{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T05:15:20Z","timestamp":1776057320110,"version":"3.50.1"},"reference-count":51,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,1,20]],"date-time":"2021-01-20T00:00:00Z","timestamp":1611100800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    After kidney transplantation, withdrawal of calcineurin inhibitors (CNI) and conversion to sirolimus (SRL) may reduce the occurrence of new non\u2010melanoma skin cancer (NMSC). Conversely, a reduced CNI exposure with everolimus (EVR) is an alternative strategy that has not been thoroughly evaluated. We retrospectively compared the occurrence of newly diagnosed NMSCs in two cohorts of kidney transplant recipients (KTR) with at least one NMSC: 35 patients were converted to EVR with reduced CNI exposure (CNI\/EVR group), whereas 46 patients were converted to SRL in association with mycophenolic acid (MPA) (SRL\/MPA group). Two years after conversion, survival free of new NMSC was similar between the two cohorts (\n                    <jats:italic>p<\/jats:italic>\n                    \u00a0=\u00a0.37), with 19 KTR (54.3%) in the CNI\/EVR group and 22 (47.8%) in the SRL\/MPA group being diagnosed of at least one new NMSC. Half of the KTR from both groups showed adverse events, leading to mTORi discontinuation for 37.1% of KTR in the CNI\/EVR group and 21.7% in the SRL\/MPA group (\n                    <jats:italic>p<\/jats:italic>\n                    \u00a0=\u00a0.09). The incidence of rejections was similar between the two groups. In a retrospective cohort of KTR with at least one post\u2010transplant NMSC, the outcome of the patients converted to a CNI\/EVR regimen was not different from those converted to a SRL\/MPA regimen.\n                  <\/jats:p>","DOI":"10.1111\/ctr.14207","type":"journal-article","created":{"date-parts":[[2020,12,28]],"date-time":"2020-12-28T16:14:56Z","timestamp":1609172096000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Comparison of two strategies based on mammalian target of rapamycin inhibitors in secondary prevention of non\u2010melanoma skin cancer after kidney transplantation, a pilot study"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2919-0050","authenticated-orcid":false,"given":"Julie","family":"Pr\u00e9terre","sequence":"first","affiliation":[{"name":"CHU de Bordeaux Service de N\u00e9phrologie\u2010Transplantation\u2010Dialyse\u2010Aph\u00e9r\u00e8se H\u00f4pital Pellegrin Bordeaux France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Visentin","sequence":"additional","affiliation":[{"name":"CHU de Bordeaux Service d\u2019Immunologie et Immunog\u00e9n\u00e9tique H\u00f4pital Pellegrin Bordeaux France"},{"name":"Universit\u00e9 de Bordeaux CNRS \u201cImmunoConcEpT\u201d UMR 5164 Bordeaux France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Morgane","family":"Saint Cricq","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Dialysis and Organ Transplantation H\u00f4pital Rangueil CHU de Toulouse Toulouse France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannah","family":"Kaminski","sequence":"additional","affiliation":[{"name":"CHU de Bordeaux Service de N\u00e9phrologie\u2010Transplantation\u2010Dialyse\u2010Aph\u00e9r\u00e8se H\u00f4pital Pellegrin Bordeaux France"},{"name":"Universit\u00e9 de Bordeaux CNRS \u201cImmunoConcEpT\u201d UMR 5164 Bordeaux France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3115-868X","authenticated-orcid":false,"given":"Arnaud","family":"Del Bello","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Dialysis and Organ Transplantation H\u00f4pital Rangueil CHU de Toulouse Toulouse France"},{"name":"Centre de Physiopathologie Toulouse Purpan University Paul Sabatier INSERM U1043 Toulouse France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mathilde","family":"Prezelin\u2010Reydit","sequence":"additional","affiliation":[{"name":"CHU de Bordeaux Service de N\u00e9phrologie\u2010Transplantation\u2010Dialyse\u2010Aph\u00e9r\u00e8se H\u00f4pital Pellegrin Bordeaux France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre","family":"Merville","sequence":"additional","affiliation":[{"name":"CHU de Bordeaux Service de N\u00e9phrologie\u2010Transplantation\u2010Dialyse\u2010Aph\u00e9r\u00e8se H\u00f4pital Pellegrin Bordeaux France"},{"name":"Universit\u00e9 de Bordeaux CNRS \u201cImmunoConcEpT\u201d UMR 5164 Bordeaux France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1930-8964","authenticated-orcid":false,"given":"Nassim","family":"Kamar","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Dialysis and Organ Transplantation H\u00f4pital Rangueil CHU de Toulouse Toulouse France"},{"name":"Centre de Physiopathologie Toulouse Purpan University Paul Sabatier INSERM U1043 Toulouse France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lionel","family":"Couzi","sequence":"additional","affiliation":[{"name":"CHU de Bordeaux Service de N\u00e9phrologie\u2010Transplantation\u2010Dialyse\u2010Aph\u00e9r\u00e8se H\u00f4pital Pellegrin Bordeaux France"},{"name":"Universit\u00e9 de Bordeaux CNRS \u201cImmunoConcEpT\u201d 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