TY  - BOOK
AU  - Cordaro,Andrea
AU  -  Dobbs,Thomas D.
AU  -  Gibson,John AG
AU  -  Whitaker,Sairan
AU  -  Whitaker,Iain S.
TI  - Skin cancer screening in organ transplant centres in the United Kingdom: a national survey
PY  - 2020///.
							
N1  - 80
N2  - Background: Organ transplant recipients (OTRs) have up to 500-fold increased risk of keratinocyte skin cancer (KSC). International guidelines recommend at least annual skin cancer screening for OTRs. Objectives: To explore the current skin cancer surveillance practice in UK transplant centres across all solid organs and the barriers to surveillance. Materials and Methods: An online survey was sent to all 59 transplant centres in the UK specialising in kidney (n = 24), pancreas (n = 10), heart and/or lung (n = 13), liver (n = 8) and intestine (n = 4) transplants. Results: Fifty-one (86%) transplant centres responded. Twenty-eight (55%) centres provided skin cancer surveillance post-transplantation, of which 18 (64%) had a non-skin cancer specialist providing screening. Only 21 (41%) units performed a full skin examination. Eight units (29%) screened at least bi-annually in the first five years post-transplantation. Of the 23 (45%) centres that did not provide skin cancer surveillance, limitations included: reliance on patient-reported lesions (48%), lack of skin surveillance training (30%), lack of funding (48%), not a requirement in all patients (17%) and time restraints in the clinic (30%). Conclusion: In the UK, many transplant units do not provide skin surveillance. Collaboration between skin cancer and transplant specialists would improve surveillance rates and reduce morbidity and mortality
UR  - https://shs.cairn.info/revue-european-journal-of-dermatology-2020-4-page-372?lang=fr&redirect-ssocas=7080
ER  -