Evidence map›Paper›PMID 35037531›Full record

ArticleAnnals of medicine2022

Increased incidence of melanoma in children and adolescents in Finland in 1990-2014: nationwide re-evaluation of histopathological characteristics.

Emma K Rousi, Roope A Kallionpää, Roosa E Kallionpää, Susanna M Juteau, Lauri A I Talve, Micaela M Hernberg, Pia P Vihinen, Veli-Matti Kähäri, Ilkka O Koskivuo

Open access · goldAbstract read
In one paragraph

Article in Annals of medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.7field-weighted citation impact, top 14% 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

11 citing papers in PubMed, 17 citations in OpenAlex.

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  6. Continuing benefits of the Montreal Protocol and protection of the stratospheric ozone layer for human health and the environment.Photochemical & photobiological sciences : Official journal of the European Photochemistry Association and the European Society for Photobiology · 2024
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  7. Review
  8. Article
  9. Article
  10. The effects of exposure to solar radiation on human health.Photochemical & photobiological sciences : Official journal of the European Photochemistry Association and the European Society for Photobiology · 2023
    Article
  11. Cancer overdiagnosis: a challenge in the era of screening.Journal of the National Cancer Center · 2022
    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 3 institutions in 1 country.

Emma K RousiDepartment of Plastic and General Surgery, Turku University Hospital and University of Turku, Turku, Finland.ORCID 0000-0001-8503-2826
Roope A KallionpääInstitute of Biomedicine, University of Turku, University of Turku, Turku, Finland.ORCID 0000-0002-7512-2980
Roosa E KallionpääAuria Biobank, Turku University Hospital and University of Turku, Turku, Finland.ORCID 0000-0003-0146-0060
Susanna M JuteauCentral Laboratory of Pathology, Helsinki University Hospital, Helsinki, Finland.ORCID 0000-0001-9321-2093
Lauri A I TalveDepartment of Pathology, Turku University Hospital, Turku, Finland.
Micaela M HernbergComprehensive Cancer Center, Helsinki University Hospital, Helsinki, Finland.ORCID 0000-0002-0139-4596
Pia P VihinenTyks Cancer Centre and FICAN West, University of Turku and Turku University Hospital, Turku, Finland.ORCID 0000-0003-1763-5363
Veli-Matti KähäriDepartment of Dermatology, University of Turku and Turku University Hospital, Turku, Finland.ORCID 0000-0003-2421-9368
Ilkka O KoskivuoDepartment of Plastic and General Surgery, Turku University Hospital and University of Turku, Turku, Finland.ORCID 0000-0002-7186-1954
University of Turku · FIHelsinki University Hospital · FITurku University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChanges in the incidence of melanoma in children and adolescents have been reported in Europe and in the USA in the recent decades.

aimsThe aim of this study was to examine the incidence of paediatric and adolescent melanomas in Finland in 1990-2014, and the associated clinical and histopathological characteristics to reveal temporal trends, such as changes in diagnostic sensitivity of Spitzoid melanomas.

methodsInformation on 122 patients diagnosed with cutaneous melanoma at 0-19 years of age in Finland in 1990-2014 were retrieved from the Finnish Cancer Registry. 73 primary melanoma archival samples were re-evaluated by two dermatopathologists to allow comparability over time.

resultsA 5.6% annual increase was observed in the incidence of melanoma among children and adolescents during the study period. Fifty-six tumours were confirmed as malignant melanomas in the re-evaluation. After correction for tumour misclassification in the Cancer Registry, the age-adjusted annual incidence was estimated to have increased from 1.4/1 000 000 in 1990-1994 to 5.8/1 000 000 in 2010-2014. The change in incidence was most prominent among adolescents and in Spitzoid melanoma subtype. Melanomas diagnosed 1990-2002 and 2003-2014 did not differ in terms of their clinicopathological characteristics or prognosis (hazard ratio for melanoma-related death 1.53, 95% CI 0.30 to 7.88). Spitzoid melanomas were diagnosed at a younger age, were of higher stage and had higher Clark level than other melanomas, yet the hazard ratio for death was 0.52 (95% CI 0.10 to 2.58) for Spitzoid versus other melanomas.

conclusionsThe incidence of cutaneous melanoma has clearly increased among the young in Finland, especially among adolescents. No evidence for overdiagnosis of Spitzoid melanomas as the underlying cause of the increased incidence was observed.Key messageA nationwide retrospective re-evaluation of the cutaneous melanomas recorded in the Finnish Cancer Registry among patients aged 0-19 years in Finland in 1990-2014 revealed an approximately 4-fold increase in the incidence. The increase in the incidence was most prominent among adolescents and in the Spitzoid melanoma subtype. Our results contrast those reported in other countries, where the incidence of melanoma among adolescents has declined.

Indexed as

MelanomaNevus, Epithelioid and Spindle CellSkin NeoplasmsAdolescentAdultChildChild, PreschoolFinlandHumansIncidenceInfantInfant, NewbornRetrospective StudiesYoung Adultadolescentschildrenincidencemalignant Spitz tumourMelanomaspitzoid melanoma

Identifiers

PMID35037531
PMCPMC8765276
OpenAlexW4206840492

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.