Evidence map›Paper›PMID 21325014›Full record

ArticleJournal of medical genetics2011

Melanoma risk for CDKN2A mutation carriers who are relatives of population-based case carriers in Australia and the UK.

Anne E Cust, Mark Harland, Enes Makalic, Daniel Schmidt, James G Dowty, Joanne F Aitken, Chantelle Agha-Hamilton, Bruce K Armstrong, Jenny H Barrett, May Chan and 16 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of medical genetics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.0field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 45 citations in OpenAlex.

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  14. Melanoma Risk and Melanocyte Biology.Acta dermato-venereologica · 2020
    Review
  15. Article
  16. Observational
  17. Review
  18. Article
  19. Article
  20. Genetics of melanoma.Frontiers in genetics · 2012
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

26 authors at 8 institutions in 2 countries.

Anne E CustCenter for Molecular, Environmental, Genetic and Analytic Epidemiology, Melbourne School of Population Health, The University of Melbourne, Melbourne, Australia. anne.cust@sydney.edu.au
Mark Harland
Enes Makalic
Daniel Schmidt
James G Dowty
Joanne F Aitken
Chantelle Agha-Hamilton
Bruce K Armstrong
Jenny H Barrett
May Chan
Yu-Mei Chang
Joanne Gascoyne
Graham G Giles
Elizabeth A Holland
Richard F Kefford
Kairen Kukalizch
Johanna Lowery
Juliette A Randerson-Moor
Helen Schmid
Claire F Taylor
Linda Whitaker
John L Hopper
Julia A Newton-Bishop
Graham J Mann
D Timothy Bishop
Mark A Jenkins
University of Leeds · GBUniversity of Melbourne · AUMelanoma Institute Australia · AUWestmead Institute · AUCancer Council Queensland · AUGenomics (United Kingdom) · GBSt James's University Hospital · GBUniversity of Sydney · AU

Funding

Genetic Epidermiology of MelanomaR01CA083115 · NCI · UNIVERSITY OF PENNSYLVANIA · PI BISHOP, DAVID TIMOTHY, ELDER, DAVID ERIC · 2001 to 2017
$13.0M
Cancer Research UK 10589Cancer Research UK C588/A10589Cancer Research UK C588/A4994Cancer Research UK C8216/A6129NCI NIH HHS CA83115NCI NIH HHS CA-83115-01A2NCI NIH HHS R01 CA083115
6 · The paper itself

Abstract

backgroundCDKN2A mutations confer a substantial risk of cutaneous melanoma; however, the magnitude of risk is uncertain.

methodsThe study estimated the hazard ratio (HR) and the average age specific cumulative risk (ie, penetrance) of reported melanoma for CDKN2A mutation carriers in case families using a modified segregation analysis of the first and higher degree relatives of 35 population-based cases. The study sample included 223 relatives of 13 melanoma cases diagnosed when aged 18-39 years from Melbourne, Sydney and Brisbane, Australia, and 322 relatives of 22 melanoma cases diagnosed at any age from Yorkshire, UK.

resultsThe estimated HR for melanoma for mutation carriers relative to the general population decreased with regions of increasing ambient ultraviolet (UV) irradiance, being higher for the UK than Australia (87, 95% CI 50 to 153 vs 31, 95% CI 20 to 50, p=0.008), and across Australia, 49 (95% CI 24 to 98) for Melbourne, 44 (95% CI 22 to 88) for Sydney, and 9 (95% CI 2 to 33) for Brisbane (p=0.02). Penetrance did not differ by geographic region. It is estimated that 16% (95% CI 10% to 27%) of UK and 20% (95% CI 13% to 30%) of Australian CDKN2A mutation carriers would be diagnosed with melanoma by age 50 years, and 45% (95% CI 29% to 65%) and 52% (95% CI 37% to 69%), respectively, by age 80 years.

conclusionsContrary to the strong association between UV radiation exposure and melanoma risk for the general population, CDKN2A mutation carriers appear to have the same cumulative risk of melanoma irrespective of the ambient UV irradiance of the region in which they live.

Indexed as

Genes, p16HeterozygoteMutationAdultAgedAged, 80 and overAustraliaCase-Control StudiesFemaleGenetic Association StudiesGenetic Predisposition to DiseaseHumansMaleMelanomaMiddle AgedRisk Assessment

Identifiers

PMID21325014
PMCPMC7432952
OpenAlexW2077072815

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.