ABSTRACT
Objective To compare cancer incidence in kidney
transplant recipients during periods of transplant
function (and immunosuppression) and after transplant
failure (when immunosuppression is ceased or reduced).
Design, setting, and participants Nationwide, population
based retrospective cohort study of 8173 Australian
kidney transplant recipients registered on the Australia
and New Zealand Dialysis and Transplant Registry who
first received a transplant during 1982-2003. Incident
cancers were ascertained using linkage with national
cancer registry records.
Main outcome measures Cancer-specific standardised
incidence ratios for periods of transplant function and for
dialysis after transplant failure. Incidence was compared
between periods using multivariate incidence rate ratios
adjusted for current age, sex, and duration of
transplantation.