Virginia A. Moyer, MD, MPH; on behalf of the U.S. Preventive Services Task Force
Disclaimer: Recommendations made by the USPSTF are independent of the U.S. government. They should not be construed as an official position of the Agency for Healthcare Research and Quality or the U.S. Department of Health and Human Services.
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Potential Conflicts of Interest: Disclosure forms from USPSTF members can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M12-0798.
Requests for Single Reprints: Reprints are available from the USPSTF Web site (www.uspreventiveservicestaskforce.org).
Moyer VA, OBOTUPSTF. Behavioral Counseling to Prevent Skin Cancer: U.S. Preventive Services Task Force Recommendation Statement. Ann Intern Med. 2012;157:59-65. doi: 10.7326/0003-4819-157-1-201207030-00442
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Published: Ann Intern Med. 2012;157(1):59-65.
Update of the 2003 U.S. Preventive Services Task Force (USPSTF) recommendation statement on counseling to prevent skin cancer.
The USPSTF performed a targeted literature search for new evidence that counseling patients about sun protection reduces intermediate outcomes (such as sunburn) or skin cancer. Other key questions addressed the link between counseling and behavior change, the link between behavior change and incidence of skin cancer, and the adverse effects of counseling or sun-protective behavior changes.
The USPSTF recommends counseling children, adolescents, and young adults aged 10 to 24 years who have fair skin about minimizing their exposure to ultraviolet radiation to reduce risk for skin cancer (B recommendation).
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of counseling adults older than 24 years about minimizing risks to prevent skin cancer (I statement).
Behavioral counseling to prevent skin cancer: clinical summary of U.S. Preventive Services Task Force recommendation.
What the USPSTF Grades Mean and Suggestions for Practice
Levels of Certainty Regarding Net Benefit
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Scott E, Kinkade, Physician
University of Missouri School of Medicine
May 8, 2012
Counseling burden vs benefit?
As recommendations for counseling patients increase, the number of things that can be done during a typical outpatient visit decreases.
Most USPSTF recommendations are based on how well the intervention does to save lives and prevent disease.
How many patients need to be counseled to prevent skin cancer? No idea. It could be that a million patients need to be counseled to prevent one case of skin cancer. And to prevent a death? There is no telling how many would need to be counseled.
Hematology/Oncology, Guidelines, Cancer Screening/Prevention, Prevention/Screening.
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