Evidence map›Paper›PMID 30447006›Full record

SynthesisInternational journal of cancer2019

Challenges in assessing the sunscreen-melanoma association.

Corina S Rueegg, Jo S Stenehjem, Matthias Egger, Reza Ghiasvand, Eunyoung Cho, Eiliv Lund, Elisabete Weiderpass, Adele C Green, Marit B Veierød

Open access · bronzeAbstract readMeta-Analysis
In one paragraph

Synthesis in International journal of cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.1field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 42 citations in OpenAlex.

  1. Trial
  2. Properties of Aspalathus linearis extracts as sunscreen agents in combination with standard UV filters.Photochemical & photobiological sciences : Official journal of the European Photochemistry Association and the European Society for Photobiology · 2026
    Article
  3. Review
  4. Article
  5. Sunscreens: A narrative review.Skin health and disease · 2024
    Review
  6. Article
  7. Article
  8. Gene-Environment Analyses in a UK Biobank Skin Cancer Cohort Identifies Important SNPs in DNA Repair Genes That May Help Prognosticate Disease Risk.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2023
    Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Review
  16. The efficacy and safety of sunscreen use for the prevention of skin cancer.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2020
    Review
  17. Art of prevention: The importance of melanoma surveillance.International journal of women's dermatology · 2020
    Review
  18. Sex Differences in Melanoma.Current epidemiology reports · 2019
    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

9 authors at 7 institutions in 7 countries.

Corina S RueeggOslo Centre for Biostatistics and Epidemiology, Department of Biostatistics, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway.ORCID 0000-0003-3720-4659
Jo S StenehjemDepartment of Research, Cancer Registry of Norway, Institute of Population-Based Cancer Research, Oslo, Norway.ORCID 0000-0002-1964-5410
Matthias EggerInstitute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.ORCID 0000-0001-7462-5132
Reza GhiasvandOslo Centre for Biostatistics and Epidemiology, Department of Biostatistics, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway.
Eunyoung ChoDepartment of Dermatology, Warren Alpert Medical School, Brown University, Providence, RI.
Eiliv LundDepartment of Community Medicine, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, Tromsø, Norway.
Elisabete WeiderpassDepartment of Research, Cancer Registry of Norway, Institute of Population-Based Cancer Research, Oslo, Norway.
Adele C GreenQIMR Berghofer Medical Research Institute, Brisbane, Australia.
Marit B VeierødOslo Centre for Biostatistics and Epidemiology, Department of Biostatistics, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway.ORCID 0000-0002-2083-2758
University of Oslo · NOBrigham and Women's Hospital · USCancer Registry of Norway · NOKarolinska Institutet · SEQIMR Berghofer Medical Research Institute · AUUiT The Arctic University of Norway · NOUniversity of Bern · CH

Funding

Psoralens and melanomaR21CA198216 · NCI · BROWN UNIVERSITY · PI CHO, EUNYOUNG · 2015 to 2016
$432k
NCI NIH HHS R21 CA198216
6 · The paper itself

Abstract

Whether sunscreen use affects melanoma risk has been widely studied with contradictory results. To answer this question we performed a systematic review of all published studies, accounting for sources of heterogeneity and bias. We searched for original articles investigating the sunscreen-melanoma association in humans to February 28, 2018. We then used random-effects meta-analysis to combine estimates of the association, stratified by study design. Stratified meta-analysis and meta-regression were used to identify sources of heterogeneity. We included 21,069 melanoma cases from 28 studies published 1979-2018: 23 case-control (11 hospital-based, 12 population-based), 1 ecological, 3 cohort and 1 randomised controlled trial (RCT). There was marked heterogeneity across study designs and among case-control studies but adjustment for confounding by sun exposure, sunburns and phenotype systematically moved estimates toward decreased melanoma risk among sunscreen users. Ever- vs. never-use of sunscreen was inversely associated with melanoma in hospital-based case-control studies (adjusted odds ratio (OR) = 0.57, 95%confidence interval (CI) 0.37-0.87, p

Indexed as

Research DesignHumansMelanomaObservational Studies as TopicOdds RatioProportional Hazards ModelsRandomized Controlled Trials as TopicRisk FactorsSkin NeoplasmsSunlightSunscreening AgentsTreatment OutcomeSunscreening Agentsmelanomameta-analysisskin cancersun protectionsunscreen

Identifiers

PMID30447006
PMCPMC6451658
OpenAlexW2901396028

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.