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Dermatologists routinely recommend regular application of sunscreens to people at risk for developing skin cancer. From a strictly economic standpoint, is the routine use of sunscreens cost-effective for the prevention of nonmelanoma skin cancers and premalignant actinic keratoses (AKs)? To address this issue, investigators employed data collected from a Queensland, Australia, community-based sunscreen prevention trial.
Of 1621 participants, 1383 (85%) remained in the trial for 5 years, 155 of whom developed at least one nonmelanoma skin cancer. Eleven fewer basal cell carcinomas developed in the group of daily sunscreen users than in intermittent users in a control group (94 vs. 105); the regular users also had 24 fewer squamous cell carcin…