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)
Variable
Initial Model
P value
Final Model
P value
Male sex
2.69 (1.19 – 6.10)
.02
2.71 (1.24 – 5.94)
.01
Higher age at first lung transplantation, y
1.03 (0.995 – 1.08)
.09
1.03 (0.994 – 1.07)
.10
Fair ski
1.92 (0.69 – 5.26)
.21
2.25 (0.96 – 5.29)
.06
Time of voriconazole exposure,
1.04 (0.9995 – 1.07)
.053
1.03 (1.00 – 1.06)
.04
High UV exposure before LTx
0.998 (0.24 – 4.16)
.998
NA
NA
High UV exposure after LTx
1.01 (0.19 – 5.43)
.99
NA
NA
Minimal sunscreen usage before LTx
0.73 (0.25 – 2.16)
.57
NA
NA
Minimal sunscreen usage after LTX
2.12 (0.61 – 7.33)
.24
NA
NA
Immunosuppression without everolimu
0.93 (0.37 – 2.39)
.89
NA
NA
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.