Evidence map›Paper›PMID 35785213›Full record

SynthesisFrontiers in oncology2022

Adjuvant Treatments of Adult Melanoma: A Systematic Review and Network Meta-Analysis.

Mingyi Jing, Yi Cai, Jing Shi, Xufan Zhang, Baohua Zhu, Fan Yuan, Jie Zhang, Min Xiao, Mingling Chen

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Frontiers in oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 42% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. 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 1 institution in 1 country.

Mingyi JingDepartment of Dermatology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Yi CaiDepartment of Oncology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Jing ShiDepartment of Internal Medicine, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Xufan ZhangDepartment of Nuclear Medicine, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Baohua ZhuDepartment of Dermatology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Fan YuanDepartment of Urology & Andrology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Jie ZhangDepartment of Dermatology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Min XiaoDepartment of Dermatology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Mingling ChenDepartment of Dermatology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Chengdu University of Traditional Chinese Medicine · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multiple treatments of unresectable advanced or metastatic melanoma have been licensed in the adjuvant setting, causing tremendous interest in developing neoadjuvant strategies for melanoma. Eligible studies included those that compared overall survival/progression-free survival/grade 3 or 4 adverse events in patients with unresectable advanced or metastatic melanoma. Seven eligible randomized trials with nine publications were included in this study. Direct and network meta-analysis consistently indicated that nivolumab+ipilimumab, nivolumab, and trametinib could significantly improve overall survival and progression-free survival compared to ipilimumab in advanced melanoma patients. Compared to ipilimumab, nivolumab, dacarbazine, and ipilimumab+gp100 had a reduced risk of grade 3/4 adverse reactions. The nivolumab+ipilimumab combination had the highest risk of adverse events, followed by ipilimumab+dacarbazine and trametinib. Combination therapy was more beneficial to improve overall survival and progression-free survival than monotherapy in advanced melanoma treatment, albeit at the cost of increased toxicity. Regarding the overall survival/progression-free survival, ipilimumab+gp100 ranked below ipilimumab+dacarbazine and nivolumab+ipilimumab, although it had a smaller rate of grade 3 or 4 AEs than other treatments (except nivolumab). Nivolumab is the optimum adjuvant treatment for unresectable advanced or metastatic melanoma with a good risk-benefit profile. In order to choose the best therapy, clinicians must consider the efficacy, adverse events, and physical status.

Indexed as

adjuvant treatmentipilimumabmelanomanetwork meta-analysisnivolumabtrametinib

Identifiers

PMID35785213
PMCPMC9247312
OpenAlexW4283021427

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.