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USPSTF: Behavioral Counseling to Prevent Skin Cancer

JAMA; 2018 Mar 20; USPSTF, et al

The US Preventive Services Task Force (USPSTF) has issued an update to its 2012 recommendation on behavioral counseling for the primary prevention of skin cancer and the 2009 recommendation on screening for skin cancer with self-examination. The new recommendation statement includes:

  • The USPSTF recommends counseling young adults, adolescents, children, and parents of young children about minimizing exposure to UV radiation for persons aged 6 months to 24 years with fair skin types to reduce their risk of skin cancer. (B recommendation)
  • The USPSTF recommends that clinicians selectively offer counseling to adults aged >24 years with fair skin types about minimizing their exposure to UV radiation to reduce risk of skin cancer. Existing evidence indicates that the net benefit of counseling all adults aged >24 years is small. In determining whether this service is appropriate in individual cases, patients and clinicians should consider the presence of risk factors for skin cancer. (C recommendation)
  • The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of counseling adults about skin self-examination to prevent skin cancer. (I statement)

Citation:

Behavioral counseling to prevent skin cancer. US Preventive Services Task Force recommendation statement. JAMA. 2018;319(11):1134–1142. doi:10.1001/jama.2018.1623.

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