Author/Editor		Leest, R.J.T.; Bartenjev, Igor
Title		The Euromelanoma skin cancer prevention campaign in Europe
Type		članek
Vol. and No.		Letnik 25, št. 12
Publication year		2011
Volume		str. 1455-1465
ISSN		0926-9959 - Journal of the European Academy of Dermatology and Venereology : JEADV
Language		eng
Abstract		Background: Euromelanoma is a skin cancer education and prevention campaign that started in 1999 in Belgium as ?Melanoma day'. Since 2000, it is active in a large and growing number of European countries under the name Euromelanoma. Objective: To evaluate results of Euromelanoma in 2009 and 2010 in 20 countries, describing characteristics of screenees, rates of clinically suspicious lesions for skin cancer and detection rates of melanomas. Methods: Euromelanoma questionnaires were used by 20 countries providing their data in a standardized database (Belgium, Croatia, Cyprus, Czech Republic, FYRO Macedonia, Germany, Greece, Hungary, Italy, Lithuania, Luxembourg, Malta, Moldavia, Portugal, Serbia, Slovenia, Spain, Sweden, Switzerland and Ukraine). Results: In total, 59 858 subjects were screened in 20 countries. Most screenees were female (64%), median ages were 43 (female) and 46 (male) and 33% had phototype I or II. The suspicion rates ranged from 1.1% to 19.4% for melanoma (average 2.8%), from 0.0% to 10.7% for basal cell carcinoma (average 3.1%) and from 0.0% to 1.8% for squamous cell carcinoma (average 0.4%). The overall positive predictive value of countries where (estimation of) positive predictive value could be determined was 13.0%, melanoma detection rates varied from 0.1% to 1.9%. Dermoscopy was used in 78% of examinations with clinically suspected melanoma; full body skin examination was performed in 72% of the screenees. Conclusion: Although the population screened during Euromelanoma was relatively young, high rates of clinically suspected melanoma were found. The efficacy of Euromelanoma could be improved by targeting high-risk populations and by better use of dermoscopy and full body skin examination.
Keywords		skin cancer melanoma prevention kožni rak melanom preprečevanje