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  • Comparison of skin cancer awareness and sun protection behaviours between renal transplant recipients and patients with glomerular disease treated with immunosuppressants

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    Accepted Manuscript (AM)
    Author(s)
    Thet, Zaw
    Lam, Alfred K
    Ng, Shu-Kay
    Aung, Soe Yu
    Han, Thin
    Ranganathan, Dwarakanathan
    Borg, Jennifer
    Pepito, Christine
    Khoo, Tien K
    Griffith University Author(s)
    Lam, Alfred K.
    Khoo, Tien Kheng
    Ng, Shu Kay Angus
    Year published
    2020
    Metadata
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    Abstract
    Background: There is no previous study that compare skin cancer awareness and photoprotective behaviours between renal transplant recipients (RTR) and patients with glomerular disease (GD). Objectives/Methods: Sixty-one RTR and 51 patients with GD were given a self-reported questionnaire to evaluate skin cancer awareness and photoprotective behaviours in this cross-sectional study. The former group received a formal education on skin cancer and the latter an informal session prior to immunosuppressant use. Results: Ninety-three percent (n = 57) of RTRs and 88% (n = 45) of patients with GD responded to the survey. Majority ...
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    Background: There is no previous study that compare skin cancer awareness and photoprotective behaviours between renal transplant recipients (RTR) and patients with glomerular disease (GD). Objectives/Methods: Sixty-one RTR and 51 patients with GD were given a self-reported questionnaire to evaluate skin cancer awareness and photoprotective behaviours in this cross-sectional study. The former group received a formal education on skin cancer and the latter an informal session prior to immunosuppressant use. Results: Ninety-three percent (n = 57) of RTRs and 88% (n = 45) of patients with GD responded to the survey. Majority of participants from both groups were aware that ultraviolet radiation could play a role in the occurrence of skin cancers and the awareness increased in participants with higher education (odds ratio [OR] = 1.50, 95% confidence interval [CI] = 1.15-1.95, P =.003). Ninety-eight percent vs 71% were aware that immunosuppressants can increase the risk of developing cancer (P <.001) and higher awareness was noted in younger participants (OR = 0.92, 95% CI = 0.87-0.97, P =.003). Suboptimal photoprotective behaviours (sun avoidance, sunscreen usage and sun-protective clothing) were noted in both cohorts and slightly lower sun protection rates were reported in RTR when compared with patients having GD. The level of sun protective measures in RTR based on high, moderate and minimal use of photoprotective measures were 21%, 46% and 33%, respectively. In terms of patients with GD, the latter practices were 13%, 50% and 37%, respectively (P =.560). Higher educational status was significantly associated with better sunscreen usage in RTR (P =.017) whereas this finding was not observed in patients with GD. Conclusion: Patients with GD and RTR should have formal education on the risks of skin cancers before starting immunosuppressants. Follow-up education and surveillance is required to improve skin protective practices in these patients.
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    Journal Title
    Nephrology
    DOI
    https://doi.org/10.1111/nep.13840
    Copyright Statement
    © 2020 Asian Pacific Society of Nephrology. This is the peer reviewed version of the following article: Comparison of skin cancer awareness and sun protection behaviours between renal transplant recipients and patients with glomerular disease treated with immunosuppressants, Nephrology, 2020, which has been published in final form at https://doi.org/10.1111/nep.13840. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)
    Note
    This publication has been entered as an advanced online version in Griffith Research Online.
    Subject
    Clinical sciences
    Science & Technology
    Life Sciences & Biomedicine
    Urology & Nephrology
    skin cancer awareness
    photoprotective behaviours
    Publication URI
    http://hdl.handle.net/10072/401256
    Collection
    • Journal articles

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