Evidence map›Paper›PMID 29291955›Full record

SynthesisJournal of the American Academy of Dermatology2018

Skin cancer in the military: A systematic review of melanoma and nonmelanoma skin cancer incidence, prevention, and screening among active duty and veteran personnel.

Kelsie Riemenschneider, Jesse Liu, Jennifer G Powers

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Journal of the American Academy of Dermatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
4.6field-weighted citation impact, top 5% 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

24 citing papers in PubMed, 64 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. Comprehensive Genomic Profiles of Melanoma in Veterans Compared to Reference Databases.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Occupational Exposures and Skin Cancer: A Brief Report.Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2024
    Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. Surgical Treatment of Nonmelanoma Skin Cancer in Older Adult Veterans.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2022
    Article
  17. Article
  18. Article
  19. Article
  20. Non-Melanoma Skin Cancer in Outdoor Workers: A Study on Actinic Keratosis in Italian Navy Personnel.International journal of environmental research and public health · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Kelsie RiemenschneiderVanderbilt University School of Medicine, Nashville, Tennessee. Electronic address: kriemen1@uthsc.edu.
Jesse LiuDepartment of Dermatology, Duke University Medical Center, Durham, North Carolina.
Jennifer G PowersDepartment of Dermatology, Duke University Medical Center, Durham, North Carolina; Department of Dermatology, University of Iowa, Iowa City, Iowa.
Duke Medical Center · USVanderbilt University · US

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Douglas Robert Spitz · 2000 to 2026
$70.0M
NCI NIH HHS P30 CA086862
6 · The paper itself

Abstract

backgroundOccupational sun exposure is a well-studied risk factor for skin cancer development, but more work is needed to assess melanoma and nonmelanoma skin cancer risk among US military personnel to improve education and screening efforts in this population.

objectiveTo conduct an extensive review of skin cancer risks for US military personnel to inform preventive education, diagnosis, and treatment efforts to better protect these individuals from future skin cancer development.

methodsA systematic review of published studies on the subject of melanoma and nonmelanoma skin cancer in military personnel was conducted.

resultsA total of 9 studies describing skin cancer incidence in the US military were identified, with 4 studies specific to melanoma. The study findings reveal an increased risk for melanoma associated with service in the military or prisoner of war status. Service in tropical environments was associated with an increased incidence of both melanoma and nonmelanoma skin cancer among World War II soldiers. Two studies found that increased melanoma risk was also branch dependent, with the highest rates among the United States Air Force. Several of the reviewed studies implicated increased sun exposure during military service and lack of sufficient sun protection as the causes of higher rates of skin cancer among US military and veteran populations as compared with among the nonmilitary population in the United States. LIMITATIONS: The reviewed articles have variable results; a prospective randomized controlled trial would be helpful to develop interventions that mitigate skin cancer risk in the US military.

conclusionThis review identifies an abundance of evidence for an increased risk for skin cancer development among US active duty and veteran populations.

Indexed as

Military PersonnelBasal Cell CarcinomaCarcinoma, Squamous CellEarly Detection of CancerFemaleHumansIncidenceMaleMass ScreeningMelanomaOccupational ExposurePrognosisRisk AssessmentSkin NeoplasmsSunlightUnited Statesbasal cell carcinomamelanomamilitarynonmelanomaoccupational sun exposurepreventionscreening skin cancersquamous cell carcinomaveterans

Identifiers

PMID29291955
PMCPMC7262574
OpenAlexW2777137077

What OpenQuestion holds

Textmetadata
LicenceTDM
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.