…formally recommended by any physician organizations* and are NOT included in the FREE/NO COST Preventive Services** that are available in all health insurance for everyone! -This needs to change!

per the U.S. PREVENTIVE SERVICES TASK FORCE (USPSTF)*:

https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/skin-cancer-screening2 *(2016)

https://www.uspreventiveservicestaskforce.org/Page/Document/RecommendationStatementFinal/skin-cancer-counseling2 *(2018)

RE: SKIN EXAMS - “Recommendations by Others”:

…”The American College of Physicians has no current guidance on skin cancer screening by a clinician, nor does the College of Preventive Medicine”. 

…”The American Academy of Family Physicians concludes that current evidence is insufficient to assess the balance of benefit and harms of visual skin cancer screening in adults”.

…”The American Academy of Dermatology does not have formal guidelines on skin cancer screening”.

…”The American Cancer Society does not recommend skin cancer screening for average risk adults”.

RE: SUNSCREEN - “Other Approaches to Prevention”:

 "children, adolescents and young adults to age 24 who have fair skin should be counseled about minimizing their exposure to UV radiation to minimize their risk of developing skin cancer.” 

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WHO IS THE USPSTF*?

The U.S. Preventive Services Task Force is an independent group that “makes recommendations (to the Department of Health and Human Services and the U.S. Congress) (“based on a rigorous review of existing peer-reviewed evidence”) about the effectiveness of specific clinical preventive services for patients without obvious related sign and symptoms”*

1) so that they may be considered for inclusion in the FREE/NO COST Preventive Services ** (i.e. mammograms, prostate exams, colonoscopes, etc.) for everyone with health insurance in this country and

2) are “intended to help primary care clinicians and patients decide together whether a preventive service is right for a patient’s needs”. 

https://www.healthcare.gov/preventive-care-adults/ **

https://www.healthcare.gov/preventive-care-women/ **

https://www.medicare.gov/coverage/preventive-screening-services **

  DECISION OF THE USPSTF 2016/2018

Despite the fact that skin cancer/melanoma is the most common cancer, by far, in this country:

Clinical Skin Exams, Self Skin Exams and the General Use of Sunscreen are NOT recommended for the FREE/NO COST Preventive Services** (such as mammograms, prostate exams, colonoscopes, etc.,) due to insufficient evidence. 

Therefore, if you would want or need a clinical skin exam YOU MUST PAY FOR IT!

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WARNING! About LARSCAF.org Recommendations

LAR (Lori Ann Reigert) Skin Cancer Awareness Foundation.org:

1) Recommendations and promotions of the general use of sunscreen to limit UV ray exposure for Prevention of skin cancer/melanoma and

2) Recommendations and promotions of skin exams for early Detection and survival of skin cancer/melanoma 

are NOT formally, medically recommended by any physician organizations.

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THE RESPONSE OF SKIN EXPERTS ON THE USPSTF DECISION

TO NOT RECOMMEND SKIN EXAMS

“The American Academy of Dermatology is disappointed with this “I” (insufficient evidence)recommendation (by the USPSTF), as dermatologists know that skin cancer screenings can save lives, yet we acknowledge the need for additional research…”

https://www.aad.org/media/news-releases/aad-statement-on-uspstf

American Academy of Dermatology (AAD) recommendations: aad.org

“Exposure to UV light is the most preventable risk factor for skin cancer”.

“Use sunscreen whenever you are going to be outside, even on cloudy days”. 

“The SPOTme® Skin Cancer Screening Program is the American Academy of Dermatologist's longest-standing public health program. Since its inception in 1985, dermatologists have conducted more than 2.7 million free skin cancer screenings with more than 271,000 suspicious lesions detected, and more than 30,000 suspected melanomas. Millions of people have been educated about the importance of sun protection and early cancer detection through the skin cancer screening program. As a result, countless lives have been saved by identifying melanomas in their earliest, most treatable stage.”

American Society for Dermatologic Surgery (ASDS)

“Dermatologic surgeons - who are experts in skin disease treatment - do not believe this ”insufficient evidence” recommendation is accurate”. “Screenings often lead to early detection and treatment, which lead to better outcomes and higher survival for patients”.

https://www.healio.com/dermatology/cutaneous-oncology/news/online/%7B51606be9-4f44-4e2c-8b08-a67ff02ebbb0%7D/aad-asds-express-disappointment-on-uspstf-skin-cancer-screening-statement

Expert Panel Recommends National guide Lines to Improve Melanoma Screening (2017)

“despite research showing that a total body skin examination is the safest and most economical melanoma screening method, how to implement it is left to primary healthcare institutions”

https://melanomanewstoday.com/2017/03/28/experts-suggest-national-melanoma-screening-guidelines-needed/

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UNAVOIDABLE QUESTIONS

How can we ever stop skin cancer/melanoma if the general use of sunscreen and clinical exams, for early cancer detection, are not recommended by the USPSTF and included in the FREE cancer Preventive Services for everyone?

How do dermatologists, the experts in skin care, and other physician organizations, continue to recommend and promote sunscreen use and self and clinical skin exams but have not provided formal, national recommendation/guidelines for them so that they may be considered by the USPSTF for Preventive Services recommendation?

How many thousands of lives will be lost and how many hundreds of millions of medical dollars will be needlessly spent before sunscreen use and clinical exams are included in Preventive Servcies?

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OUR CALL FOR ACTION

The Lori Ann Reigert Skin Cancer Awareness Foundation cares about the victims of skin cancer/melanoma and believes that whatever is necessary, without hesitation or reservation, must be done to stop skin cancer/melanoma.

We cannot wait 10 years for a research study that convinces the USPSTF!

The LAR (Lori Ann Reigert) Skin Cancer Awareness Foundation is determined to find out the facts and to encourage all skin cancer organizations and all physician organizations to proactively and urgently assist the U.S. Preventive Services Task Force so that sunscreen use and skin exams are included in cancer Preventive Services. 

We will be updating this website with new information as it develops.