Spectrum of De Novo Cancers and Predictors in Liver Transplantation: Analysis of the Scientific Registry of Transplant Recipients Database
Publication Date
May 12, 2016
Journal
PLOS ONE
Authors
Jie Zhou, Zhenhua Hu, Qijun Zhang, Zhiwei Li, et al
Volume
11
Issue
5
Pages
e0155179
DOI
https://dx.plos.org/10.1371/journal.pone.0155179
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0155179
Web of Science
000376588600130
Scopus
84969498403
Mendeley
http://www.mendeley.com/research/spectrum-novo-cancers-predictors-liver-transplantation-analysis-scientific-registry-transplant-recip
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Mendeley | Further Information

{"title"=>"Spectrum of de novo cancers and predictors in liver transplantation: Analysis of the scientific registry of transplant recipients database", "type"=>"journal", "authors"=>[{"first_name"=>"Jie", "last_name"=>"Zhou", "scopus_author_id"=>"56178167500"}, {"first_name"=>"Zhenhua", "last_name"=>"Hu", "scopus_author_id"=>"55705500300"}, {"first_name"=>"Qijun", "last_name"=>"Zhang", "scopus_author_id"=>"56969890000"}, {"first_name"=>"Zhiwei", "last_name"=>"Li", "scopus_author_id"=>"57111040100"}, {"first_name"=>"Jie", "last_name"=>"Xiang", "scopus_author_id"=>"55644556600"}, {"first_name"=>"Sheng", "last_name"=>"Yan", "scopus_author_id"=>"8710374100"}, {"first_name"=>"Jian", "last_name"=>"Wu", "scopus_author_id"=>"55757782635"}, {"first_name"=>"Min", "last_name"=>"Zhang", "scopus_author_id"=>"55553733733"}, {"first_name"=>"Shusen", "last_name"=>"Zheng", "scopus_author_id"=>"35319469200"}], "year"=>2016, "source"=>"PLoS ONE", "identifiers"=>{"sgr"=>"84969498403", "doi"=>"10.1371/journal.pone.0155179", "pui"=>"610397972", "pmid"=>"27171501", "scopus"=>"2-s2.0-84969498403", "issn"=>"19326203"}, "id"=>"76cd2160-cea9-33bc-b0b7-ba8e4de50a6f", "abstract"=>"Background: De novo malignancies occur after liver transplantation because of immunosuppression and improved long-term survival. But the spectrums and associated risk factors remain unclear. Aims: To describe the overall pattern of de novo cancers in liver transplant recipients. Methods: Data from Scientific Registry of Transplant Recipients from October 1987 to December 2009 were analyzed. The spectrum of de novo cancer was analyzed and logistic-regression was used to identify predictors of do novo malignancies. Results: Among 89,036 liver transplant recipients, 6,834 recipients developed 9,717 post-transplant malignancies. We focused on non-skin malignancies. A total of 3,845 recipients suffered from 4,854 de novo non-skin malignancies, including 1,098 de novo hematological malignancies, 38 donor-related cases, and 3,718 de novo solid-organ malignancies. Liver transplant recipients had more than 11 times elevated cancer risk compared with the general population. The long-term overall survival was better for recipients without de novo cancer. Multivariate analysis indicated that HCV, alcoholic liver disease, autoimmune liver disease, nonalcoholic steatohepatitis, re-transplantation, combined transplantation, hepatocellular carcinoma, immunosuppression regime of cellcept, cyclosporine, sirolimus, steroids and tacrolimus were independent predictors for the development of solid malignancies after liver transplantation. Conclusions: De novo cancer risk was elevated in liver transplant recipients. Multiple factors including age, gender, underlying liver disease and immunosuppression were associated with the development of de novo cancer. This is useful in guiding recipient selection as well as post-transplant surveillance and prevention. [ABSTRACT FROM AUTHOR]", "link"=>"http://www.mendeley.com/research/spectrum-novo-cancers-predictors-liver-transplantation-analysis-scientific-registry-transplant-recip", "reader_count"=>8, "reader_count_by_academic_status"=>{"Unspecified"=>2, "Researcher"=>1, "Student > Doctoral Student"=>1, "Other"=>2, "Student > Bachelor"=>2}, "reader_count_by_user_role"=>{"Unspecified"=>2, "Researcher"=>1, "Student > Doctoral Student"=>1, "Other"=>2, "Student > Bachelor"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>2, "Medicine and Dentistry"=>4, "Arts and Humanities"=>1, "Psychology"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>4}, "Psychology"=>{"Psychology"=>1}, "Unspecified"=>{"Unspecified"=>2}, "Arts and Humanities"=>{"Arts and Humanities"=>1}}, "group_count"=>1}

Scopus | Further Information

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