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

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

doi:10.1111/tri.13520

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

Journal article

Open access

Peer reviewed

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

Lauren D Crow, Anokhi Jambusaria-Pahlajani, Christina L Chung, David A Baran, Stefan E Lowenstein, Mark Abdelmalek, Rehana L Ahmed, Milan J Anadkat, Selim M Arcasoy, Daniel Berg, …

Transplant international, Vol.32(12), pp.1268-1276

12/2019

DOI: https://doi.org/10.1111/tri.13520

PMID: 31502728

Abstract

Consensus

Delphi Technique

Early Detection of Cancer - methods

Female

Guidelines as Topic

Humans

Male

Organ Transplantation - adverse effects

Risk Assessment

Skin Neoplasms - diagnosis

Skin Neoplasms - epidemiology

Transplant Recipients

United States

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.

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Title: Initial skin cancer screening for solid organ transplant recipients in the United States: Delphi method development of expert consensus guidelines
Creators: Lauren D Crow - University of California, San Francisco
Anokhi Jambusaria-Pahlajani - The University of Texas at Austin
Christina L Chung - Lankenau Institute for Medical Research
David A Baran - Sentara Heart Hospital
Stefan E Lowenstein - University of California, San Francisco
Mark Abdelmalek - University of Pennsylvania
Rehana L Ahmed - Twin Cities Orthopedics
Milan J Anadkat - Washington University in St. Louis
Selim M Arcasoy - Columbia University
Daniel Berg - University of Washington
Kristin P Bibee - University of Pittsburgh Medical Center
Elizabeth Billingsley - Penn State Milton S. Hershey Medical Center
William H Black - University of Mississippi Medical Center
Travis W Blalock - Emory University
Melissa Bleicher - University of Pennsylvania
Daniel C Brennan - Johns Hopkins Medicine
David G Brodland - University of Pittsburgh Medical Center
Mariah R Brown - University of Colorado Denver
Bryan T Carroll - University of Pittsburgh Medical Center
John A Carucci - New York University
Timothy W Chang - University of California, San Francisco
George Chaux - Sinai Health System
Carrie Ann Cusack - Drexel University
Daniel F Dilling - Loyola University Chicago
Alden Doyle - University of Virginia
Amir M Emtiazjoo - University of Florida
Nkanyezi H Ferguson - University of Iowa
Scott W Fosko - Jacksonville College
Matthew C Fox - The University of Texas at Austin
Simin Goral - University of Pennsylvania
Alice L Gray - University of Colorado Denver
John R Griffin - Kelsey-Seybold Clinic
Ramsey R Hachem - Washington University in St. Louis
Shelley A Hall - Baylor University Medical Center
Allison M Hanlon - Vanderbilt University
Don Hayes, Jr - The Ohio State University
Gavin W Hickey - University of Pittsburgh Medical Center
Jonathan Holtz - University of Pittsburgh Medical Center
Robert Samuel Hopkins - Oregon Health & Science University
Jenny Hu - University of Southern California
Conway C Huang - University of Alabama at Birmingham
Shang I Brian Jiang - University of California, San Diego
Siddhartha G Kapnadak - University of Washington
Edward S Kraus - Johns Hopkins University
Erika D Lease - University of Washington
Nicolae Leca - University of Washington
James C Lee - Pulmonary and Allergy Associates
Justin J Leitenberger - Oregon Health & Science University
Mary Ann Lim - University of Pennsylvania
Maria I Longo - University of Florida
Shahid M Malik - University of Pittsburgh Medical Center
Jorge M Mallea - Jacksonville College
Alan Menter - Baylor Medical Center at Garland
Sarah A Myers - Duke University
Marcy Neuburg - Medical College of Wisconsin
Rajiv I Nijhawan - The University of Texas Southwestern Medical Center
Douglas J Norman - Oregon Health & Science University
Clark C Otley - Mayo Clinic in Arizona
So Yeon Paek - Baylor Scott & White Health
Amit D Parulekar - Baylor College of Medicine
Manisha J Patel - Johns Hopkins Medicine
Vishal Anil Patel - George Washington University
Timothy J Patton - University of Pittsburgh Medical Center
Melissa Pugliano-Mauro - University of Pittsburgh Medical Center
Karthik Ranganna - Drexel University
Ashwin K Ravichandran - St Vincent Hospital
Rachel Redenius - University Hospitals Cleveland Medical Center
Garrett R Roll - University of California, San Francisco
Faramarz H Samie - Columbia University Irving Medical Center
Thuzar Shin - University of Pennsylvania
Jonathan P Singer - University of California, San Francisco
Pooja Singh - Thomas Jefferson University
Seaver L Soon - Scripps Health
Teresa Soriano - University of California, Los Angeles
Ronald Squires - University of Oklahoma Health Sciences Center
Thomas Stasko - University of Oklahoma Health Sciences Center
Jennifer A Stein - New York University
Sandra J Taler - Mayo Clinic
Norah A Terrault - University of California, San Francisco
Christie P Thomas - University of Iowa
Sofya Tokman - Tucson Orthopaedic Institute
Rade Tomic - Northwestern University
Amanda R Twigg - University of California, San Francisco
Mark A Wigger - Vanderbilt University
Nathalie C Zeitouni - University of Arizona
Sarah T Arron - University of California, San Francisco
Publication Details: Transplant international, Vol.32(12), pp.1268-1276
Identifiers: 991006227511202656
Academic Unit: Internal Medicine
Language: English
Resource Type: Journal article