{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T21:26:07Z","timestamp":1793654767655,"version":"4.5.1"},"reference-count":39,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002794","name":"Swedish Cancer Society","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100002794","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004348","name":"Region Stockholm","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004348","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100007232","name":"Radiumhemmets Forskningsfonder","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007232","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004047","name":"Karolinska Institutet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004047","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004359","name":"Swedish Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004359","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["jidonline.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Investigative Dermatology"],"published-print":{"date-parts":[[2026,9]]},"DOI":"10.1016\/j.jid.2026.09.844","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T06:57:30Z","timestamp":1790146650000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Skin cancer risk stratification and outcomes in Swedish solid organ transplant recipients"],"prefix":"10.1016","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4712-1304","authenticated-orcid":false,"given":"Amitis","family":"Djalali","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0813-0005","authenticated-orcid":false,"given":"Haris","family":"Baba\u010di\u0107","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ebba","family":"Magnuson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6728-5344","authenticated-orcid":false,"given":"Hanna","family":"Eriksson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jid.2026.09.844_bib1","doi-asserted-by":"crossref","first-page":"239","DOI":"10.2165\/00128071-200708040-00006","article-title":"Merkel cell carcinoma in a liver transplant patient","volume":"8","author":"Bensaleh","year":"2007","journal-title":"Am J Clin Dermatol"},{"key":"10.1016\/j.jid.2026.09.844_bib2","doi-asserted-by":"crossref","DOI":"10.1016\/j.oraloncology.2019.104562","article-title":"Cutaneous squamous cell carcinoma in the organ transplant recipient","volume":"103","author":"Bibee","year":"2020","journal-title":"Oral Oncol"},{"key":"10.1016\/j.jid.2026.09.844_bib3","doi-asserted-by":"crossref","first-page":"715","DOI":"10.1097\/00007890-199603150-00008","article-title":"The risk of skin cancer in renal transplant recipients in Queensland, Australia. A follow-up study","volume":"61","author":"Bouwes Bavinck","year":"1996","journal-title":"Transplantation"},{"key":"10.1016\/j.jid.2026.09.844_bib4","doi-asserted-by":"crossref","first-page":"2741","DOI":"10.1002\/ijc.31735","article-title":"Risk of Kaposi sarcoma after solid organ transplantation in the United States","volume":"143","author":"Cahoon","year":"2018","journal-title":"Int J Cancer"},{"key":"10.1016\/j.jid.2026.09.844_bib5","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1053\/ajkd.2003.50130","article-title":"Incidence and prediction of nonmelanoma skin cancer post-renal transplantation: a prospective study in Queensland, Australia","volume":"41","author":"Carroll","year":"2003","journal-title":"Am J Kidney Dis"},{"key":"10.1016\/j.jid.2026.09.844_bib6","doi-asserted-by":"crossref","DOI":"10.1093\/jnci\/dju382","article-title":"Risk of Merkel cell carcinoma after solid organ transplantation","volume":"107","author":"Clarke","year":"2015","journal-title":"J Natl Cancer Inst"},{"key":"10.1016\/j.jid.2026.09.844_bib7","doi-asserted-by":"crossref","first-page":"1200","DOI":"10.1016\/j.jaad.2024.01.040","volume":"90","author":"de Jong","year":"2024","journal-title":"J Am Acad Dermatol"},{"key":"10.1016\/j.jid.2026.09.844_bib8","doi-asserted-by":"crossref","first-page":"275","DOI":"10.7861\/clinmed.2023-0048","article-title":"A rare involvement in skin cancer: Merkel cell carcinoma with bone marrow infiltration in a kidney transplant recipient","volume":"23","author":"Durmus","year":"2023","journal-title":"Clin Med (Lond)"},{"key":"10.1016\/j.jid.2026.09.844_bib9","doi-asserted-by":"crossref","first-page":"1681","DOI":"10.1056\/NEJMra022137","article-title":"Skin cancers after organ transplantation","volume":"348","author":"Euvrard","year":"2003","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jid.2026.09.844_bib10","doi-asserted-by":"crossref","first-page":"1172","DOI":"10.1111\/tri.13011","article-title":"Increasing incidence of melanoma after solid organ transplantation: a retrospective epidemiological study","volume":"30","author":"Fattouh","year":"2017","journal-title":"Transpl Int"},{"key":"10.1016\/j.jid.2026.09.844_bib11","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1080\/01621459.1999.10474144","article-title":"A proportional hazards model for the subdistribution of a competing risk","volume":"94","author":"Fine","year":"1999","journal-title":"J Am Stat Assoc"},{"key":"10.1016\/j.jid.2026.09.844_bib12","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1001\/jamadermatol.2016.4920","article-title":"Incidence