The Nationwide Program for Skin Cancer Prevention — summary and future perspectives

Introduction. Malignant and in situ skin neoplasms (ICD-10: C43-44; D03-D04) constitute approximately 12% of all diagnosed malignant tumors in Poland. Between 2019 and 2023, the National Skin Cancer Prevention Program (the Pro­gram) was implemented in Poland, which targeted professionally active individuals aged 15–64. The aim of this study was to present the results of the Program’s implementation and draw conclusions beneficialto the effective execution of its future editions. Material and methods. The study material consisted of reporting data from entities implementing the Program. Mea­sures evaluating Program implementation were used to estimate the forecasted monetary benefits. It was assumed that, due to early detection of skin lesions, approximately 8% of patients would be able to return to professional activity sooner. The reduction period of professional inactivity was estimated at 15 days, with a cost of approximately PLN 423 per person. Results. A total of 23,469 people used medical services under the Program. Detailed whole-body skin examinations were conducted for 13,527 individuals, dermoscopy was performed on 5,074 people, and videodermoscopy on 7,024 individuals. A total of 159 malignant lesions were detected. Conclusions. The value of lives saved due to the Program’s implementation was estimated at PLN 103,350,000, while the value derived from reducing the period of professional inactivity amounted to PLN 794,191. The total profit from the Program, after deducting costs, reached PLN 95,051,828.40.