Evidence map›Paper›PMID 22833605›Full record

SynthesisBMJ (Clinical research ed.)2012

Cutaneous melanoma attributable to sunbed use: systematic review and meta-analysis.

Mathieu Boniol, Philippe Autier, Peter Boyle, Sara Gandini

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ (Clinical research ed.), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 226 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
226citing papers in PubMed, 12 pooled it
67.0field-weighted citation impact, top 1% 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

226 citing papers in PubMed, 12 syntheses or guidelines pooled it, 631 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  5. Visual inspection for diagnosing cutaneous melanoma in adults.The Cochrane database of systematic reviews · 2018
    Pooled it
  6. Pooled it
  7. Pooled it
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  10. Review of interventions to reduce ultraviolet tanning: Need for treatments targeting excessive tanning, an emerging addictive behavior.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2017
    Pooled it
  11. Pooled it
  12. Pooled it
  13. Effects of a Tailored Mobile Messaging Intervention for Indoor Tanning Cessation in Young Females: A Randomized Clinical Trial.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Trial
  14. Facebook advertising for cancer prevention: a pilot study.The British journal of dermatology · 2019
    Trial
  15. Trial
  16. A Web-Based Intervention to Reduce Indoor Tanning Motivations in Adolescents: a Randomized Controlled Trial.Prevention science : the official journal of the Society for Prevention Research · 2017
    Trial
  17. The influence of framed messages and self-affirmation on indoor tanning behavioral intentions in 18- to 30-year-old women.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2016
    Trial
  18. Randomized controlled trial of a web-based indoor tanning intervention: Acceptability and preliminary outcomes.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2015
    Trial
  19. Trial
  20. Measurements of erythema effective ultraviolet irradiance in artificial tanning devices in Switzerland.Photochemical & photobiological sciences : Official journal of the European Photochemistry Association and the European Society for Photobiology · 2026
    Article

166 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 3 countries.

Mathieu BoniolInternational Prevention Research Institute, 95 cours Lafayette, 69006 Lyon, France. mathieu.boniol@i-pri.org
Philippe Autier
Peter Boyle
Sara Gandini
University of Strathclyde · GBEuropean Institute of Oncology · ITInternational Prevention Research Institute · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo estimate the burden of melanoma resulting from sunbed use in western Europe.

designSystematic review and meta-analysis. DATA SOURCES: PubMed, ISI Web of Science (Science Citation Index Expanded), Embase, Pascal, Cochrane Library, LILACS, and MedCarib, along with published surveys reporting prevalence of sunbed use at national level in Europe. STUDY SELECTION: Observational studies reporting a measure of risk for skin cancer (cutaneous melanoma, squamous cell carcinoma, basal cell carcinoma) associated with ever use of sunbeds.

resultsBased on 27 studies ever use of sunbeds was associated with a summary relative risk of 1.20 (95% confidence interval 1.08 to 1.34). Publication bias was not evident. Restricting the analysis to cohorts and population based studies, the summary relative risk was 1.25 (1.09 to 1.43). Calculations for dose-response showed a 1.8% (95% confidence interval 0% to 3.8%) increase in risk of melanoma for each additional session of sunbed use per year. Based on 13 informative studies, first use of sunbeds before age 35 years was associated with a summary relative risk of 1.87 (1.41 to 2.48), with no indication of heterogeneity between studies. By using prevalence data from surveys and data from GLOBOCAN 2008, in 2008 in the 15 original member countries of the European Community plus three countries that were members of the European Free Trade Association, an estimated 3438 cases of melanoma could be attributable to sunbed use, most (n=2341) occurring among women.

conclusionsSunbed use is associated with a significant increase in risk of melanoma. This risk increases with number of sunbed sessions and with initial usage at a young age (<35 years). The cancerous damage associated with sunbed use is substantial and could be avoided by strict regulations.

Indexed as

Age FactorsDose-Response Relationship, RadiationEuropeFemaleHumansMaleMelanomaNeoplasms, Radiation-InducedPrevalenceRisk FactorsSex DistributionSkin NeoplasmsSunbathingUltraviolet Rays

Identifiers

PMID22833605
PMCPMC3404185
OpenAlexW2079295021

What OpenQuestion holds

Textmetadata
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.