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Regular full skin examinations (FSEs) with a specialist clinician are recommended by most guidelines and are critical for early skin cancer detection. However, screening engagement remains variable. This narrative review synthesises the existing literature examining participation in FSEs amongst SOTRs. Seventeen studies were identified and grouped into patient\u2010, clinician\u2010 and system\u2010level domains. Across studies, adherence varied between countries and healthcare settings. Patient\u2010level barriers to screening predominantly related to sociodemographic factors. Clinician\u2010level factors that influenced screening practice included guideline awareness and prioritisation of skin cancer risk. At the system level, structured protocols and access to dermatologists improved screening uptake. Identifying and addressing barriers across these domains may improve screening uptake in this at\u2010risk population.<\/jats:p>","DOI":"10.1111\/ajd.70134","type":"journal-article","created":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:35:13Z","timestamp":1777883713000},"page":"325-337","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A Narrative Review of the Factors Impacting Solid Organ Transplant Recipient Participation in Skin Cancer Screening"],"prefix":"10.1111","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7730-8909","authenticated-orcid":false,"given":"Will","family":"Swansson","sequence":"first","affiliation":[{"name":"Department of Dermatology Royal Melbourne Hospital  Parkville Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9577-0192","authenticated-orcid":false,"given":"Alvin H.","family":"Chong","sequence":"additional","affiliation":[{"name":"Department of Medicine (Dermatology) St Vincent's Hospital Melbourne, University of Melbourne  Parkville Victoria Australia"},{"name":"Skin Health Institute  Carlton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,4]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199912023412303"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000001651"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.2165\/00003495-200767080-00006"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00042728-200404020-00009"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.2005.07021.x"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.27765"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjd.14153"},{"issue":"4","key":"e_1_2_13_9_1","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1097\/00042728-200404020-00013","article-title":"In\u2010Transit Metastasis From Primary Cutaneous Squamous Cell Carcinoma in Organ Transplant Recipients and Nonimmunosuppressed Patients: Clinical Characteristics, Management, and Outcome in a Series of 21 Patients","volume":"30","author":"Carucci J. 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