Evidence map›Paper›PMID 27073541›Full record

ArticleOncology letters2016

Sun exposure and melanoma prognostic factors.

Sara Gandini, Maurizio Montella, Fabrizio Ayala, Lucia Benedetto, Carlo Riccardo Rossi, Antonella Vecchiato, Maria Teresa Corradin, Vincenzo DE Giorgi, Paola Queirolo, Guido Zannetti and 10 more

Abstract read
In one paragraph

Article in Oncology letters, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

  1. Article
  2. Prediction and Prognostication of Peripheral Blood Biomarkers in Head and Neck Cutaneous Squamous Cell Carcinoma.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Body Mass Index and Melanoma Prognosis.Dermatology practical & conceptual · 2021
    Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Observational
  16. Article
  17. Article
  18. Article
  19. 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

20 authors.

Sara GandiniDivision of Epidemiology and Biostatistics, European Institute of Oncology, Milan I-20146, Italy.
Maurizio MontellaDepartment of Epidemiology, National Cancer Institute 'G. Pascale' Foundation, Naples I-80131, Italy.
Fabrizio AyalaUnit of Medical Oncology and Innovative Therapies, National Cancer Institute 'G. Pascale' Foundation, Naples I-80131, Italy.
Lucia BenedettoUnit of Medical Oncology and Innovative Therapies, National Cancer Institute 'G. Pascale' Foundation, Naples I-80131, Italy.
Carlo Riccardo RossiDepartment of Surgical Oncological and Gastroenterological Sciences, Padua University, Padua I-35122, Italy; Melanoma and Sarcoma Unit, Veneto Oncological Institute for Research and Treatment, Padua I-35128, Italy.
Antonella VecchiatoMelanoma and Sarcoma Unit, Veneto Oncological Institute for Research and Treatment, Padua I-35128, Italy.
Maria Teresa CorradinDepartment of Dermatology, Society of Clinical Oncology Santa Maria Degli Angeli Oncological Hospital, Pordenone I-33170, Italy.
Vincenzo DE GiorgiDepartment of Dermatology, Tuscan Orthopaedic Institute Hospital 'Palagi', University of Florence, Florence I-50125, Italy.
Paola QueiroloDepartment of Medical Oncology, Company University Hospital San Martino, National Institute for Cancer Research, Genova I-16132, Italy.
Guido ZannettiPlastic Surgery Unit, St. Orsola-Malpighi Hospital, Bologna I-40138, Italy.
Giuseppe GiudiceDepartment of Plastic and Reconstructive Surgery, University of Bari, Bari I-70121, Italy.
Giovanni BorroniDermatalogical Clinic, Institute for Research and Treatment San Matteo Hospital, Pavia I-27100, Italy.
Rosachiara ForcignanòOncological Unit, Vito Fazzi Hospital, Lecce I-73100, Italy.
Ketty PerisDermatological Institute, Catholic University of America, Rome I-00153, Italy.
Giulio TostiMelanoma Unit, European Institute of Oncology, Milan I-20146, Italy.
Alessandro TestoriMelanoma Unit, European Institute of Oncology, Milan I-20146, Italy.
Giusto TrevisanDermatalogical Clinic, Maggiore Hospital, Trieste I-34125, Italy.
Francesco SpagnoloDepartment of Plastic and Reconstructive Surgery, Company University Hospital San Martino, National Institute for Cancer Research, Genova I-16132, Italy.
Paolo A AsciertoUnit of Medical Oncology and Innovative Therapies, National Cancer Institute 'G. Pascale' Foundation, Naples I-80131, Italy.
CLINICAL NATIONAL MELANOMA REGISTRY GROUP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Previous studies have reported an association between sun exposure and the increased survival of patients with cutaneous melanoma (CM). The present study analyzed the association between ultraviolet (UV) light exposure and various prognostic factors in the Italian Clinical National Melanoma Registry. Clinical and sociodemographic features were collected, as well as information concerning sunbed exposure and holidays with sun exposure. Analyses were performed to investigate the association between exposure to UV and melanoma prognostic factors. Between December 2010 and December 2013, information was obtained on 2,738 melanoma patients from 38 geographically representative Italian sites. A total of 49% of the patients were >55 years old, 51% were men, 50% lived in the north of Italy and 57% possessed a high level of education (at least high school). A total of 8 patients had a family history of melanoma and 56% had a fair phenotype (Fitzpatrick skin type I or II). Of the total patients, 29% had been diagnosed with melanoma by a dermatologist; 29% of patients presented with a very thick melanoma (Breslow thickness, >2 mm) and 25% with an ulcerated melanoma. In total, 1% of patients had distant metastases and 13% exhibited lymph node involvement. Holidays with sun exposure 5 years prior to CM diagnosis were significantly associated with positive prognostic factors, including lower Breslow thickness (P<0.001) and absence of ulceration (P=0.009), following multiple adjustments for factors such as sociodemographic status, speciality of doctor performing the diagnosis and season of diagnosis. Sunbed exposure and sun exposure during peak hours of sunlight were not significantly associated with Breslow thickness and ulceration. Holidays with sun exposure were associated with favorable CM prognostic factors, whereas no association was identified between sunbed use and sun exposure during peak hours of sunlight with favorable CM prognostic factors. However, the results of the present study do not prove a direct causal effect of sun exposure on melanoma prognosis, as additional confounding factors, including vitamin D serum levels, may have a role.

Indexed as

Breslow thicknessmelanomaprognosissunbedsun exposureulceration

Identifiers

PMID27073541
PMCPMC4812599

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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.