{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:47:39Z","timestamp":1777924059447,"version":"3.51.4"},"reference-count":51,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,4,6]],"date-time":"2019-04-06T00:00:00Z","timestamp":1554508800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007475","name":"Canadian Dermatology Foundation","doi-asserted-by":"publisher","award":["10006593"],"award-info":[{"award-number":["10006593"]}],"id":[{"id":"10.13039\/100007475","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Long\u2010term use of immunosuppressive medications by organ transplant recipients (OTRs) leads to an\u00a0increased risk of non\u2010melanoma skin cancers (NMSCs). The objective of this study was to assess photoprotective knowledge and practices among OTRs and to identify predictors of poor sunscreen adherence and barriers to photoprotection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A written survey was administered to 300 solid OTRs attending the Southern Alberta Transplant Program. Demographics, transplant and NMSC history, ultraviolet radiation (UVR) exposure, photoprotective knowledge and practices, and barriers to implementing photoprotection were collected. Relevant statistical analyses and univariate and multivariable regression models on sunscreen use were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred and seventy\u2010nine of the 300 respondents reported not using sunscreen most days despite 79.3% recalling have received photoprotection education. Of the surveyed OTRs, 45.7% reported no barriers to implementing photoprotective practices. On average, respondents scored 74.5% on a commonly used tool to assess photoprotective knowledge (SD 30.6%). In multivariable analyses, older age, male gender, and lack of post\u2010secondary education were associated with lower rates of self\u2010reported sunscreen use. The most commonly patient\u2010reported barriers to photoprotection were \u201chassle\/time consuming\u201d (16.7%) and \u201csunscreen is uncomfortable or unpleasant\u201d (10.0%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Despite OTRs self\u2010reporting having received sufficient sun\u2010protective knowledge and demonstrating reasonable recollection of photoprotective education on assessment, implementation of sun protection in the studied OTRs remains suboptimal.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ctr.13524","type":"journal-article","created":{"date-parts":[[2019,3,12]],"date-time":"2019-03-12T14:21:19Z","timestamp":1552400479000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Skin cancer knowledge and photoprotective practices of organ transplant recipients"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8258-5203","authenticated-orcid":false,"given":"Danya","family":"Traboulsi","sequence":"first","affiliation":[{"name":"Department of Medicine, Cumming School of Medicine University of Calgary Calgary Alberta Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivia V.","family":"Potok","sequence":"additional","affiliation":[{"name":"Department of Medicine, Cumming School of Medicine University of Calgary Calgary Alberta Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shannon M.","family":"Ruzycki","sequence":"additional","affiliation":[{"name":"Department of Medicine, Cumming School of Medicine University of Calgary Calgary Alberta Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philip","family":"Surmanowicz","sequence":"additional","affiliation":[{"name":"Department of Medicine, Cumming School of Medicine University of Calgary Calgary Alberta Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jori","family":"Hardin","sequence":"additional","affiliation":[{"name":"Department of Medicine, Cumming School of Medicine University of Calgary Calgary Alberta Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bushra","family":"Khokhar","sequence":"additional","affiliation":[{"name":"Department of Medicine, Cumming School of Medicine University of Calgary Calgary Alberta Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Doreen M.","family":"Rabi","sequence":"additional","affiliation":[{"name":"Department of Medicine, Cumming School of Medicine University of Calgary Calgary Alberta Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Glen","family":"Hazlewood","sequence":"additional","affiliation":[{"name":"Department of Medicine, Cumming School of Medicine University of Calgary Calgary Alberta Canada"},{"name":"Department of 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