Evidence map›Paper›PMID 24225752›Full record

ArticleAmerican journal of clinical pathology2013

p63 expression in Merkel cell carcinoma predicts poorer survival yet may have limited clinical utility.

Galina Y Stetsenko, Jacqueline Malekirad, Kelly G Paulson, Jayasri G Iyer, Renee M Thibodeau, Kotaro Nagase, Miranda Schmidt, Barry E Storer, Zsolt B Argenyi, Paul Nghiem

Open access · bronzeAbstract read
In one paragraph

Article in American journal of clinical pathology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Review
  9. Review
  10. p63 Is a Promising Marker in the Diagnosis of Unusual Skin Cancer.International journal of molecular sciences · 2019
    Review
  11. Update on Merkel Cell Carcinoma.Head and neck pathology · 2018
    Review
  12. Merkel cell carcinoma.Nature reviews. Disease primers · 2017
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Milestones in the staging, classification, and biology of Merkel cell carcinoma.Journal of the National Comprehensive Cancer Network : JNCCN · 2014
    Review
  19. [Merkel cell carcinoma].Der Pathologe · 2014
    Review
  20. Review
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

10 authors at 3 institutions in 2 countries.

Galina Y StetsenkoUniversity of Washington, 850 Republican St, Seattle, WA 98109; e-mail: pnghiem@u.washington.edu.
Jacqueline Malekirad
Kelly G Paulson
Jayasri G Iyer
Renee M Thibodeau
Kotaro Nagase
Miranda Schmidt
Barry E Storer
Zsolt B Argenyi
Paul Nghiem
University of Washington · USSaga University · JPSeattle Cancer Care Alliance · US

Funding

University of Washington Medical Scientist Training Program: MD/PhDT32GM007266 · NIGMS · UNIVERSITY OF WASHINGTON · PI HORWITZ, MARSHALL S. · 1985 to 2023
$30.4M
Pathogenetic and prognostic studies for improved therapy of Merkel cell carcinomaK24CA139052 · NCI · UNIVERSITY OF WASHINGTON · PI NGHIEM, PAUL · 2009 to 2018
$1.8M
Humoral and cellular immunity in polyomavirus-linked Merkel cell carcinomaR01CA162522 · NCI · UNIVERSITY OF WASHINGTON · PI NGHIEM, PAUL · 2011 to 2015
$1.6M
Pathogenetics of Merkel cell cancer: a disease linked to UV damage & a new virusF30ES017385 · NIEHS · UNIVERSITY OF WASHINGTON · PI PAULSON, KELLY GARNESKI · 2009 to 2010
$65k
NCI NIH HHS K24 CA139052NCI NIH HHS K24-CA139052NCI NIH HHS R01 CA162522NIEHS NIH HHS F30 ES017385NIEHS NIH HHS F30ES017385NIGMS NIH HHS T32 GM007266
6 · The paper itself

Abstract

objectivesTo determine the clinical utility of p63 expression, which has been identified in several cohorts as a predictor of poorer prognosis in Merkel cell carcinoma (MCC).

methodsImmunohistochemistry was used to determine p63 expression on MCC tumors from 128 patients.

resultsOf the patients, 33% had detectable p63 expression. p63 Positivity was associated with an increased risk of death from MCC (hazard ratio, 2.05; P = .02) in a multivariate Cox regression model considering stage at presentation, age at diagnosis, and sex. Although p63 expression correlated with diminished survival in this largest cohort reported thus far, the effect was weaker than that observed in prior studies. Indeed, within a given stage, p63 status did not predict survival in a clinically or statistically significant manner.

conclusionsIt remains unclear whether this test should be integrated into routine MCC patient management.

Indexed as

AdultAgedAged, 80 and overBiomarkers, TumorCarcinoma, Merkel CellFemaleHumansImmunohistochemistryKaplan-Meier EstimateMaleMembrane ProteinsMiddle AgedNeoplasm StagingProportional Hazards ModelsSkin NeoplasmsBiomarkers, TumorCKAP4 protein, humanMembrane ProteinsMerkel cell carcinomap63PrognosisSurvival

Identifiers

PMID24225752
PMCPMC4074520
OpenAlexW2109696476

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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.