Journal article
Initial skin cancer screening for solid organ transplant recipients in the United States: Delphi method development of expert consensus guidelines
Transplant international, Vol.32(12), pp.1268-1276
12/2019
DOI: 10.1111/tri.13520
PMID: 31502728
Abstract
Skin cancer is the most common malignancy affecting solid organ transplant recipients (SOTR), and SOTR experience increased skin cancer-associated morbidity and mortality. There are no formal multidisciplinary guidelines for skin cancer screening after transplant, and current practices are widely variable. We conducted three rounds of Delphi method surveys with a panel of 84 U.S. dermatologists and transplant physicians to establish skin cancer screening recommendations for SOTR. The transplant team should risk stratify SOTR for screening, and dermatologists should perform skin cancer screening by full-body skin examination. SOTR with a history of skin cancer should continue regular follow-up with dermatology for skin cancer surveillance. High-risk transplant patients include thoracic organ recipients, SOTR age 50 and above, and male SOTR. High-risk Caucasian patients should be screened within 2 years after transplant, all Caucasian, Asian, Hispanic, and high-risk African American patients should be screened within 5 years after transplant. No consensus was reached regarding screening for low-risk African American SOTR. We propose a standardized approach to skin cancer screening in SOTR based on multidisciplinary expert consensus. These guidelines prioritize and emphasize the need for screening for SOTR at greatest risk for skin cancer.
Details
- Title: Subtitle
- Initial skin cancer screening for solid organ transplant recipients in the United States: Delphi method development of expert consensus guidelines
- Creators
- Nkanyezi H Ferguson - University of IowaLauren D Crow - University of California, San FranciscoAnokhi Jambusaria-Pahlajani - The University of Texas at AustinChristie P Thomas - University of IowaChristina L Chung - Main Line HealthDavid A Baran - Sentara Heart HospitalStefan E Lowenstein - University of California, San FranciscoMark Abdelmalek - University of PennsylvaniaRehana L Ahmed - University of MinnesotaMilan J Anadkat - Washington University in St. LouisSelim M Arcasoy - Columbia UniversityDaniel Berg - University of WashingtonKristin P Bibee - University of PittsburghElizabeth Billingsley - Pennsylvania State UniversityWilliam H Black - University of MississippiTravis W Blalock - Emory UniversityMelissa Bleicher - University of PennsylvaniaDaniel C Brennan - Johns Hopkins UniversityDavid G Brodland - University of PittsburghMariah R Brown - University of Colorado Anschutz Medical CampusBryan T Carroll - University of PittsburghJohn A Carucci - New York UniversityTimothy W Chang - University of California, San FranciscoGeorge Chaux - Cedars-Sinai Medical CenterCarrie Ann Cusack - Drexel UniversityDaniel F Dilling - Loyola University ChicagoAlden Doyle - University of VirginiaAmir M Emtiazjoo - University of FloridaScott W Fosko - Mayo ClinicMatthew C Fox - The University of Texas at AustinSimin Goral - University of PennsylvaniaAlice L Gray - University of Colorado Anschutz Medical CampusJohn R Griffin - Kelsey-Seybold ClinicRamsey R Hachem - Washington University in St. LouisShelley A Hall - Baylor University Medical CenterAllison M Hanlon - Vanderbilt UniversityDon Hayes JrGavin W Hickey - University of PittsburghJonathan Holtz - University of PittsburghRobert Samuel Hopkins - Oregon Health & Science UniversityJenny Hu - University of Southern CaliforniaConway C Huang - University of Alabama at BirminghamShang I Brian Jiang - University of California San DiegoSiddhartha G Kapnadak - University of WashingtonEdward S Kraus - Johns Hopkins UniversityErika D Lease - University of WashingtonNicolae Leca - University of WashingtonJames C Lee - University of PennsylvaniaJustin J Leitenberger - Oregon Health & Science UniversityMary Ann Lim - University of PennsylvaniaMaria I Longo - University of FloridaShahid M Malik - University of PittsburghJorge M Mallea - Mayo ClinicAlan Menter - Scott & White HospitalSarah A Myers - Duke UniversityMarcy Neuburg - Medical College of WisconsinRajiv I Nijhawan - The University of Texas Southwestern Medical CenterDouglas J Norman - Oregon Health & Science UniversityClark C Otley - Mayo ClinicSo Yeon Paek - Scott & White HospitalAmit D Parulekar - Baylor College of MedicineManisha J Patel - Johns Hopkins UniversityVishal Anil Patel - George Washington UniversityTimothy J Patton - University of PittsburghMelissa Pugliano-Mauro - University of PittsburghKarthik Ranganna - Drexel UniversityAshwin K Ravichandran - Saint Vincent Health SystemRachel Redenius - Department of Dermatology, UH Cleveland Medical Center, Cleveland, OH, USAGarrett R Roll - University of California, San FranciscoFaramarz H Samie - Columbia UniversityThuzar Shin - University of PennsylvaniaJonathan P Singer - University of California, San FranciscoPooja Singh - Thomas Jefferson UniversitySeaver L Soon - Scripps HealthTeresa Soriano - University of California, Los AngelesRonald Squires - University of OklahomaThomas Stasko - University of OklahomaJennifer A Stein - New York UniversitySandra J Taler - Mayo ClinicNorah A Terrault - University of California, San FranciscoSofya Tokman - Department of Pulmonology, Norton Thoracic Institute, Phoenix, AZ, USARade Tomic - Northwestern UniversityAmanda R Twigg - University of California, San FranciscoMark A Wigger - Vanderbilt UniversityNathalie C Zeitouni - University of ArizonaSarah T Arron - University of California, San Francisco
- Resource Type
- Journal article
- Publication Details
- Transplant international, Vol.32(12), pp.1268-1276
- DOI
- 10.1111/tri.13520
- PMID
- 31502728
- NLM abbreviation
- Transpl Int
- ISSN
- 0934-0874
- eISSN
- 1432-2277
- Language
- English
- Date published
- 12/2019
- Academic Unit
- Dermatology; Stead Family Department of Pediatrics; Obstetrics and Gynecology; Nephrology; Internal Medicine
- Record Identifier
- 9984359803202771
Metrics
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