A Review of Evidence Related to Clinical Skin Examinations in Primary Care

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Title A Review of Evidence Related to Clinical Skin Examinations in Primary Care
Creator Andrea Farmer, Cara Thiel and Carrie Welter
Subject Skin examinations; primary care; MSN
Description To identify any potential benefit between total body skin examinations in primary; care and skin cancer incidence and outcomes. We reviewed all 46 articles referenced within the USPSTF 2016 Skin Cancer Recommendation. We reviewed all 26 articles referenced within the Mayo Clinic's 2017 Melanoma Screening Report. We searched articles published within the past five years, specifically Medline using terms: "skin cancer, primary care, and nurse practitioner" and "skin cancer, primary care, and U.S." We searched CINAHL using terms: "skin cancer screening and primary care," also "health promotion, USPSTF, and skin assessment," and "risk factors, skin cancer, and prevention." We searched EBSCOhost using: "skin cancer, screening, mortality, and primary care" and lastly "skin cancer, screening, and recommendations." In all, we reviewed 136 articles. Our results were consistent with USPSTF finding that more evidence is required.; That said, the USPSTF recommendation applies to adults with average risk factors only. We identified Utah residents as a high-risk population for skin cancer. We also found that limited provider skill and knowledge was a recurrent factor and poses a barrier to performing accurate skin examinations. Evidence is insufficient to support clinical skin assessments as part of routine physicals in the general adult population this is primarily due to a paucity of research. Some evidence does support regular screening of high-risk individuals by trained providers. Lastly, primary care providers require additional training and ongoing education to perform accurate skin assessments.
Publisher Westminster College
Date 2017-12
Type Text; Image
Language eng
Rights Management Digital copyright 2017, Westminster College. All rights Reserved.
ARK ark:/87278/s63v3t78
Setname wc_ir
Date Created 2018-12-12
Date Modified 2018-12-12
ID 1389250
Reference URL https://collections.lib.utah.edu/ark:/87278/s63v3t78
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