Meeting The health of the nation target for skin cancer: problems with tackling prevention and monitoring trends

The White Paper The health of the nation challenges us to halt the rising incidence and mortality from skin cancer. Means of achieving this include various approaches to educating the public and modifying sun exposure and promotion of early detection of cancers. Some initiatives can be organized loc...

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Bibliographic Details
Published in:Journal of public health (Oxford, England) England), 1994-06, Vol.16 (2), p.225-232
Main Authors: Melia, Jane, Ellman, Ruth, Chamberlain, Jocelyn
Format: Article
Language:English
Subjects:
Bias
Case-Control Studies
Forecasting
Health Education - organization & administration
Health Priorities
Humans
Incidence
Mass Screening
Melanoma - diagnosis
Melanoma - epidemiology
Melanoma - etiology
Melanoma - prevention & control
Population Surveillance - methods
Prevention
Primary Prevention - organization & administration
Registries
Risk Factors
Skin cancer
Skin Neoplasms - diagnosis
Skin Neoplasms - epidemiology
Skin Neoplasms - etiology
Skin Neoplasms - prevention & control
Sunlight - adverse effects
United Kingdom - epidemiology
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Summary:The White Paper The health of the nation challenges us to halt the rising incidence and mortality from skin cancer. Means of achieving this include various approaches to educating the public and modifying sun exposure and promotion of early detection of cancers. Some initiatives can be organized locally but others require national co-ordination. Evaluation of the impact on health and the cost of preventive programmes is important because the effectiveness of health education packages and campaigns that aim to reduce the incidence or death from skin cancer has yet to be proved. As the majority of skin cancers do not metastasize, it is on melanoma that efforts to improve registration should be focused. Cancer registries have particular difficulty in monitoring the incidence of skin cancer where treatment is simply excision. Improved ascertainment and a shift towards early diagnosis will cause artefactual increases in incidence. Investigation of the trends will therefore require careful interpretation.
ISSN:1741-3842
0957-4832
1741-3850
1464-3782
DOI:10.1093/oxfordjournals.pubmed.a042961