Evaluating the support of pigmented lesion expert dermatologists for the use of skin self-examinations     

Abstract

Objectives: This study addresses the knowledge gap on optimal frequency of skin self-examinations (SSE) for skin cancer prevention in the United States. Our results offer guidance on optimal SSE practices based upon recommendations from pigmented lesion expert dermatologists, and discussion on how melanoma risk factors impact these recommendations. Methods: We surveyed pigmented lesion expert, board-certified dermatologists who are active members of the Melanoma Prevention Working Group, between August and November 2023. The survey was anonymous and the deidentified data were analyzed qualitatively. Results: The response rate was 64%. Nearly all dermatologists surveyed (97%) recommend SSE for patients with at least one melanoma risk factors, with the majority (64%) recommending SSE within a 1-to-3-month timeframe. For patients without identifiable risk factors, the experts in this study still recommend SSE (78%), though a consensus on frequency was not reached. Conclusions: Despite the lack of endorsement from the United States Preventive Services Task Force, our findings show pigmented lesion experts overwhelmingly recommend SSE. We believe targeted SSE recommendations can facilitate the detection of early-stage melanomas and have the potential to reduce melanoma morbidity.