4.6 Article

Skin cancer: Primary, secondary, and tertiary prevention. Part I

Journal

JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY
Volume 87, Issue 2, Pages 255-268

Publisher

MOSBY-ELSEVIER
DOI: 10.1016/j.jaad.2021.12.066

Keywords

health promotion; keratinocyte carcinoma; melanoma; primary prevention; primordial prevention; risk factors; skin cancer; sunscreen; ultraviolet radiation

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Skin cancer is the most commonly diagnosed cancer worldwide, and prevention and control strategies can be categorized into health promotion, primary prevention, secondary prevention, and tertiary prevention. This review covers the epidemiology, risk factors, primordial prevention, and primary prevention of melanoma and keratinocyte skin cancers, while also discussing existing recommendations, challenges, opportunities, and future directions.
Skin cancer is the most commonly diagnosed cancer worldwide. Understanding the natural history of skin cancer provides the framework for the creation of prevention and control strategies that aim to reduce the skin cancer burden. Based on the target (individual vs population), disease stage, and risk factors (modifiable vs nonmodifiable), strategies can be categorized into 4 levelsdhealth promotion (also known as primordial prevention), primary prevention, secondary prevention, and tertiary prevention. This is the first of a 2-part review, which will cover the epidemiology, risk factors, primordial prevention, and primary prevention of melanoma and keratinocyte skin cancers. In particular, we highlight preventive strategies centered on mitigating the impact of modifiable risk factors and potential interventions for health promotion and primary prevention of skin cancer. Summaries of existing recommendations, challenges, opportunities, and future directions are also discussed. ( J Am Acad Dermatol 2022;87:255-68.)

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