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Is melanoma screening by primary care practitioners linked with overdiagnosis?


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Journal
JAMA Dermatology
Reuters Health - 12/04/2022 - Primary care-based screening for melanoma is associated with greater detection of thin melanoma, potentially risking overdiagnosis of indolent lesions, researchers say. "The significant increase in melanoma incidence in the U.S., particularly thin melanoma, without a concomitant decrease in melanoma mortality, raises the concern that early detection efforts, such as visual skin screening, may result in... the detection of indolent lesions that would not have progressed to fatal melanoma prior to being detected by routine care," the authors of a new study wrote in JAMA Dermatology. The University of Pittsburgh Medical Center (UPMC) began a primary care screening initiative in 2014; participating clinicians received training in melanoma identification by skin examination and were encouraged to offer annual screening to patients 35 years and older. The current study reports outcomes from the first five years of the program. The main...


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