of and risk factors for skin cancer in organ transplant recipients in the United States [published correction appears in JAMA Dermatol 2017;153:357]","volume":"153","author":"Garrett","year":"2017","journal-title":"JAMA Dermatol"},{"key":"10.1016\/j.jid.2026.09.844_bib13","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1016\/j.jaad.2016.02.1155","article-title":"Trends of skin cancer mortality after transplantation in the United States: 1987 to 2013","volume":"75","author":"Garrett","year":"2016","journal-title":"J Am Acad Dermatol"},{"key":"10.1016\/j.jid.2026.09.844_bib14","doi-asserted-by":"crossref","first-page":"923","DOI":"10.1001\/jamadermatol.2023.2029","article-title":"Rates of second tumor, metastasis, and death from cutaneous squamous cell carcinoma in patients with and without transplant-associated immunosuppression","volume":"159","author":"Gjersvik","year":"2023","journal-title":"JAMA Dermatol"},{"key":"10.1016\/j.jid.2026.09.844_bib15","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1016\/j.jaad.2012.09.030","article-title":"Fitzpatrick skin phototype is an independent predictor of squamous cell carcinoma risk after solid organ transplantation","volume":"68","author":"Gogia","year":"2013","journal-title":"J Am Acad Dermatol"},{"key":"10.1016\/j.jid.2026.09.844_bib16","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1001\/jamadermatol.2022.4820","article-title":"External validation of the Skin and UV Neoplasia Transplant Risk Assessment Calculator (SUNTRAC) in a large European solid organ transplant recipient cohort","volume":"159","author":"G\u00f3mez-Tom\u00e1s","year":"2023","journal-title":"JAMA Dermatol"},{"key":"10.1016\/j.jid.2026.09.844_bib17","doi-asserted-by":"crossref","first-page":"1141","DOI":"10.1214\/aos\/1176350951","article-title":"A class of K-Sample tests for comparing the cumulative incidence of a competing risk","volume":"16","author":"Gray","year":"1988","journal-title":"Ann Statistist"},{"key":"10.1016\/j.jid.2026.09.844_bib18","doi-asserted-by":"crossref","first-page":"1281","DOI":"10.1111\/jdv.15538","article-title":"Skin cancer in organ transplant recipients: dynamics in the incidence and clinical predictors for the first and subsequent post-transplant non-melanoma skin cancer","volume":"33","author":"Hartmann","year":"2019","journal-title":"J Eur Acad Dermatol Venereol"},{"key":"10.1016\/j.jid.2026.09.844_bib19","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1111\/j.1600-6143.2012.04292.x","article-title":"A surveillance model for skin cancer in organ transplant recipients: a 22-year prospective study in an ethnically diverse population","volume":"13","author":"Harwood","year":"2013","journal-title":"Am J Transplant"},{"key":"10.1016\/j.jid.2026.09.844_bib20","doi-asserted-by":"crossref","first-page":"1259","DOI":"10.1111\/tri.13493","article-title":"Predicting skin cancer in organ transplant recipients: development of the SUNTRAC screening tool using data from a multicenter cohort study","volume":"32","author":"Jambusaria-Pahlajani","year":"2019","journal-title":"Transpl Int"},{"key":"10.1016\/j.jid.2026.09.844_bib21","doi-asserted-by":"crossref","first-page":"3490","DOI":"10.1111\/ajt.13863","article-title":"Azathioprine and risk of skin cancer in organ transplant recipients: systematic review and meta-analysis","volume":"16","author":"Jiyad","year":"2016","journal-title":"Am J Transplant"},{"key":"10.1016\/j.jid.2026.09.844_bib22","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1007\/s00403-024-03551-7","article-title":"Update on skin cancer prevention modalities and screening protocols in solid organ transplant recipients: a scoping review","volume":"317","author":"Korzeniowski","year":"2024","journal-title":"Arch Dermatol Res"},{"key":"10.1016\/j.jid.2026.09.844_bib23","doi-asserted-by":"crossref","first-page":"1429","DOI":"10.1002\/ijc.27765","article-title":"Risk of skin cancer and other malignancies in kidney, liver, heart and lung transplant recipients 1970 to 2008--a Swedish population-based study","volume":"132","author":"Krynitz","year":"2013","journal-title":"Int J Cancer"},{"key":"10.1016\/j.jid.2026.09.844_bib24","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1093\/ndt\/gfp482","article-title":"First and subsequent nonmelanoma skin cancers: incidence and predictors in a population of New Zealand renal transplant recipients","volume":"25","author":"Mackenzie","year":"2010","journal-title":"Nephrol Dial Transplant"},{"key":"10.1016\/j.jid.2026.09.844_bib25","doi-asserted-by":"crossref","first-page":"2509","DOI":"10.1111\/ajt.14382","article-title":"Skin cancers in organ transplant recipients","volume":"17","author":"Mittal","year":"2017","journal-title":"Am J Transplant"},{"key":"10.1016\/j.jid.2026.09.844_bib26","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1016\/j.jaad.2019.09.072","article-title":"Melanoma incidence, stage, and survival after solid organ transplant: a population-based cohort study in Ontario, Canada","volume":"83","author":"Park","year":"2020","journal-title":"J Am Acad