Evidence map›Paper›PMID 34273249›Full record

ArticlePigment cell & melanoma research2021

Acral lentiginous melanoma-Population, treatment, and survival using the NCDB from 2004 to 2015.

Shelly X Bian, Lindsay Hwang, Jennifer Hwang, Omar Ragab, Gino K In, David Peng, Eugene Lin

Abstract read
In one paragraph

Article in Pigment cell & melanoma research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  13. Recent advancements in the diagnosis and treatment of acral melanoma.Journal of Zhejiang University. Science. B · 2024
    Review
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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

7 authors.

Shelly X BianDepartment of Radiation Oncology, University of Southern California, Los Angeles, CA, USA.
Lindsay HwangDepartment of Radiation Oncology, University of Southern California, Los Angeles, CA, USA.ORCID 0000-0002-8920-5437
Jennifer HwangKeck School of Medicine of USC, University of Southern California, Los Angeles, CA, USA.
Omar RagabDepartment of Radiation Oncology, University of Southern California, Los Angeles, CA, USA.
Gino K InDepartment of Medicine, Division of Oncology, University of Southern California, Los Angeles, CA, USA.
David PengDepartment of Dermatology, University of Southern California, Los Angeles, CA, USA.
Eugene LinDepartment of Medicine, Division of Nephrology, University of Southern California, Los Angeles, CA, USA.

Funding

USC/NORRIS COMPREHENSIVE CANCER CENTER (CORE) SUPPORTP30CA014089 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Saul Priceman · 1985 to 2026
$181.4M
Southern California Clinical and Translational Science InstituteUL1TR001855 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Thomas A Buchanan, Michele D. Kipke · 2016 to 2026
$81.3M
Southern California Clinical and Translational Science InstituteUL1TR000130 · NCATS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI BUCHANAN, THOMAS A · 2012 to 2015
$36.0M
Investigating the Economic and SocialDeterminants of Home Dialysis Drop-OutK08DK118213 · NIDDK · UNIVERSITY OF SOUTHERN CALIFORNIA · PI LIN, EUGENE · 2018 to 2022
$854k
NCATS NIH HHS UL1 TR000130NCATS NIH HHS UL1 TR001855NCI NIH HHS P30 CA014089NIDDK NIH HHS K08 DK118213
6 · The paper itself

Abstract

Acral lentiginous melanoma (ALM) is a rare histological subtype of cutaneous malignant melanoma that typically presents on the palms and soles. To characterize the demographic and treatment characteristics of ALM, we used the National Cancer Database (NCDB) to describe a large multi-institutional cohort of ALM patients, consisting of 4,796 ALM patients from 2004 to 2015. ALM was more likely to be diagnosed at a later stage overall compared with non-ALM cutaneous melanomas, and more likely to be thicker, ulcerated, lymph node positive, and have lymphovascular invasion and positive margins. When stratified by stage, ALM had worse survival compared with non-ALM patients, most notably in stage III patients with 5-year survival of 47.5% versus 56.7%, respectively (p < .001). In ALM patients, older age, male sex, higher comorbidity burden, increased tumor thickness and ulceration, positive lymph nodes, and positive metastasis were independently associated with lower 5-year survival. Multimodality therapy, defined as surgery in addition to systemic therapy and/or radiation therapy, was associated with higher survival in stage III patients but not in other stages. These results call for further investigation into possible treatment intensification in the ALM population in the future.

Indexed as

MelanomaSkin NeoplasmsAdolescentAdultAgedAged, 80 and overCombined Modality TherapyCutaneous Malignant MelanomaFemaleHumansLymphatic MetastasisMaleMiddle Agedclinical researchdatabasesepidemiologyfoot dermatoseshand dermatosesmelanomaskin neoplasms

Identifiers

PMID34273249
PMCPMC8599631

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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.