Evidence map›Paper›PMID 42387207›Full record

ArticleBritish journal of cancer2026

De novo cancer-related mortality after solid organ transplantation in England: the EpCOT study.

Charlotte Stephens, David Winter, Mike Hawkins, Raoul Reulen, Adnan Sharif

Abstract read
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Article in British journal of cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Charlotte StephensDepartment of Nephrology and Transplantation, University Hospital Birmingham, Birmingham, UK.ORCID http://orcid.org/0009-0005-7677-3813
David WinterApplied Health Sciences, University of Birmingham, Birmingham, UK.
Mike HawkinsApplied Health Sciences, University of Birmingham, Birmingham, UK.
Raoul ReulenApplied Health Sciences, University of Birmingham, Birmingham, UK.ORCID http://orcid.org/0000-0002-7328-0467
Adnan SharifDepartment of Nephrology and Transplantation, University Hospital Birmingham, Birmingham, UK. adnan.sharif@uhb.nhs.uk.

Funding

Wellcome Trust
6 · The paper itself

Abstract

backgroundCancer is a major cause of mortality after solid organ transplantation (SOT). Quantifying this risk is difficult due to heterogeneous reports and methodological limitations.

methodsWe conducted a population-based cohort study linking data between the UK Transplant Registry, National Cancer Registry, Civil Registration of Deaths, and Hospital Episode Statistics for all SOT recipients in England between 1st June 1992 and 31st December 2015.

findingsAmong 50,762 SOT recipients, 22,361 deaths were recorded, of which 3550 (15.9%) were due to cancer, making it the second leading cause of mortality. Overall cancer (excluding non-melanomatous skin cancer) standardised mortality ratio (SMR) was 2.12 (95% CI: 2.05-2.19). Cancer mortality was highest among lung recipients (SMR 3.49; 95% CI: 2.96-4.06), and lowest in kidney recipients (SMR 2.00; 95% CI: 1.92-2.08). Non-Hodgkin's Lymphoma had highest mortality after SOT (SMR 9.86; 95% CI: 9.01-10.75) and was elevated across all transplant types. However, liver and kidney cancer mortality was disproportionately elevated among liver (SMR: 9.30; 95% CI: 7.53-11.24) and kidney transplant recipients (SMR: 5.11; 95% CI: 4.34-5.93), respectively. Several cancers showed no increased mortality.

interpretationDe novo cancer remains a major cause of long-term mortality after SOT in England, with risk stratified by cancer and/or allograft.

Indexed as

NeoplasmsOrgan TransplantationAdolescentAdultAgedCohort StudiesEnglandFemaleHumansKidney TransplantationMaleMiddle AgedRegistriesYoung Adult

Identifiers

PMID42387207
PMCPMC13578314

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.