AUTHOR=Hirotsu Kelsey E. , Crowe Lauren , Michalski-McNeely Basia , Arron Sarah T. , Bibee Kristin , Bottomley Matthew J. , Carr David R. , Carter Joi B. , Christensen Sean R. , Chung Christina , Jambusaria Anokhi , Ken Kimberly M. , Loss Manisha J. , Paragh Gyorgy , Plasmeijer Elsemieke I. , Proby Charlotte , Pugliano-Mauro Melissa , Shahwan Kathryn T. , Whitley Melodi Javid , Carroll Bryan T. 

TITLE=Dermatology Scheduling Triage of Transplant Patients and Transplant Candidates to Improve Early Diagnosis and Prevention of Skin Cancer: International Immunosuppression and Transplant Skin Cancer Collaborative Expert Consensus Recommendations

JOURNAL=Transplant International

VOLUME=Volume 38 - 2025

YEAR=2025

URL=https://www.frontierspartnerships.org/journals/transplant-international/articles/10.3389/ti.2025.14711

DOI=10.3389/ti.2025.14711

ISSN=1432-2277

ABSTRACT=Solid organ transplant recipients (SOTRs) have a high risk of developing aggressive skin cancers. However, there are no standardized triage guidelines to assist dermatology clinics with scheduling new patients pre- or post-transplant. Dermatologic care of SOTRs requires multidisciplinary coordination, extensive assessment, tailored counseling, and longitudinal care. Specialized high-risk transplant clinics are designed to address this clinical need but are a limited resource. This triage algorithm aims to provide a practical framework for tertiary care centers or community practice clinics receiving pre- or post-transplant referrals for active concerning growths or routine skin cancer screening exams. In summary, our expert panel recommends SOTRs are seen within 1–2 weeks for evaluation of an active growth and triaged according to their risk factors for the initial post-transplant screening visit (6 months–2+ years post-transplant). Transplant candidates should be seen for pre-transplant evaluation within 1 month of the referral for a skin cancer screening exam, depending on the transplant team’s timeline and dermatologist availability. Overall, dermatologists face numerous challenges in caring for transplant patients, and scheduling these patients in a timely manner according to the acuity of their needs will facilitate prevention and early diagnosis of skin cancer, thus improving transplant patient outcomes.