Dermatol"},{"key":"10.1016\/j.jid.2026.09.844_bib27","doi-asserted-by":"crossref","first-page":"1717","DOI":"10.1097\/00007890-199912150-00015","article-title":"Merkel\u2019s cell CARCINOMA IN ORGAN RECIPIENTS: report of 41 cases","volume":"68","author":"Penn","year":"1999","journal-title":"Transplantation"},{"key":"10.1016\/j.jid.2026.09.844_bib28","doi-asserted-by":"crossref","first-page":"1227","DOI":"10.1016\/j.transproceed.2009.03.009","article-title":"Risk of Kaposi sarcoma after solid-organ transplantation: multicenter study in 4,767 recipients in Italy, 1970-2006","volume":"41","author":"Piselli","year":"2009","journal-title":"Transplant Proc"},{"key":"10.1016\/j.jid.2026.09.844_bib29","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/j.jaad.2014.09.010","article-title":"Incidence and risk factors for skin cancer following lung transplantation","volume":"72","author":"Rashtak","year":"2015","journal-title":"J Am Acad Dermatol"},{"key":"10.1016\/j.jid.2026.09.844_bib30","doi-asserted-by":"crossref","first-page":"2657","DOI":"10.1038\/jid.2015.312","article-title":"Melanoma risk and survival among organ transplant recipients","volume":"135","author":"Robbins","year":"2015","journal-title":"J Invest Dermatol"},{"key":"10.1016\/j.jid.2026.09.844_bib31","doi-asserted-by":"crossref","DOI":"10.1016\/j.trim.2022.101698","article-title":"Higher mycophenolate dosage is associated with an increased risk of squamous cell carcinoma in kidney transplant recipients","volume":"75","author":"Shao","year":"2022","journal-title":"Transpl Immunol"},{"key":"10.1016\/j.jid.2026.09.844_bib32","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1007\/s00432-018-2589-5","article-title":"Decision tree analysis to stratify risk of de novo non-melanoma skin cancer following liver transplantation","volume":"144","author":"Tanaka","year":"2018","journal-title":"J Cancer Res Clin Oncol"},{"key":"10.1016\/j.jid.2026.09.844_bib33","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1001\/archdermatol.2009.377","article-title":"Incidence and clinical predictors of a subsequent nonmelanoma skin cancer in solid organ transplant recipients with a first nonmelanoma skin cancer: a multicenter cohort study","volume":"146","author":"Tessari","year":"2010","journal-title":"Arch Dermatol"},{"key":"10.1016\/j.jid.2026.09.844_bib34","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1016\/j.suronc.2015.09.007","article-title":"Rising incidence and aggressive nature of cutaneous malignancies after transplantation: an update on epidemiology, risk factors, management and surveillance","volume":"24","author":"Tufaro","year":"2015","journal-title":"Surg Oncol"},{"key":"10.1016\/j.jid.2026.09.844_bib35","doi-asserted-by":"crossref","first-page":"2192","DOI":"10.1111\/j.1600-6143.2008.02386.x","article-title":"Skin cancer in organ transplant recipients--where do we stand today?","volume":"8","author":"Ulrich","year":"2008","journal-title":"Am J Transplant"},{"key":"10.1016\/j.jid.2026.09.844_bib36","doi-asserted-by":"crossref","first-page":"1667","DOI":"10.1097\/TP.0b013e3181a5ce2e","article-title":"Predicting risk of nonmelanoma skin cancer and premalignant skin lesions in renal transplant recipients","volume":"87","author":"Urwin","year":"2009","journal-title":"Transplantation"},{"key":"10.1016\/j.jid.2026.09.844_bib37","doi-asserted-by":"crossref","first-page":"1747","DOI":"10.1002\/ijc.24439","article-title":"Cancer incidence and risk factors after solid organ transplantation","volume":"125","author":"Vajdic","year":"2009","journal-title":"Int J Cancer"},{"key":"10.1016\/j.jid.2026.09.844_bib38","doi-asserted-by":"crossref","first-page":"1447","DOI":"10.1001\/jamadermatol.2021.4148","article-title":"Risks of multiple skin cancers in organ transplant recipients: a cohort study in 2 administrative data sets","volume":"157","author":"Wehner","year":"2021","journal-title":"JAMA Dermatol"},{"key":"10.1016\/j.jid.2026.09.844_bib39","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1016\/j.jaad.2020.03.126","article-title":"Field cancerization: definition, epidemiology, risk factors, and outcomes","volume":"83","author":"Willenbrink","year":"2020","journal-title":"J Am Acad Dermatol"}],"container-title":["Journal of Investigative Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022202X26037152?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022202X26037152?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T20:26:45Z","timestamp":1793651205000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022202X26037152"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":39,"alternative-id":["S0022202X26037152"],"URL":"https:\/\/doi.org\/10.1016\/j.jid.2026.09.844","relation":{},"ISSN":["0022-202X"],"issn-type":[{"value":"0022-202X","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Skin cancer risk stratification and outcomes in Swedish solid organ transplant recipients","name":"articletitle","label":"Article Title"},{"value":"Journal of Investigative Dermatology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jid.2026.09.844","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Inc. on behalf of Society for Investigative Dermatology.","name":"copyright","label":"Copyright"}]}}