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dc.contributor.authorJanda, Monika
dc.contributor.authorCust, Anne E
dc.contributor.authorNeale, Rachel E
dc.contributor.authorAitken, Joanne F
dc.contributor.authorBaade, Peter D
dc.contributor.authorGreen, Adele C
dc.contributor.authorKhosrotehrani, Kiarash
dc.contributor.authorMar, Victoria
dc.contributor.authorSoyer, H Peter
dc.contributor.authorWhiteman, David C
dc.date.accessioned2020-04-30T01:46:06Z
dc.date.available2020-04-30T01:46:06Z
dc.date.issued2020
dc.identifier.issn1326-0200
dc.identifier.doi10.1111/1753-6405.12972
dc.identifier.urihttp://hdl.handle.net/10072/393522
dc.description.abstractIntroduction: 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.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley
dc.relation.ispartofpagefrom111
dc.relation.ispartofpageto115
dc.relation.ispartofissue2
dc.relation.ispartofjournalAustralian and New Zealand Journal of Public Health
dc.relation.ispartofvolume44
dc.subject.fieldofresearchOncology and carcinogenesis
dc.subject.fieldofresearchHealth services and systems
dc.subject.fieldofresearchPublic health
dc.subject.fieldofresearchApplied economics
dc.subject.fieldofresearchPolicy and administration
dc.subject.fieldofresearchcode3211
dc.subject.fieldofresearchcode4203
dc.subject.fieldofresearchcode4206
dc.subject.fieldofresearchcode3801
dc.subject.fieldofresearchcode4407
dc.subject.keywordsearly detection
dc.subject.keywordsmelanoma
dc.subject.keywordsprevention
dc.subject.keywordsscreening
dc.subject.keywordsskin cancer
dc.titleEarly detection of melanoma: a consensus report from the Australian Skin and Skin Cancer Research Centre Melanoma Screening Summit
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationJanda, M; Cust, AE; Neale, RE; Aitken, JF; Baade, PD; Green, AC; Khosrotehrani, K; Mar, V; Soyer, HP; Whiteman, DC, 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, 2020, 44 (2), pp. 111-115
dcterms.dateAccepted2020-01-01
dcterms.licensehttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.date.updated2020-04-30T01:43:34Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© 2020 The Authors. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
gro.hasfulltextFull Text
gro.griffith.authorAitken, Joanne
gro.griffith.authorBaade, Peter D.


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