Evidence map›Paper›PMID 34709438›Full record

ArticleCancer immunology, immunotherapy : CII2022

Clinical determinants of long-term survival in metastatic uveal melanoma.

Elias A T Koch, Anne Petzold, Anja Wessely, Edgar Dippel, Michael Erdmann, Lucie Heinzerling, Bettina Hohberger, Harald Knorr, Ulrike Leiter, Friedegund Meier and 13 more

Open access · hybridAbstract read
In one paragraph

Article in Cancer immunology, immunotherapy : CII, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. The Current State of Systemic Therapy of Metastatic Uveal Melanoma.American journal of clinical dermatology · 2024
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. 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

23 authors at 10 institutions in 1 country.

Elias A T KochDepartment of Dermatology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Anne PetzoldDepartment of Dermatology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Anja WesselyDepartment of Dermatology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Edgar DippelDepartment of Dermatology, Ludwigshafen Medical Center, Ludwigshafen, Germany.
Michael ErdmannDepartment of Dermatology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Lucie HeinzerlingDepartment of Dermatology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Bettina HohbergerDepartment of Ophthalmology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Harald KnorrDepartment of Ophthalmology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Ulrike LeiterDepartment of Dermatology, Center for Dermatooncology, University Hospital Tübingen, Tübingen, Germany.
Friedegund MeierDepartment of Dermatology, Skin Cancer Center, Medical Faculty, University Hospital Carl Gustav Carus, TU Dresden, Dresden, Germany.
Peter MohrDepartment of Dermatology, Elbe Klinikum Buxtehude, Buxtehude, Germany.
Farnaz RahimiDepartment of Dermatology and Allergy, Munich University Hospital (LMU), Munich, Germany.
Beatrice SchellDepartment of Dermatology, SRH Wald-Klinikum Gera, Gera, Germany.
Max SchlaakDepartment of Dermatology and Allergy, Munich University Hospital (LMU), Munich, Germany.
Patrick TerheydenDepartment of Dermatology, Allergology and Venereology, University Medical Center of Schleswig-Holstein, Campus, Lübeck, Germany.
Beatrice Schuler-ThurnerDepartment of Dermatology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Selma UgurelDepartment of Dermatology, University Hospital Essen, University Duisburg-Essen, Duisurg, Germany.
Jochen UtikalSkin Cancer Unit, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Julio VeraDepartment of Dermatology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Michael WeichenthalDepartment of Dermatology, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany.
Fabian ZillerDepartment of Dermatology, DRK Krankenhaus Rabenstein, Chemnitz, Germany.
Carola BerkingDepartment of Dermatology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Markus V HepptDepartment of Dermatology, Universitätsklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany. markus.heppt@uk-erlangen.de.ORCID http://orcid.org/0000-0003-4603-1825
Friedrich-Alexander-Universität Erlangen-Nürnberg · DELMU Klinikum · DEUniversity Hospital Schleswig-Holstein · DEElbe Kliniken Stade-Buxtehude · DEGerman Cancer Research Center · DEKlinikum Ludwigshafen · DESRH Wald-Klinikum Gera · DEUniversity Children's Hospital Tübingen · DEUniversity Hospital Carl Gustav Carus · DEUniversity of Duisburg-Essen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to identify prognostic factors in patients with metastatic uveal melanoma (UM) that were associated with long-term survival in a real-world setting. A total of 94 patients with metastatic UM were included from German skin cancer centers and the German national skin cancer registry (ADOReg). Data were analyzed for the response to treatment, progression-free survival, and overall survival (OS). Prognostic factors were explored with univariate Cox regression, log-rank, and χ2-tests. Identified factors were subsequently validated after the population was divided into two cohorts of short-term survival (< 2 years OS, cohort A, n = 50) and long-term survival (> 2 years OS, cohort B, n = 44). A poor ECOG performance status (hazard ratio [HR] 2.0, 95% confidence interval [CI] 1.0-3.9) and elevated serum LDH (HR 2.0, 95% CI 1.0-3.8) were associated with a poor OS, whereas a good response to immune checkpoint blockade (ICB, p < 0.001), radiation therapy (p < 0.001), or liver-directed treatments (p = 0.01) were associated with a prolonged OS. Long-term survivors (cohort B) showed a higher median number of organs affected by metastasis (p < 0.001), while patients with liver metastases only were more common in cohort A (40% vs. 9%; p = 0.002). A partial response to ICB was observed in 16% (12/73), being 21% (8/38) for combined ICB, 17% (1/6) for single CTLA4 inhibition, and 10% (3/29) for single PD1 inhibition. One complete response occurred in cohort B with combined ICB. We conclude that the response to ICB and the presence of extrahepatic disease were favorable prognostic factors for long-term survival.

Indexed as

MelanomaSkin NeoplasmsUveal NeoplasmsHumansImmune Checkpoint InhibitorsRetrospective StudiesUveal MelanomaImmune Checkpoint InhibitorsImmune checkpoint blockadeLiver-directed treatmentLiver metastasesLong-term survivalRegistryUveal melanoma

Identifiers

PMID34709438
PMCPMC9123041
OpenAlexW3211068561

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.