Campos GR, Boin IDFSF, Campos IDD, Cintra ML. Study of factors affecting the incidence of skin cancer in patients after liver transplant.
An Bras Dermatol 2017;
92:492-498. [PMID:
28954097 PMCID:
PMC5595595 DOI:
10.1590/abd1806-4841.20175946]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2016] [Accepted: 12/10/2016] [Indexed: 01/08/2023] Open
Abstract
Background
Many factors are currently being identified as potential inductors of skin
cancer in patients after a liver transplant, among them, immunosuppressive
regimen.
Objective
To study the factors that influence the incidence of skin cancer in patients
after liver transplant.
Methods
We have carried out a retrospective and observational study with 170
transplanted patients who had undergone transplantation from 1997 to 2010.
We have adjusted the multiple logistic regression model (saturated model) to
the ensemble of collected data using skin cancer as dependent variable,
indicated in anatomopathological analysis between 1997 and 2014.
Results
Incidence of skin cancer was 9.4%. Predictors were incidence of diabetes in
the third year after the transplantation (p=0.047), not using tacrolimus in
the first year after the transplantation (p=0.025) and actinic keratosis
(p=0.003).
Study Limitations
An important limitation is that the interpretation of the results was based
on information collected of patients undergoing transplantation at a single
center. Future research, multicentric and involving larger and more diverse
populations, are needed.
Conclusions
Factors found might contribute to Brazilian surveillance programs associated
with decreased incidence of skin cancer.
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