Evidence map›Paper›PMID 29580859›Full record

ArticleJournal of the American Academy of Dermatology2018

Stage IV melanoma of unknown primary: A population-based study in the United States from 1973 to 2014.

Jeffrey F Scott, Ruzica Z Conic, Cheryl L Thompson, Meg R Gerstenblith, Jeremy S Bordeaux

Registry-linked trialAbstract read
In one paragraph

Article 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. It is linked to trial NCT06093594 (Understanding Patient Engagement Trends in Stage IV Melanoma Clinical Trials), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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.

NCT06093594 not yet recruitingnot on this mapstarted 2024, after this paper: background citation

Understanding Patient Engagement Trends in Stage IV Melanoma Clinical Trials

TypeobservationalSponsorPower Life Sciences Inc.Ran2024 to 2026Enrolled500ConditionsStage IV Melanoma
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Title: Characterization of Melanoma of Unknown Primary in the Era of Immunotherapy and Targeted Therapy in Spain: Results from the Prospective Real World Study GEM 1801.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Observational
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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

5 authors.

Jeffrey F ScottDepartment of Dermatology, University Hospitals Cleveland Medical Center and Case Western Reserve University, Cleveland, Ohio. Electronic address: jeffrey.scott@uhhospitals.org.
Ruzica Z ConicDepartment of Dermatology, University Hospitals Cleveland Medical Center and Case Western Reserve University, Cleveland, Ohio.
Cheryl L ThompsonDepartment of Family Medicine and Community Health, University Hospitals Cleveland Medical Center and Case Western Reserve University, Cleveland, Ohio.
Meg R GerstenblithDepartment of Dermatology, University Hospitals Cleveland Medical Center and Case Western Reserve University, Cleveland, Ohio.
Jeremy S BordeauxDepartment of Dermatology, University Hospitals Cleveland Medical Center and Case Western Reserve University, Cleveland, Ohio.

Funding

TRAINING IN INVESTIGATIVE AND MOLECULAR DERMATOLOGYT32AR007569 · NIAMS · CASE WESTERN RESERVE UNIVERSITY · PI COOPER, KEVIN D · 1991 to 2019
$2.7M
NIAMS NIH HHS T32 AR007569
6 · The paper itself

Abstract

backgroundMelanoma of unknown primary (MUP) is incompletely described on a population level.

objectiveWe sought to characterize stage IV MUP in a population-based cancer registry.

methodsWe developed a novel search algorithm to identify cases of stage IV MUP in the Surveillance, Epidemiology, and End Results 18 registries from 1973 to 2014. Cases of stage IV melanoma of known primary (MKP) served as a comparison group. Age-standardized incidence rates, demographic characteristics, adjusted disease-specific survival, and Cox proportional hazard models were calculated for MUP and MKP.

resultsA total of 322 stage IV MUP cases and 12,796 stage IV MKP cases were identified in Surveillance, Epidemiology, and End Results 18 registries from 1973 to 2014. The incidence of stage IV MUP is increasing, particularly for patients younger than 30 years of age. In multivariate analyses, age older than 50 and a lack of surgical treatment were negative prognostic factors for stage IV MUP. Relative survival, but not 5-year adjusted disease-specific survival, was higher for stage IV MUP than for MKP. LIMITATIONS: Limitations include the retrospective study design and possible misclassification of MUP.

conclusionsThe incidence of stage IV MUP is increasing, and stage IV MUP shares similar prognostic factors with stage IV MKP, including age and surgical treatment.

Indexed as

AdultAgedAged, 80 and overAlgorithmsFemaleHumansIncidenceMaleMelanomaMiddle AgedNeoplasm StagingNeoplasms, Unknown PrimaryPrognosisProportional Hazards ModelsRetrospective StudiesSEER Programmelanoma of unknown primarySurveillance, Epidemiology, and End Results 18

Identifiers

PMID29580859
PMCPMC6050094

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Registered trials

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.