Early detection of melanoma: a consensus report from the Australian Skin and Skin Cancer Research Centre Melanoma Screening Summit
Abstract Introduction: A Melanoma Screening Summit was held in Brisbane, Australia, to review evidence regarding current approaches for early detection of melanomas and explore new opportunities. Results: Formal population‐based melanoma screening is not carried out in Australia, but there is eviden...
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doaj-75233a4219394a69985a576c7ad286502020-11-25T02:41:52ZengWileyAustralian and New Zealand Journal of Public Health1326-02001753-64052020-04-0144211111510.1111/1753-6405.12972Early detection of melanoma: a consensus report from the Australian Skin and Skin Cancer Research Centre Melanoma Screening SummitMonika Janda0Anne E. Cust1Rachel E. Neale2Joanne F. Aitken3Peter D. Baade4Adele C. Green5Kiarash Khosrotehrani6Victoria Mar7H. Peter Soyer8David C. Whiteman9Centre for Health Services Research, Faculty of Medicine The University of QueenslandSydney School of Public Health and Melanoma Institute Australia The University of Sydney New South WalesQIMR Berghofer Medical Research Institute, QueenslandCancer Council QueenslandCancer Council QueenslandQIMR Berghofer Medical Research Institute, QueenslandThe University of Queensland Diamantina Institute The University of Queensland, Dermatology Research Centre QueenslandSchool of Public Health and Preventive Medicine Monash University VictoriaThe University of Queensland Diamantina Institute The University of Queensland, Dermatology Research Centre QueenslandQIMR Berghofer Medical Research Institute, QueenslandAbstract Introduction: A Melanoma Screening Summit was held in Brisbane, Australia, to review evidence regarding current approaches for early detection of melanomas and explore new opportunities. Results: Formal population‐based melanoma screening is not carried out in Australia, but there is evidence of considerable opportunistic screening as well as early detection. Biopsy rates are rising and most melanomas are now diagnosed when in situ. Based on evidence review and expert opinion, the Summit attendees concluded that there is currently insufficient information in terms of comparative benefits, harms and costs to support change from opportunistic to systematic screening. Assessment of gains in precision and cost‐effectiveness of integrating total body imaging, artificial intelligence algorithms and genetic risk information is required, as well as better understanding of clinical and molecular features of thin fatal melanomas. Conclusions: Research is needed to understand how to further optimise early detection of melanoma in Australia. Integrating risk‐based population stratification and more precise diagnostic tests is likely to improve the balance of benefits and harms of opportunistic screening, pending assessment of cost‐effectiveness. Implications for public health: The Summit Group identified that the personal and financial costs to the community of detecting and treating melanoma are rising, and this may be mitigated by developing and implementing a more systematic process for diagnosing melanoma.https://doi.org/10.1111/1753-6405.12972melanomascreeningpreventionearly detectionskin cancer |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Monika Janda Anne E. Cust Rachel E. Neale Joanne F. Aitken Peter D. Baade Adele C. Green Kiarash Khosrotehrani Victoria Mar H. Peter Soyer David C. Whiteman |
spellingShingle |
Monika Janda Anne E. Cust Rachel E. Neale Joanne F. Aitken Peter D. Baade Adele C. Green Kiarash Khosrotehrani Victoria Mar H. Peter Soyer David C. Whiteman Early detection of melanoma: a consensus report from the Australian Skin and Skin Cancer Research Centre Melanoma Screening Summit Australian and New Zealand Journal of Public Health melanoma screening prevention early detection skin cancer |
author_facet |
Monika Janda Anne E. Cust Rachel E. Neale Joanne F. Aitken Peter D. Baade Adele C. Green Kiarash Khosrotehrani Victoria Mar H. Peter Soyer David C. Whiteman |
author_sort |
Monika Janda |
title |
Early detection of melanoma: a consensus report from the Australian Skin and Skin Cancer Research Centre Melanoma Screening Summit |
title_short |
Early detection of melanoma: a consensus report from the Australian Skin and Skin Cancer Research Centre Melanoma Screening Summit |
title_full |
Early detection of melanoma: a consensus report from the Australian Skin and Skin Cancer Research Centre Melanoma Screening Summit |
title_fullStr |
Early detection of melanoma: a consensus report from the Australian Skin and Skin Cancer Research Centre Melanoma Screening Summit |
title_full_unstemmed |
Early detection of melanoma: a consensus report from the Australian Skin and Skin Cancer Research Centre Melanoma Screening Summit |
title_sort |
early detection of melanoma: a consensus report from the australian skin and skin cancer research centre melanoma screening summit |
publisher |
Wiley |
series |
Australian and New Zealand Journal of Public Health |
issn |
1326-0200 1753-6405 |
publishDate |
2020-04-01 |
description |
Abstract Introduction: A Melanoma Screening Summit was held in Brisbane, Australia, to review evidence regarding current approaches for early detection of melanomas and explore new opportunities. Results: Formal population‐based melanoma screening is not carried out in Australia, but there is evidence of considerable opportunistic screening as well as early detection. Biopsy rates are rising and most melanomas are now diagnosed when in situ. Based on evidence review and expert opinion, the Summit attendees concluded that there is currently insufficient information in terms of comparative benefits, harms and costs to support change from opportunistic to systematic screening. Assessment of gains in precision and cost‐effectiveness of integrating total body imaging, artificial intelligence algorithms and genetic risk information is required, as well as better understanding of clinical and molecular features of thin fatal melanomas. Conclusions: Research is needed to understand how to further optimise early detection of melanoma in Australia. Integrating risk‐based population stratification and more precise diagnostic tests is likely to improve the balance of benefits and harms of opportunistic screening, pending assessment of cost‐effectiveness. Implications for public health: The Summit Group identified that the personal and financial costs to the community of detecting and treating melanoma are rising, and this may be mitigated by developing and implementing a more systematic process for diagnosing melanoma. |
topic |
melanoma screening prevention early detection skin cancer |
url |
https://doi.org/10.1111/1753-6405.12972 |
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