Evidence map›Paper›PMID 36568199›Full record

SynthesisFrontiers in oncology2022

Systematic literature review and meta-analysis of clinical outcomes and prognostic factors for melanoma brain metastases.

Xiang-Lin Tan, Amy Le, Emilie Scherrer, Huilin Tang, Nick Kiehl, Jiali Han, Ruixuan Jiang, Scott J Diede, Irene M Shui

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 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 16% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Current Treatment Paradigms for Advanced Melanoma with Brain Metastases.International journal of molecular sciences · 2025
    Review
  4. Malignant melanoma in Portuguese adult population: a scoping review of the real-world evidence.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Article
  5. Review
  6. Article
  7. 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

9 authors at 4 institutions in 1 country.

Xiang-Lin TanMerck & Co., Inc., Rahway, NJ, United States.
Amy LeDepartment of Epidemiology, Richard M. Fairbanks School of Public Health, Indiana University, Indianapolis, IN, United States.
Emilie ScherrerMerck & Co., Inc., Rahway, NJ, United States.
Huilin TangIntegrative Precision Health, LLC, Carmel, IN, United States.
Nick KiehlDepartment of Epidemiology, Richard M. Fairbanks School of Public Health, Indiana University, Indianapolis, IN, United States.
Jiali HanIntegrative Precision Health, LLC, Carmel, IN, United States.
Ruixuan JiangMerck & Co., Inc., Rahway, NJ, United States.
Scott J DiedeMerck & Co., Inc., Rahway, NJ, United States.
Irene M ShuiMerck & Co., Inc., Rahway, NJ, United States.
Merck & Co., Inc., Rahway, NJ, USA (United States) · USIndiana University – Purdue University Indianapolis · USIntuitive Surgical (United States) · USSeagen (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: More than 60% of all stage IV melanoma patients develop brain metastases, while melanoma brain metastases (MBM) is historically difficult to treat with poor prognosis. Objectives: To summarize clinical outcomes and prognostic factors in MBM patients. Methods: A systematic review with meta-analysis was conducted, and a literature search for relevant studies was performed on November 1, 2020. Weighted average of median overall survival (OS) was calculated by treatments. The random-effects model in conducting meta-analyses was applied. Results: A total of 41 observational studies and 12 clinical trials with our clinical outcomes of interest, and 31 observational studies addressing prognostic factors were selected. The most common treatments for MBM were immunotherapy (IO), MAP kinase inhibitor (MAPKi), stereotactic radiosurgery (SRS), SRS+MAPKi, and SRS+IO, with median OS from treatment start of 7.2, 8.6, 7.3, 7.3, and 14.1 months, respectively. Improved OS was observed for IO and SRS with the addition of IO and/or MAPKi, compared to no IO and SRS alone, respectively. Several prognostic factors were found to be significantly associated with OS in MBM. Conclusion: This study summarizes pertinent information regarding clinical outcomes and the association between patient characteristics and MBM prognosis.

Indexed as

brain metastasisimmunotherapymelanomaoutcomesprognostic factorsradiosurgerytargeted therapy

Identifiers

PMID36568199
PMCPMC9773194
OpenAlexW4311865221

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.