皮肤癌查:美国预防服务工作组建议声明
, Carol M Mangione1, Michael J Barry2
1University of California, Los Angeles.
JAMA
|April 18, 2023
概括
美国预防服务工作组发现没有足够的证据来推对无症状个体进行皮肤癌查. 需要更多的研究来确定视觉皮肤检查的益处和危害.
科学领域:
- 皮肤病学
- 预防医学
- 癌症学
背景情况:
- 皮肤癌是美国最常见的癌症,
- 黑色素瘤在白人中更为普遍,
- 早期发现和治疗对于更好的结果至关重要.
研究的目的:
- 更新2016年关于皮肤癌查的建议.
- 系统地审查查无症状个体的益处和危害.
- 为皮肤癌检测提供临床实践指南.
主要方法:
- 美国预防服务工作组 (USPSTF) 委托进行系统审查.
- 针对无症状青少年和没有皮肤病变史的成年人进行皮肤癌查.
- 临床医生对视觉皮肤检查的益处和危害进行了评估.
主要成果:
- 美国公共卫生检查委员会发现对查的益处和危害的证据不足.
- 目前的证据不支持或反驳无症状个体的常规查.
- 需要进一步的研究来确定皮肤癌查的有效性.
结论:
- 美国皮肤癌检查委员会得出结论,证据不足以评估皮肤癌查视觉皮肤检查的益处与危害的平衡.
- 一个"I"声明表明证据不足.
- 在无症状人群中进行皮肤癌查的建议仍未确定.
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