Behavioral counseling to prevent skin cancer: systematic evidence review to update the 2003 U.S. Preventive Services Task Force Recommendation
Lin JS, Eder M, Weinmann S, Zuber SP, Beil TL, Plaut D, Lutz K
Record ID 32011000563
English
Authors' objectives:
We conducted this systematic evidence review of five key questions to assist the U.S. Preventive Services Task Force (USPSTF) in updating its 2003 recommendation on behavioral counseling to prevent skin cancer (melanoma, basal cell carcinoma, and squamous cell carcinoma).
Authors' recommendations:
A limited number of RCTs suggest that primary care relevant behavioral counseling can minimally increase sun protection composite scores in adults and their newborns, decrease indoor tanning and objectively measured pigmentation in college students, and decrease midday sun exposure and increase sunscreen use in young adolescents. The clinical significance of small changes in sun protection composite scores is unclear. Many of the counseling interventions incorporated computerized support that could generate tailored feedback. Evidence, mostly from case-control studies, suggests that intermittent sun exposure, especially in childhood, is associated with an increase drisk for skin cancer. Regular sunscreen use can prevent squamous cell carcinoma, but it is unclear if it can prevent basal cell carcinoma or melanoma. Therefore, behavioral counseling to promote skin cancer prevention should focus on improving multiple behaviors to reduce UV exposure and not improving sunscreen use alone. There is some evidence to suggest that regular and early use of indoor tanning devices may increase the risk for melanoma. However, sunscreen and indoor tanning technologies have changed substantially over the past 20 to 30 years.
Details
Project Status:
Completed
URL for project:
http://www.ncbi.nlm.nih.gov/books/NBK53508/pdf/TOC.pdf
Year Published:
2011
URL for published report:
http://www.ncbi.nlm.nih.gov/books/NBK53508/
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
United States
MeSH Terms
- Behavior Therapy
- Primary Prevention
- Skin Neoplasms
Contact
Organisation Name:
Agency for Healthcare Research and Quality
Contact Address:
Center for Outcomes and Evidence Technology Assessment Program, 540 Gaither Road, Rockville, MD 20850, USA. Tel: +1 301 427 1610; Fax: +1 301 427 1639;
Contact Name:
martin.erlichman@ahrq.hhs.gov
Contact Email:
martin.erlichman@ahrq.hhs.gov
Copyright:
Agency for Healthcare Research and Quality (AHRQ)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.