{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T16:06:11Z","timestamp":1779379571488,"version":"3.53.1"},"reference-count":66,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,3,29]],"date-time":"2026-03-29T00:00:00Z","timestamp":1774742400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,29]],"date-time":"2026-03-29T00:00:00Z","timestamp":1774742400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["acsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Childhood cancer survivors (CCS) face elevated skin cancer risk, especially after radiotherapy or hematopoietic stem cell transplantation (HSCT). The authors evaluated the prevalence and predictors of sun protection, sunburn, and physician skin examination (PSE) among CCS in Switzerland.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The authors surveyed CCS diagnosed &lt;21 years and surviving \u22655 years after diagnosis about sun protection, sunburns during last summer, and PSE within the last year. They retrieved cancer\u2010related data from the Swiss Childhood Cancer Registry and used multivariable logistic regression, stratified by age group, to identify predictors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The authors included 1048 children (5\u201315 years), 572 adolescents (16\u201319 years), and 1959 adults (\u226520 years). Regular sun protection was reported by 89% of children, 65% of adolescents, and 77% of adults, and sunburns by 23%, 49%, and 43%, respectively. PSE prevalence among those treated with radiotherapy was 21%, 18%, and 17%, and among HSCT recipients 36%, 28%, and 28%, respectively. Radiotherapy was unrelated to sun protection and PSE, but associated with fewer sunburns (odds ratio [OR], 0.63\u20130.77). HSCT recipients were more likely to have attended a PSE (OR, 2.06\u20133.75), but not radiotherapy recipients. Across age groups, survivors born more recently were less likely to protect from sun (OR, 0.94\u20130.97) and more likely to report sunburn (OR, 1.04\u20131.14).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Sunburn prevalence was high despite good sun protection. Only few at heightened risk for skin cancer due to their treatment history attend PSEs as recommended by the Children\u2019s Oncology Group. Health care practitioners should systematically integrate yearly PSE after radiotherapy or HSCT and encourage consistent sun protection, particularly among younger generations and adolescents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>Clinicaltrials.gov (NCT03297034).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cncr.70364","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T03:56:23Z","timestamp":1774842983000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Sun protection and skin cancer screening after childhood cancer\u2014A report from the Swiss Childhood Cancer Survivor Study"],"prefix":"10.1002","volume":"132","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0225-1503","authenticated-orcid":false,"given":"Carina","family":"Nigg","sequence":"first","affiliation":[{"name":"Childhood Cancer Research Group Institute of Social and Preventive Medicine University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ma\u0161a","family":"\u017darkovi\u0107","sequence":"additional","affiliation":[{"name":"Childhood Cancer Research Group Institute of Social and Preventive Medicine University of Bern  Bern Switzerland"},{"name":"Graduate School for Health Sciences University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippa","family":"J\u00f6rger","sequence":"additional","affiliation":[{"name":"Childhood Cancer Research Group Institute of Social and Preventive Medicine University of Bern  Bern Switzerland"},{"name":"Graduate School for Health Sciences University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva Maria E.","family":"Tinner","sequence":"additional","affiliation":[{"name":"Division of Pediatric Hematology and Oncology Inselspital Bern University Hospital University of Bern  Bern Switzerland"},{"name":"University Institute of Internal Medicine Cantonal Hospital Baselland  Liestal Switzerland"},{"name":"Medical Faculty University of Basel  Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Calogero","family":"Mazzara","sequence":"additional","affiliation":[{"name":"Pediatric Hematology\u2010Oncology Unit Division of Pediatrics Department \u201cWoman\u2010Mother\u2010Child\u201d University Hospital and Lausanne University  Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Brack","sequence":"additional","affiliation":[{"name":"Division of Pediatric Hematology and Oncology Inselspital Bern University Hospital University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Castle","sequence":"additional","affiliation":[{"name":"Patient Representative  Bottmingen Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Navarini","sequence":"additional","affiliation":[{"name":"Department of Dermatology University Hospital Basel  Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Schindera","sequence":"additional","affiliation":[{"name":"Childhood Cancer Research Group Institute of Social and Preventive Medicine University of Bern  Bern Switzerland"},{"name":"Department of Oncology\/Haematology University Children\u2019s Hospital Basel UKBB  Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia E.","family":"Kuehni","sequence":"additional","affiliation":[{"name":"Childhood Cancer Research Group Institute of Social and Preventive Medicine University of Bern  Bern Switzerland"},{"name":"Division of Pediatric Hematology and Oncology Inselspital Bern University Hospital University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,29]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"National Cancer Registration Agency.Data from: Cancer incidence 1982\u20102021;2024.https:\/\/nkrs.ch\/en\/downloads\u2010and\u2010links?cat=33"},{"key":"e_1_2_9_3_1","volume-title":"Global Cancer Observatory: Cancer Today","author":"Ferlay J"},{"key":"e_1_2_9_4_1","unstructured":"International Agency for Research on Cancer.Globocan 2022. 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