Evidence is mounting for Australia to institute a targeted melanoma screening program and the time has come for investment in formal cost-benefit analysis, the Australasian College of Dermatologists says.
Nevertheless, the case remains inadequate to support any population-wide scheme because of insufficient confirmation of a mortality benefit, the ACD has concluded.
The college has put forward an overview of the evidence around screening in a new position statement on the topic, which notes incidence rates continue to climb for melanoma, currently the most common cancer in Australians aged 15-39 years.
And despite treatment advances, mortality rates for melanoma have remained relatively stable in recent years, with an estimated 1314 melanoma deaths recorded in 2023, according to the document.
Survival rates vary considerably by stage at diagnosis, making early detection “critical”, the college states.
“However, there is no formal population-based melanoma screening in Australia due to insufficient evidence that it reduces mortality,” it adds in the position statement.
“There has been increasing interest in melanoma screening, which has been largely driven by rising health system costs for adjuvant therapies, advancements in diagnostic technologies and artificial intelligence (Al), the availability of validated risk stratification tools and consumer-driven digital technologies.”
In addition, existing peer-reviewed literature highlights the benefits of screening for melanoma in Australia, although this has mostly consisted of observational studies, the college notes.