Full proceedings from the National Conference to Develop a National Skin Cancer Agenda
Lowell A. GoldsmithHoward K. KohBarbara BewerseBarbara ReilleyStephen W WyattWilma F. BergfeldAlan C. GellerPatricia Farris Walters
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Abstract:
National efforts to reduce skin cancer incidence and mortality require scientifically coordinated efforts. This report summarizes the first American Academy of Dermatology/Centers for Disease Control and Prevention national conference to develop a skin cancer agenda. Leading experts in dermatology, public health, medicine, health education, nursing, behavioral sciences, environmental health and epidemiology identified and prioritized skin cancer control issues in five key areas. Discussion centered around strategies for reducing UV exposure and increasing public and professional awareness of skin cancer. Panelists in five sessions developed consensus on several public and professional recommendations and a series of research strategies.Keywords:
Cancer Prevention
Disease Control
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Nonmelanoma skin cancer has attracted little research interest compared with melanoma, although the former has a 10-fold greater incidence. The aggressiveness of melanoma has diverted attention from other forms of skin cancer for which reliable information is lacking. Until the size of the problem and the need for resources are determined, research will not be forthcoming or justified. Nonmelanoma skin cancer is arguably one of the most common cancers in humans today and its incidence is increasing rapidly. Its low mortality rate detracts attention from the high morbidity, both psychologic and physical, with which it is associated and from the drain on health resources that it generates.
Squamous cell cancer
Sun Exposure
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Summary Prevention signifies the avoidance of diseases. It also includes the early detection of diseases and taking measures to avoid worsening of an existing disease. Prevention is divided into primary, secondary and tertiary prevention. The prevention of skin cancer is particularly important due to the rising incidence of skin cancer in recent years. In Germany, 195.000 new cases of skin cancer, including non melanoma skin cancer and melanoma are occurring. Therefore, skin cancer is among the most common cancer diseases. Primary prevention comprises the reduction of skin cancer risk behavior, including education about the danger of UV exposure and the right way of dealing with natural and artificial UV radiation. The implementation of a systematic skin cancer screening in Germany contributes to secondary prevention. First data from the initial project in Schleswig‐Holstein, Germanyís most northern state, indicate for the first time that the incidence and mortality of melanoma can be reduced by secondary prevention. For tertiary prevention, the national associations recommend a risk‐adapted, evidence‐based follow‐up for all types of skin cancer. From the perspectives of the payers and from the patients, prevention is assessed positively. Prevention can contribute to a reduction of disease burden.
Cancer Prevention
Secondary Prevention
Primary Prevention
Disease Prevention
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It is vitally important for HCAs and APs to be knowledgeable about skin cancer and its prevention, as it is the most common cancer in the UK at present. This article describes the 3 main types of skin cancer and their prevalence, and explores who is at risk of developing skin cancer. The importance of skin and sun awareness is examined, along with the warning signs of skin cancer. The HCA/AP role in prevention is explored; this includes: skin assessment, encouraging skin awareness in others and giving appropriate advice to ‘at-risk’ individuals or groups. Current sun health promotion messages and useful sources of web-based information for both healthcare professionals and the public are also provided.
Cancer Prevention
Sun protection
Health Professionals
Promotion (chess)
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Diagnoses of both melanoma and nonmelanoma skin cancers are becoming increasingly common among young adults. Interventions in this population are a priority because they do not consistently follow skin cancer prevention recommendations.
Cancer Prevention
Risk Perception
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Cancer Prevention
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Sun Exposure
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Division of Cancer Prevention and Control, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention. Atlanta, GA; and the National Center for Health Statistics, Centers for Disease Control and Prevention, Hyattsville, MD.
Disease Control
Cancer Prevention
Atlanta
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Atopy
Sting
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