Clinical Study

Risk Factors for Developing Nonmelanoma Skin Cancer after Lung Transplantation

Table 5

Cox regression of risk factors for NMSC or precancerous lesions after lung transplantation.

HR (95% CI)
VariableInitial ModelP valueFinal ModelP value

Male sex2.69 (1.19 – 6.10).022.71 (1.24 – 5.94).01
Higher age at first lung transplantation, y1.03 (0.995 – 1.08).091.03 (0.994 – 1.07).10
Fair ski1.92 (0.69 – 5.26).212.25 (0.96 – 5.29).06
Time of voriconazole exposure, 1.04 (0.9995 – 1.07).0531.03 (1.00 – 1.06).04
High UV exposure before LTx0.998 (0.24 – 4.16).998NANA
High UV exposure after LTx1.01 (0.19 – 5.43).99NANA
Minimal sunscreen usage before LTx0.73 (0.25 – 2.16).57NANA
Minimal sunscreen usage after LTX2.12 (0.61 – 7.33).24NANA
Immunosuppression without everolimu0.93 (0.37 – 2.39).89NANA

HR, hazard ratio; CI, confidence interval; UV, ultra violet; LTx, lung transplantation; NA, not applicable.
Representing Fitzpatrick skin types I and II.
Calculated cumulating all periods of voriconazole intake.
Patients not continuously receiving everolimus from LTx to dermatologic examination.