Evidence map›Paper›PMID 31425707›Full record

ArticleThe Journal of investigative dermatology2020

Environmental Exposures Such as Smoking and Low Vitamin D Are Predictive of Poor Outcome in Cutaneous Melanoma rather than Other Deprivation Measures.

C M Hardie, F Elliott, M Chan, Z Rogers, D T Bishop, J A Newton-Bishop

Open access · hybridAbstract read
In one paragraph

Article in The Journal of investigative dermatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

14 citing papers in PubMed, 29 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Life Factors and Melanoma: From the Macroscopic State to the Molecular Mechanism.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  5. Review
  6. Article
  7. Article
  8. New Insights into the Link Between Melanoma and Obesity.Advances in experimental medicine and biology · 2024
    Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Body Mass Index and Melanoma Prognosis.Dermatology practical & conceptual · 2021
    Review
  14. Review
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

6 authors at 1 institution in 1 country.

C M HardieSection of Epidemiology and Biostatistics, Institute of Medical Research at St James's University of Leeds, Leeds, United Kingdom. Electronic address: claire.hardie@doctors.org.uk.
F ElliottSection of Epidemiology and Biostatistics, Institute of Medical Research at St James's University of Leeds, Leeds, United Kingdom.
M ChanSection of Epidemiology and Biostatistics, Institute of Medical Research at St James's University of Leeds, Leeds, United Kingdom.
Z RogersSection of Epidemiology and Biostatistics, Institute of Medical Research at St James's University of Leeds, Leeds, United Kingdom.
D T BishopSection of Epidemiology and Biostatistics, Institute of Medical Research at St James's University of Leeds, Leeds, United Kingdom.
J A Newton-BishopSection of Epidemiology and Biostatistics, Institute of Medical Research at St James's University of Leeds, Leeds, United Kingdom.
University of Leeds · GB

Funding

Genetic Epidermiology of MelanomaR01CA083115 · NCI · UNIVERSITY OF PENNSYLVANIA · PI BISHOP, DAVID TIMOTHY, ELDER, DAVID ERIC · 2001 to 2017
$13.0M
Cancer Research UK 10589Cancer Research UK 19167Cancer Research UK C588/A10721Cancer Research UK C588/A19167Cancer Research UK C8216/A6129NCI NIH HHS R01 CA083115
6 · The paper itself

Abstract

A lack of basic resources within a society (deprivation) is associated with increased cancer mortality, and this relationship has been described for melanoma. We have previously reported the association of smoking and low vitamin D levels with melanoma death. In this study, we further explored the associations of these with melanoma in addition to deprivation and socio-economic stressors. In this analysis of 2,183 population-ascertained primary cutaneous melanoma patients, clinical, demographic, and socio-economic variables were assessed as predictors of tumor thickness, melanoma death and overall death. Using the Townsend deprivation score, the most deprived group did not have thicker tumors compared to the least deprived. Of the World Health Organization 25x25 risk factors for premature death, smoking and body mass index (BMI) were independently associated with thicker tumors. Low vitamin D was also independently associated with thicker tumors. No socio-economic stressors were independent predictors of thickness. Smoking was confirmed as a key predictor of melanoma death and overall death, as were low vitamin D levels, independent of other measures of deprivation. Neither BMI nor the Townsend deprivation score were predictive in either survival analysis. We report evidence for the role of smoking, vitamin D, and BMI in melanoma progression independent of a postcode-derived measure of deprivation.

Indexed as

Social ClassAdultAgedAge FactorsBody Mass IndexFemaleFollow-Up StudiesHumansLife StyleMaleMelanomaMiddle AgedPrognosisRisk AssessmentRisk FactorsSex FactorsVitamin D

Identifiers

PMID31425707
PMCPMC6983339
OpenAlexW2967095665

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.