One-Year Review of the SCREEN (Skin Cancer Post-Transplant) Clinic.
The Skin Cancer Post-Transplant (SCREEN) Clinic is a skin-cancer screening clinic that is fully integrated into the renal transplantation clinic at St Paul's Hospital in Vancouver, British Columbia. The purpose of this review was to determine characteristics of patients most at risk for skin cancer, to specify types and locations of skin cancers diagnosed, and to identify areas for patient and physician education. Transplant patients (91% renal; 5% heart) screened by a dermatologist during a 12-month period were stratified into low-, medium-, and high-risk groups based on detailed history and skin examination. In total, 118 skin cancers were diagnosed. White males were found to be most at risk. Squamous cell carcinoma accounted for the majority of tumours, over 25% of which demonstrated invasion. Forty-two percent of patients used only 1 to 2 bottles of sunscreen per year, and sun-protective practices were limited. With this information, we have identified potential target areas for patient and physician education.
1 University of British Columbia Faculty of Medicine, Vancouver BC, Canada.
Sarah
S
Baldwin
2 Department of Dermatology and Skin Science, University of British Columbia and Division of Dermatology, Department of Medicine, St Paul's Hospital and Providence Health Care, Vancouver, BC, Canada.
Sheila
S
Au
D000554:Ambulatory Care Facilities; D002280:Basal Cell Carcinoma / Q000175:diagnosis* / Q000517:prevention & control; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis* / Q000517:prevention & control; D055088:Early Detection of Cancer; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D016377:Organ Transplantation; D012189:Retrospective Studies; D018570:Risk Assessment; D012878:Skin Neoplasms / Q000175:diagnosis* / Q000517:prevention & control; D013473:Sunscreening Agents / Q000627:therapeutic use*; D044465:White People
D013473:Sunscreening Agents
compliance; organ transplant recipients; photoprotection; skin cancer awareness; specialist dermatology clinics