Skin cancer screening in organ transplant centres in the United Kingdom: a national survey.
Autor: | Cordaro A; Reconstructive Surgery & Regenerative Medicine Research Group, Institute of Life Sciences, Swansea University Medical School, Swansea, UK, Welsh Centre for Burns and Plastics, Morriston Hospital, Swansea, UK., Dobbs TD; Reconstructive Surgery & Regenerative Medicine Research Group, Institute of Life Sciences, Swansea University Medical School, Swansea, UK, Welsh Centre for Burns and Plastics, Morriston Hospital, Swansea, UK., Gibson JA; Reconstructive Surgery & Regenerative Medicine Research Group, Institute of Life Sciences, Swansea University Medical School, Swansea, UK, Welsh Centre for Burns and Plastics, Morriston Hospital, Swansea, UK., Whitaker S; Department of Dermatology, Singleton Hospital, Swansea, UK., Whitaker IS; Reconstructive Surgery & Regenerative Medicine Research Group, Institute of Life Sciences, Swansea University Medical School, Swansea, UK, Welsh Centre for Burns and Plastics, Morriston Hospital, Swansea, UK. |
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Jazyk: | angličtina |
Zdroj: | European journal of dermatology : EJD [Eur J Dermatol] 2020 Aug 01; Vol. 30 (4), pp. 372-376. |
DOI: | 10.1684/ejd.2020.3845 |
Abstrakt: | 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. |
Databáze: | MEDLINE |
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