b'Melanoma Incidence Rates Among Non-Hispanic American Indian/Alaska Native Individuals, 1999-2019Source: Melanoma Incidence Rates Among Non-Hispanic American Indian/Alaska Native Individuals, 1999-2019. JAMA Dermatol. 2024 Feb 1;160(2):148-155. doi: 10.1001/jamadermatol.2023.5226. PMID: 38150212; PMCID: PMC10753438.Townsend said the findings underscore the impor- message that maybe some innovation is needed.tance of early detection and appropriate dermatologicIn the meantime, the best advice for clinicians treat-careto make sure that people who need dermato- ing any patient is to evaluate any lesion that follows logic care receive it in a timely and efficient manner. theABCDEs(asymmetry,border,color,diameter, But access to that care and other specialty care ser- evolving)ofmelanoma.Regardlessofethnicity, vices may be limited among American Indian/Alaskathats a good starting point, she said. Any changes Native people who rely on the IHS system for health- to skin, such as a new growth, a sore that doesnt heal care, Townsend and her colleagues wrote. or a change in an old growth, they need follow up. HealthcareforAmericanIndian/AlaskaNativeLikewise, she said, patients should let their clini-people has been historically underfunded, and accesscians know whether they have a history of skin cancer to dermatology services may be limited due to prior- and, if they find something worrisome, to report it.ity for referrals that need immediate attention. 1Townsend JS, Melkonian SC, Jim MA, Holman DM, Buffalo M, Ju-Townsend added that there probably needs to belian AK. Melanoma Incidence Rates Among Non-Hispanic American some innovation [to ensure efficient care] in a settingIndian/Alaska Native Individuals, 1999-2019. JAMA Dermatol. 2024 where clinicians are busy managing other peoplesFeb 1;160(2):148-155. doi: 10.1001/jamadermatol.2023.5226. PMID: chronichealthconditions.Sokindofgettingthat38150212; PMCID: PMC10753438. 67'