Clinical Study

Risk Factors for Developing Nonmelanoma Skin Cancer after Lung Transplantation

Table 1

Patient demographic characteristics.

Quasi Intention to TreaQuasi Per Protoco
All PatientsEverolimus ArmMMF ArmRemained on EverolimusOther Immunosuppression
Characteristi(n=90)(n=49)(n=41)P Value(n=18)(n=72)P Value

Age, median (range), y56 (28 – 71)53 (28 – 67)58 (29 – 71).058 (31 – 67)53 (28 – 71).2
Sex, No. (%)
 Female41 (46)24 (49)17 (42).411 (61)30 (42).1
 Male49 (54)25 (51)24 (59)7 (39)42 (58)
Follow-up, median (range), m101 (69 – 128)101 (69 – 126)102 (73 – 128).5103 (77 – 126)101 (69 – 128).3
Fitzpatrick skin type, No. (%)
 I13 (14)6 (12)7 (17).21 (6)12 (17).4
 II46 (51)29 (59)17 (42)12 (67)34 (47)
 III29 (32)14 (29)15 (37)5 (28)24 (33)
 IV2 (2)0 (0)2 (5)0 (0)2 (3)
Hair color, No. (%)
 Red7 (8)3 (6)4 (10).51 (6)6 (8).6
 Light blonde11 (12)8 (16)3 (7)3 (17)8 (11)
 Dark blonde46 (51)25 (51)21 (51)7 (39)39 (54)
 Brown25 (28)13 (27)12 (29)7 (39)18 (25)
 Black1 (1)0 (0)1 (2)0 (0)1 (1)
History of pre-transplant cancer, No. (%)
 Skin
  Yes1 (1)0 (0)1 (2).40 (0)1 (1)>.9
  No89 (99)49 (100)40 (98)18 (100)71 (99)
 Other
  Yes2 (2)1 (2)1 (2)>.90 (0)2 (3)>.9
  No88 (98)48 (98)40 (98)18 (100)70 (97)
Underlying disease, No. (%)
 Cystic fibrosis26 (29)14 (29)12 (29).22 (11)24 (33).1
 Emphysema32 (36)14 (29)18 (44)6 (33)26 (36)
 Pulmonary fibrosis19 (21)14 (29)5 (12)7 (39)12 (17)
 Other13 (14)7 (14)6 (15)3 (17)10 (14)
Transplant type, No. (%)
 Bilateral84 (93)45 (92)39 (95).616 (89)68 (94).6
 Unilateral6 (7)4 (8)2 (5)2 (11)4 (6)
Voriconazole exposure, No. (%)
 Yes40 (44)22 (45)18 (44).95 (28)35 (49).1
 No50 (56)27 (55)23 (56)13 (72)37 (51)
 >6 month12 (13)7 (14)5 (12).72 (11)10 (14)>.9
 ≤6 month78 (87)42 (86)36 (88)16 (89)62 (86)

MMF, mycophenolate mofetil.
Patients stratified by original therapy arms from the previous interventional trial “Immunosuppressive therapy with Certican® (Everolimus) after lung transplantation”.
Comparing patients from the former everolimus arm, who remained on everolimus until dermatologic exam to all other patients.
Percentages have been rounded to whole numbers and may not add up to 100.
Calculated using the Mann-Whitney-U test.
Calculated using the χ2-test.
Calculated using the Fisher exact test.
Calculated cumulating all periods of voriconazole intake.