Evidence map›Paper›PMID 25366817›Full record

ReviewIrish journal of medical science2015

A review of sentinel lymph node biopsy for thin melanoma.

K M Joyce, N M McInerney, C W Joyce, D M Jones, A J Hussey, P Donnellan, M J Kerin, J L Kelly, P J Regan

Abstract readReview
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In one paragraph

Review in Irish journal of medical science, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. 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

9 authors.

K M JoyceDepartment of Plastic and Reconstructive Surgery, Galway University Hospital, Galway, Ireland, kennethjoyce1@gmail.com.
N M McInerney
C W Joyce
D M Jones
A J Hussey
P Donnellan
M J Kerin
J L Kelly
P J Regan

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAlthough there is a lack of established survival benefit of sentinel lymph node biopsy (SLNB), this technique has been increasingly applied in the staging of patients with thin (≤1.00 mm) melanoma (T1Nx), without clear supportive evidence.

methodsWe review the guidelines and available literature on the indications and rationale for performing SLNB in thin melanoma.

resultsAs a consequence of the paucity of evidence of SLNB in thin melanoma, there is considerable variability in the guidelines. It is difficult to define clinicopathologic factors that reliably predict the presence of nodal metastasis. SLNB does not yet inform management in thin melanoma to improve survival outcome.

conclusionBased on available evidence, high risk patients with melanomas between 0.75 and 1.00 mm may be appropriate candidates to be considered for SLN biopsy after discussing the likelihood of finding evidence of nodal progression, the risks of sentinel node biopsy, and the lack of proven survival benefit from any form of surgical nodal staging.

Indexed as

Practice Guidelines as TopicSentinel Lymph Node BiopsyChemotherapy, AdjuvantDisease ManagementHumansLymphatic MetastasisMelanomaNeoplasm StagingPredictive Value of TestsSkin NeoplasmsSurvival Rate

Identifiers

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.