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2023USPSTF建议声明:皮肤癌的筛查

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2023USPSTF建议声明:皮肤癌的筛查-医知素材库
2023USPSTF建议声明:皮肤癌的筛查
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Clinical Review EducationJAMA I US Preventive Services Task Force RECOMMENDATION STATEMENTScreening for Skin CancerUS Preventive Services Task Force Recommendation StatementUS Preventive Services Task ForceEditorial page1259IMPORTANCE Skin cancer is the most commonly diagnosed cancer in the US.There aredifferent types of skin cancer varying in disease incidence and severity.Basal and squamous⊕Multimediacell carcinomas are the most common types of skin cancer but infrequently lead to death orRelated article page 1296substantial morbidity.Melanomas represent about 1%of skin cancer and cause the most skinand JAMAPatient Pagepage 1324cancer deaths.Melanoma is about 30 times more common in White persons than in Blackpersons.However,persons withdarker skincolor are oftendiagnosed at later stages,whenSupplemental contentskin cancer is more difficult to treat.Related articlesatOBJECTIVE To update its 2016 recommendation,the US Preventive Services Task Forcejamadermatology.com(USPSTF)commissioned a systematic review on the benefits and harms of screening for skinjamainternalmedicne.comcancer in asymptomatic adolescents and adults.POPULATION Asymptomatic adolescents and adults who do not have a history ofpremalignant or malignant skin lesions.EVIDENCE ASSESSMENT The USPSTF concludes that the evidence is insufficient to determinethe balance of benefits and harms of visual skin examination by a clinician to screen for skinAuthor/GroupInformation:Thecancer in asymptomatic adolescents and adults.USPreventive Services Task Force(USPSTF)members are listed at theRECOMMENDATION The USPSTF concludes that the current evidence is insufficient to assessend of this article.the balance of benefits and harms of visual skin examination by a clinician to screen for skinCorresponding Author:Carol M.cancer in adolescents and adults.statement)Mangione,MD,MSPH,David GeffenSchool of Medicine,University ofCalifomnia,Los Angeles,109404MA.2023329(5:H290-295.doi:101001jama2023.4342Wilshire Blvd,Ste 700.Los Angeles,CA 90024 (chair @uspstf.net).Summary of RecommendationPopulationRecommendationGradeAsymptomatic adolescentsThe USPSTF conc ludes that the currentevidence is insufficient to assessand adultsthe balance of benefits and harms of visualskin examination by a clinicianto screen for skin cancer in adolescents and adults.See the Practice Considerations section for additional informationregarding the I statement.USPSTF indicatesUS PreventiveServices Task Force.See the Summary of Recommendation figure.The USPSTF recognizes that clinical decisions involve morecon-Preamblesiderations than evidence alone Oinicians should understandthe evi-dence but individualize decision-making to the specificpatientor situ-The US Preventive Services Task Force (USPSTF)makes recommen-ation.Similarly,the USPSTF notes that policy and coverage decisionsdations about the effectiveness of specific preventive care servicesin volve considerations in addition to the evidence of clinical benefitsfor patients w
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