarhini,
  • Matthew H Taylor,
  • Oliver J Wisco,
  • Michael K Wong

DOI
https://doi.org/10.2217/mmt-2016-0022
Journal volume & issue
Vol. 4, no. 1
pp. 13 – 37

Abstract

Read online

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.

Keywords