Evidence map›Paper›PMID 30694001›Full record

ArticleHead & neck2019

Performance of a 31-gene expression profile test in cutaneous melanomas of the head and neck.

Brian R Gastman, Jonathan S Zager, Jane L Messina, Robert W Cook, Kyle R Covington, Brooke Middlebrook, Pedram Gerami, Jeffrey D Wayne, Sancy Leachman, John T Vetto

Abstract read
In one paragraph

Article in Head & neck, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Using Gene Expression Profiling to Personalize Skin Cancer Management.The Journal of clinical and aesthetic dermatology · 2022
    Review
  4. Review
  5. Review
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  7. Article
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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

10 authors.

Brian R GastmanDepartment of Plastic Surgery, Cleveland Clinic Lerner Research Institute, Cleveland, Ohio.
Jonathan S ZagerDepartment of Cutaneous Oncology, H. Lee Moffitt Cancer Center, Tampa, Florida.
Jane L MessinaDepartment of Anatomic Pathology, H. Lee Moffitt Cancer Center, Tampa, Florida.
Robert W CookResearch & Development, Castle Biosciences, Inc., Friendswood, Texas.
Kyle R CovingtonResearch & Development, Castle Biosciences, Inc., Friendswood, Texas.
Brooke MiddlebrookResearch & Development, Castle Biosciences, Inc., Friendswood, Texas.
Pedram GeramiDepartment of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Jeffrey D WayneDepartment of Dermatology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Sancy LeachmanDepartment of Dermatology, Knight Cancer Institute, Oregon Health & Science University, Portland, Oregon.
John T VettoDivision of Surgical Oncology, Knight Cancer Institute, Oregon Health & Science University, Portland, Oregon.

Funding

Castle Biosciences, Inc.
6 · The paper itself

Abstract

backgroundWe report the performance of a gene expression profile test to classify the recurrence risk of cutaneous melanoma tumors of the head and neck as low-risk Class 1 or high-risk Class 2.

methodsOf note, 157 primary head and neck cutaneous melanoma tumors were identified. Survival analyses were performed using Kaplan-Meier and Cox methods.

resultsGene expression profile class and node status stratified tumors into significantly different 5-year survival groups by Kaplan-Meier method (P < .0001 for all end points), and both were independent predictors of recurrence in multivariate analysis. Overall, 74% of distant metastases and 88% of melanoma-specific deaths had Class 2 risk.

conclusionThe gene expression profile test identifies cases at increased risk for metastasis and death independent of a clinically or pathologically negative nodal status, suggesting that incorporation of this molecular tool could improve clinical management of patients with head and neck cutaneous melanoma, especially in those with a negative sentinel lymph node biopsy.

Indexed as

Gene Expression ProfilingAdultAgedAged, 80 and overCohort StudiesDisease-Free SurvivalFemaleHead and Neck NeoplasmsHumansKaplan-Meier EstimateLymphatic MetastasisLymph Node ExcisionLymph NodesMaleMelanomaMiddle Agedcutaneous melanomagene expression profilingmetastasisprognosisstaging

Identifiers

PMID30694001
PMCPMC6667900

What OpenQuestion holds

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LicenceCC BY-NC
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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.