Transplant international : official journal of the European Society for Organ Transplantation · 2019

Initial skin cancer screening for solid organ transplant recipients in the United States: Delphi method development of expert consensus guidelines.

СтатьяConsensus StatementНазвание и аннотация: Перевод пока не подготовлен

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Crow Lauren D, Jambusaria-Pahlajani Anokhi, Chung Christina L, Baran David A, Lowenstein Stefan E, Abdelmalek Mark, Ahmed Rehana L, Anadkat Milan J, Arcasoy Selim M, Berg Daniel, Bibee Kristin P, Billingsley Elizabeth, Black William H, Blalock Travis W, Bleicher Melissa, Brennan Daniel C, Brodland David G, Brown Mariah R, Carroll Bryan T, Carucci John A, Chang Timothy W, Chaux George, Cusack Carrie Ann, Dilling Daniel F, Doyle Alden, Emtiazjoo Amir M, Ferguson Nkanyezi H, Fosko Scott W, Fox Matthew C, Goral Simin, Gray Alice L, Griffin John R, Hachem Ramsey R, Hall Shelley A, Hanlon Allison M, Hayes Don, Hickey Gavin W, Holtz Jonathan, Hopkins Robert Samuel, Hu Jenny, Huang Conway C, Brian Jiang Shang I, Kapnadak Siddhartha G, Kraus Edward S, Lease Erika D, Leca Nicolae, Lee James C, Leitenberger Justin J, Lim Mary Ann, Longo Maria I, Malik Shahid M, Mallea Jorge M, Menter Alan, Myers Sarah A, Neuburg Marcy, Nijhawan Rajiv I, Norman Douglas J, Otley Clark C, Paek So Yeon, Parulekar Amit D, Patel Manisha J, Patel Vishal Anil, Patton Timothy J, Pugliano-Mauro Melissa, Ranganna Karthik, Ravichandran Ashwin K, Redenius Rachel, Roll Garrett R, Samie Faramarz H, Shin Thuzar, Singer Jonathan P, Singh Pooja, Soon Seaver L, Soriano Teresa, Squires Ronald, Stasko Thomas, Stein Jennifer A, Taler Sandra J, Terrault Norah A, Thomas Christie P, Tokman Sofya, Tomic Rade, Twigg Amanda R, Wigger Mark A, Zeitouni Nathalie C, Arron Sarah T

Аннотация

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.

Предметные рубрики MeSH

Delphi Technique Early Detection of Cancer Female Guidelines as Topic Humans Male Organ Transplantation Risk Assessment Skin Neoplasms Transplant Recipients United States

Initial skin cancer screening for solid organ transplant recipients in the United States: Delphi method development of expert consensus guidelines.

Ошибки и ограничения

Аннотация

Предметные рубрики MeSH