Background

The incidence of melanoma is rising faster than that of any other preventable cancer in the United States. The American Academy of Dermatology has sponsored free skin cancer education and screenings conducted by volunteer dermatologists in the United States since 1985.

Objective

We aimed to assess the American Academy of Dermatology's national skin cancer screening program from 1986 to 2014 by analyzing the risk factor profile, access to dermatologic services, and examination results.

Methods

We conducted several detailed statistical analyses of the screening population.

Results

From 1986 to 2014, records were available for 2,046,531 screenings, 1,963,141 (96%) of which were subjected to detailed analysis. Men comprised 38% of all participants. The number of annual screenings reached approximately 100,000 in 1990 and remained relatively stable thereafter. From 1991 to 2014 (data for 1995, 1996 and 2000 were unavailable), clinical diagnoses were rendered for 20,628 melanomas, 156,087 dysplastic nevi, 32,893 squamous cell carcinomas, and 129,848 basal cell carcinomas. Only 21% of screenees had a regular dermatologist. Those with a clinical diagnosis of skin cancer were more likely than the general screening population to be uninsured.

Limitations

Inability to verify clinical diagnoses histopathologically.

Conclusion

Our findings suggest that the SPOTme program has detected thousands of skin cancers that may have gone undetected or experienced a delay in detection.

中文翻译：

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美国皮肤科学院皮肤癌筛查计划的前30年：1985-2014年。

背景

黑色素瘤的发病率上升速度快于美国其他任何可预防的癌症。自1985年以来，美国皮肤科学院一直赞助免费的皮肤癌教育和筛查工作，由美国自愿的皮肤科医生进行。

客观的

我们旨在通过分析风险因素概况，获得皮肤病学服务的机会以及检查结果，评估1986年至2014年美国皮肤科学院的国家皮肤癌筛查计划。

方法

我们对筛查人群进行了一些详细的统计分析。

结果

从1986年到2014年，可获得2,046,531场筛查的记录，其中1,963,141例（占96％）经过了详细分析。男性占所有参与者的38％。1990年，每年的放映次数达到约100,000次，此后保持相对稳定。从1991年到2014年（尚无1995、1996和2000年的数据），临床诊断为20628例黑色素瘤，156087例增生性痣，32893例鳞状细胞癌和129848例基底细胞癌。只有21％的受检者有正规的皮肤科医生。与一般筛查人群​​相比，具有皮肤癌临床诊断的人更有可能没有保险。

局限性

无法通过组织病理学验证临床诊断。

结论

我们的发现表明，SPOTme程序已检测出数千种可能未被发现或检测延迟的皮肤癌。