ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2014
Sun exposure and melanoma survival: a GEM study.
Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
What it found
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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.
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Who cites it
16 citing papers in PubMed, 32 citations in OpenAlex.
- Commentary on: "The Effects of Sun Exposure and Pigmentation Phenotype on Prognosis in Metastatic Melanoma".Acta dermato-venereologica · 2026Article
- UV-induced immune modulation in the lung niche slows cancer progression.Scientific reports · 2026Article
- Melanoma and Colorectal Cancer as Second Primary Cancers: A Scoping Review of Their Association and the Underlying Biological, Lifestyle, and Genetic Factors.Journal of gastrointestinal cancer · 2025Article
- Sex differences in melanoma survival-a GEM study.JNCI cancer spectrum · 2025Article
- Solar elastosis correlates with high tumor mutation burden and better 5-year disease-specific survival in patients with stage II/III melanoma.EJC skin cancer · 2024Article
- Patient presentation, skin biopsy utilization and cutaneous malignant melanoma incidence and mortality in northern Italy: Trends and correlations.Journal of the European Academy of Dermatology and Venereology : JEADV · 2023Article
- The relative contribution of the decreasing trend in tumour thickness to the 2010s increase in net survival from cutaneous malignant melanoma in Italy: a population-based investigation.The British journal of dermatology · 2022Article
- Ultraviolet light-induced collagen degradation inhibits melanoma invasion.Nature communications · 2021Article
- A Possible Link of Genetic Variations in ER/IGF1R Pathway and Risk of Melanoma.International journal of molecular sciences · 2020Article
- Article
- A cancer registry-based analysis on the non-white populations reveals a critical role of the female sex in early-onset melanoma.Cancer causes & control : CCC · 2018Article
- The interaction between vitamin D receptor polymorphisms and sun exposure around time of diagnosis influences melanoma survival.Pigment cell & melanoma research · 2018Article
- Communication about melanoma and risk reduction after melanoma diagnosis.Psycho-oncology · 2017Article
- No prognostic value added by vitamin D pathway SNPs to current prognostic system for melanoma survival.PloS one · 2017Article
- Sun exposure and melanoma prognostic factors.Oncology letters · 2016Article
- Skin cancer and vitamin D: an update.Melanoma management · 2015Review
Corrections and comments
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Authors and funding
24 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundWe previously reported a significant association between higher UV radiation exposure before diagnosis and greater survival with melanoma in a population-based study in Connecticut. We sought to evaluate the hypothesis that sun exposure before diagnosis was associated with greater survival in a larger, international population-based study with more detailed exposure information.
methodsWe conducted a multicenter, international population-based study in four countries-Australia, Italy, Canada, and the United States-with 3,578 cases of melanoma with an average of 7.4 years of follow-up. Measures of sun exposure included sunburn, intermittent exposure, hours of holiday sun exposure, hours of water-related outdoor activities, ambient ultraviolet B (280-320 nm) dose, histologic solar elastosis, and season of diagnosis.
resultsResults were not strongly supportive of the earlier hypothesis. Having had any sunburn in 1 year within 10 years of diagnosis was inversely associated with survival; solar elastosis-a measure of lifetime cumulative exposure-was not. In addition, none of the intermittent exposure measures-water-related activities and sunny holidays-were associated with melanoma-specific survival. Estimated ambient UVB dose was not associated with survival.
conclusionAlthough there was an apparent protective effect of sunburns within 10 years of diagnosis, there was only weak evidence in this large, international, population-based study of melanoma that sun exposure before diagnosis is associated with greater melanoma-specific survival. IMPACT: This study adds to the evidence that sun exposure before melanoma diagnosis has little effect on survival with melanoma.
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