Evidence map›Paper›PMID 22153793›Full record

ArticleJournal of the American Academy of Dermatology2012

Indoor tanning and risk of early-onset basal cell carcinoma.

Leah M Ferrucci, Brenda Cartmel, Annette M Molinaro, David J Leffell, Allen E Bale, Susan T Mayne

Abstract read
In one paragraph

Article in Journal of the American Academy of Dermatology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 4% 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

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 102 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Does Basal Cell Carcinoma Arise from a Precursor Lesion?The Journal of investigative dermatology · 2026
    Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Observational
  13. Review
  14. Review
  15. Article
  16. Nonmelanoma skin cancer in women.International journal of women's dermatology · 2019
    Article
  17. Article
  18. Indoor Tanning Dependence in Young Adult Women.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2017
    Article
  19. Epidemiology of Keratinocyte Carcinoma.Current dermatology reports · 2017
    Article
  20. Predictors of tanning dependence in white non-Hispanic females and males.Journal of the European Academy of Dermatology and Venereology : JEADV · 2017
    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

6 authors at 3 institutions in 1 country.

Leah M FerrucciYale School of Public Health, New Haven, Connecticut 06520-8034, USA.
Brenda Cartmel
Annette M Molinaro
David J Leffell
Allen E Bale
Susan T Mayne
Yale New Haven Health System · USYale University · USYale Cancer Center · US

Funding

YALE UNIVERSITY CLINICAL AND TRANSLATIONAL SCIENCE AWARD PROGRAMUL1RR024139 · NCRR · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2006 to 2011
$56.8M
Yale SPORE in Skin CancerP50CA121974 · NCI · YALE UNIVERSITY · PI DAVID F STERN · 2006 to 2026
$43.9M
Novel Tree-based Statistical Methods for Cancer Risk PredictionR01CA163687 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MOLINARO, ANNETTE M · 2012 to 2015
$1.3M
Epidemiology, genetics, and behaviors in a study of basal cell carcinomaF32CA144335 · NCI · YALE UNIVERSITY · PI FERRUCCI, LEAH MCARTHUR · 2010 to 2012
$115k
NCI NIH HHS 1F32 CA144335NCI NIH HHS 1P50 CA121974NCI NIH HHS F32 CA144335NCI NIH HHS P50 CA121974NCI NIH HHS R01 CA163687NCRR NIH HHS UL1 RR024139
6 · The paper itself

Abstract

backgroundDespite an increase in incidence of basal cell carcinoma (BCC) among young people and the ubiquity of indoor tanning in this population, few epidemiologic studies have investigated this exposure-disease relationship.

objectiveWe sought to evaluate the association between indoor tanning and early-onset BCC.

methodsPatients with BCC (n = 376) and control subjects with minor benign skin conditions (n = 390) who were younger than 40 years of age were identified through Yale Dermatopathology. Participants provided information on ever indoor tanning, age of initiation, frequency, duration, burns while tanning, and type of tanning device during an in-person interview. We calculated odds ratios (OR) and 95% confidence intervals (CI) using multivariate logistic regression with never indoor tanners as the referent group.

resultsEver indoor tanning was associated with a 69% increased risk of early-onset BCC (95% CI 1.15-2.48). This association was stronger among females (OR 2.14, 95% CI 1.31-3.47), for multiple BCCs (OR 2.16, 95% CI 1.26-3.70), and for BCCs on the trunk and extremities (OR 2.81, 95% CI 1.57-5.02). Risk increased dose dependently with years using regular indoor tanning devices (P trend = .003), number of overall burns (P trend < .001), and burns to biopsy site (P trend < .001) from indoor tanning. Approximately one quarter (27%) of early-onset BCCs (or 43% among women) could be prevented if individuals never tanned indoors. LIMITATIONS: Potential recall bias of indoor tanning by patients and generalizability of the control population suggest replication in other studies is warranted.

conclusionsIndoor tanning was a strong risk factor for early-onset BCC, particularly among females. Indoor tanning should continue to be targeted by both policy-based and behavioral interventions, as the impact on BCC-associated morbidity may be substantial.

Indexed as

AdultAge DistributionAge of OnsetBasal Cell CarcinomaCase-Control StudiesFemaleGenetic Predisposition to DiseaseHumansMaleReceptor, Melanocortin, Type 1Risk FactorsSex DistributionSkin NeoplasmsSkin PigmentationSunbathingSunburnReceptor, Melanocortin, Type 1

Identifiers

PMID22153793
PMCPMC3307842
OpenAlexW1982009692

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.