Compliance of Renal Transplant Recipients With Advice About Sun Protection Measures: Completing the Audit Cycle

Rose, R. F.; Moniem, K.; Seukeran, D.C.; Stables, G.I.; Newstead, Charles G.

doi:10.1016/j.transproceed.2005.10.010

Cited by 16 publications

(14 citation statements)

References 5 publications

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“…Similar deficiencies are observed in other studies carried out in central-eastern Europe and the UK, and a need for education from the transplant health team and dermatologists is clearly demonstrated 81,82. When dermatology consultation or specific education has been integrated into patient care, follow-up studies in specifically renal transplant patients have demonstrated that the level of knowledge regarding UV protection post-transplantation increased remarkably 83,84. However, awareness and the perception of risk do not always inhibit risk behavior in this group, shown in a study conducted in Paris where 91% of transplant patients state they have been informed on at least three occasions of the need for sun protection but less than two-thirds of patients avoided sun exposure and/or used sunscreen, and less than half wore protective clothing 84.…”

Section: How Sun-protective Beliefs Impact On Behaviorsupporting

confidence: 62%

Sun-protective behaviors in populations at high risk for skin cancer

Diao

Lee

2013

PRBM

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Over 3 million new cases of skin cancer are diagnosed in the US annually. Melanoma, a subtype of skin cancer that can be fatal if the disease is not detected and treated at an early stage, is the most common cancer for those aged 25–29 years and the second most common cancer in adolescents and young adults aged 15–29 years. The primary carcinogen for the genesis of skin cancers is ultraviolet light from solar radiation and tanning beds. In spite of massive health campaigns to raise public awareness on ultraviolet radiation, sun-protective practices still fall behind. A plausible explanation is the lack of behavioral change in the populations at risk; in this review article, we examine sun-protective behavior in the four high-risk skin cancer groups: skin cancer survivors, individuals with a family history of melanoma, individuals with physical characteristics associated with skin cancer risk, and organ transplantation patients. Findings in the literature demonstrate that increased knowledge and awareness does not consequently translate into behavioral changes in practice. Behavior can differ as a result of different attitudes and beliefs, depending on the population at risk. Thus, intervention should be tailored to the population targeted. A multidisciplinary health team providing consultation and education is required to influence these much needed changes.

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Section: How Sun-protective Beliefs Impact On Behaviorsupporting

confidence: 62%

Sun-protective behaviors in populations at high risk for skin cancer

Diao

Lee

2013

PRBM

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“…Taken together, the findings of the present study not only confirm the lack of awareness by RTRs of sun protection, as previously reported [15][16][17][18][19] , but, more broad- [14,20,21] . Since educational level has been found to be highly related to both awareness of cancer risk among RTRs and adequate use of sunscreen, it is necessary to improve the way education is delivered to subjects with a low educational level.…”

Section: Discussionsupporting

confidence: 91%

What Is the Key to Improving Renal Transplant Recipients' Awareness of Skin Cancer Risk?

Borghi

Corazza²,

Battaglia³

et al. 2016

Dermatology

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Background: Previous studies have shown poor compliance rates regarding sun protection among organ transplant recipients. Objective: The main objective of the present study was to assess the awareness among renal transplant recipients (RTRs) of their risk of non-melanoma skin cancer (NMSC) development and their sunscreen use. The influence of several potentially relevant variables was also assessed in order to identify possible weak points on which to concentrate efforts in this respect. Methods: A total of 132 RTRs (92 males and 40 females) were included. The following information was collected and elaborated: (a) demographics; (b) skin phototype; (c) educational level; (d) time elapsed since transplantation; (e) immunosuppressive treatments; (f) previous dermatological visits; (g) patients' awareness of their NMSC risk; (h) use of sunscreen; and (i) previous documented NMSCs or NMSCs found during the study visit. Results: Overall, 65 patients (49.2%) expressed awareness of their susceptibility to skin cancers. A high educational level was the main factor associated with patients' awareness. Thirty-six RTRs (27.3%) reported using sunscreen regularly. High educational level and awareness of personal susceptibility to NMSC development were the most relevant factors associated with sun protection habits. Conclusion: The present study showed the low level of sunscreen use among RTRs and their scanty awareness of personal skin cancer risk. Since educational level has been found to be highly related to both awareness of cancer risk and adequate use of sunscreen among RTRs, it is necessary to improve the way education is delivered by dermatologists and nephrologists, especially to subjects with a low educational level.

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“…Some have suggested that sun protection compliance could be enhanced by improved patient education over time and routine review by a dermatologist after transplantation [13,14,16]. We observed that frequent skin checks were significantly associated with regular use of sun protection measures, and this was only partly explained by a history of skin cancer.…”

Section: Discussionmentioning

confidence: 58%

“…Previous studies have described sun protection measures in OTRs in countries with lower levels of solar ultraviolet radiation than subtropical Australia, including the USA, Canada, Northern Europe and Iran [5,6,7,8,13,14,15]. While their categorization of sun protection measures varied, the frequency of ever- versus never-use of a particular measure was lower than in Queensland OTRs.…”

Section: Discussionmentioning

confidence: 98%

Sun Protection Behavior in Organ Transplant Recipients in Queensland, Australia

Iannacone

Pandeya²,

Isbel³

et al. 2015

Dermatology

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Background: Organ transplant recipients (OTRs) have a high risk of skin cancer, and excessive sun exposure is a major contributing factor. Objective: To document the prevalence of sun protection and associated factors in OTRs in Queensland, Australia. Methods: Cross-sectional study of the frequency of wearing hats, long sleeves and using sunscreens among OTRs and factors associated with regular use. Adjusted prevalence ratios (PRs) and 95% confidence intervals (CIs) were estimated using Poisson regression models. Results: Among 446 OTRs, 66, 49 and 39% wore a hat, sunscreen and long sleeves, respectively, mostly when outdoors. 52% regularly practiced multiple sun protection measures while 19% did not. Sunburn-prone skin (PR = 1.43, 95% CI = 1.06-1.93) and frequent whole-body skin examinations (PR = 1.48, 95% CI = 1.19-1.84) were independently associated with regular use of multiple sun protection measures. Conclusion: Findings are consistent with sun-conscious OTRs also having more regular skin screening and that having frequent skin examinations promotes sun-protective habits.

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Compliance of Renal Transplant Recipients With Advice About Sun Protection Measures: Completing the Audit Cycle

Cited by 16 publications

References 5 publications

Sun-protective behaviors in populations at high risk for skin cancer

Sun-protective behaviors in populations at high risk for skin cancer

What Is the Key to Improving Renal Transplant Recipients' Awareness of Skin Cancer Risk?

Sun Protection Behavior in Organ Transplant Recipients in Queensland, Australia

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