Jambusario-Pahlajani et al reported the Skin and UV Neoplasia Transplant Risk Assessment Calculator (SUNTRAC) tool for identifying a transplant patient at high risk for skin cancer. The authors are from University of Texas at Austin, University of California San Francisco, Kaiser Permanente San Francisco, Stanford University, University of Toronto, and Women's College Research Institute.
Patient selection: transplant recipients
Parameters:
(1) race
(2) pretransplant history of skin cancer
(3) age in years
(4) sex
(5) type of transplant
Parameter
Finding
Points
race
White
9
other
0
history of skin cancer
no
0
yes
6
age in years
< 50 years
0
>= 50 years
4
sex
male
2
female
0
type of transplant
heart or lung
1
other
0
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 22
Score
Risk Group
10-Year Risk Skin Cancer
0 to 6
low
2.3%
7 to 13
medium
14%
14 to 17
high
32%
18 to 22
very high
75%
Performance:
• Gomez-Tomas et al had an area under the ROC curve of 0.74.
• The area under the ROC curve varies with the population and the follow-up time frame.
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