Initial skin cancer screening for solid organ transplant recipients in the United States: Delphi method development of expert consensus guidelines.
Publication/Presentation Date
12-1-2019
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.
Volume
32
Issue
12
First Page
1268
Last Page
1276
ISSN
1432-2277
Published In/Presented At
Crow, L. D., Jambusaria-Pahlajani, A., Chung, C. L., Baran, D. A., Lowenstein, S. E., Abdelmalek, M., Ahmed, R. L., Anadkat, M. J., Arcasoy, S. M., Berg, D., Bibee, K. P., Billingsley, E., Black, W. H., Blalock, T. W., Bleicher, M., Brennan, D. C., Brodland, D. G., Brown, M. R., Carroll, B. T., Carucci, J. A., … Arron, S. T. (2019). Initial skin cancer screening for solid organ transplant recipients in the United States: Delphi method development of expert consensus guidelines. Transplant international : official journal of the European Society for Organ Transplantation, 32(12), 1268–1276. https://doi.org/10.1111/tri.13520
Disciplines
Medicine and Health Sciences
PubMedID
31502728
Department(s)
Department of Medicine
Document Type
Article
