000 | 02277cam a2200253 4500500 | ||
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005 | 20250121154621.0 | ||
041 | _afre | ||
042 | _adc | ||
100 | 1 | 0 |
_aCordaro, Andrea _eauthor |
700 | 1 | 0 |
_a Dobbs, Thomas D. _eauthor |
700 | 1 | 0 |
_a Gibson, John AG. _eauthor |
700 | 1 | 0 |
_a Whitaker, Sairan _eauthor |
700 | 1 | 0 |
_a Whitaker, Iain S. _eauthor |
245 | 0 | 0 | _aSkin cancer screening in organ transplant centres in the United Kingdom: a national survey |
260 | _c2020. | ||
500 | _a80 | ||
520 | _aBackground: 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. | ||
690 | _atransplant | ||
690 | _aoncology | ||
690 | _askin cancer | ||
690 | _aimmunosuppression | ||
786 | 0 | _nEuropean Journal of Dermatology | 30 | 4 | 2020-07-01 | p. 372-376 | 1167-1122 | |
856 | 4 | 1 | _uhttps://shs.cairn.info/revue-european-journal-of-dermatology-2020-4-page-372?lang=fr&redirect-ssocas=7080 |
999 |
_c602802 _d602802 |