In Practice

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An original investigation published online by JAMA Dermatology on July 26, 2017 found that "renal transplant recipients had greater risk of developing melanoma compared with their non-renal transplant counterparts. Risk factors for developing melanoma included older, age, male sex, recipient white race, living donors, sirolimus therapy, and cyclosporine therapy".

Of 105,174 patients (64,151 or 60.7% male, mean age 49.5, standard deviation 15.3 years) "who received kidney transplants between 2004 and 2012, 488 or 0.4% had a record of melanoma after transplantation".

 Clinicians can now submit Quality Payment Program Hardship Exception Applications