Evidence map›Paper›PMID 36578013›Full record

ArticleBMC ophthalmology2022

Choroidal melanoma tumor profile and treatment pattern for newly diagnosed patients at a reference public hospital in Sao Paulo, Brazil.

Arthur Gustavo Fernandes, Jorge Henrique Cavalcante Tavares, Ana Marisa Castello Branco, Melina Correa Morales, Rubens Belfort Neto

Open access · goldAbstract read
In one paragraph

Article in BMC ophthalmology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 25% 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, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. 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

5 authors at 1 institution in 1 country.

Arthur Gustavo FernandesDepartament of Ophthalmology and Visual Sciences, Escola Paulista de Medicina, Universidade Federal de São Paulo - UNIFESP, Rua Botucatu, 816, 04023-062, SP, Sao Paulo, Brazil. arthur_abz@yahoo.com.br.
Jorge Henrique Cavalcante TavaresDepartament of Ophthalmology and Visual Sciences, Escola Paulista de Medicina, Universidade Federal de São Paulo - UNIFESP, Rua Botucatu, 816, 04023-062, SP, Sao Paulo, Brazil.
Ana Marisa Castello BrancoDepartament of Ophthalmology and Visual Sciences, Escola Paulista de Medicina, Universidade Federal de São Paulo - UNIFESP, Rua Botucatu, 816, 04023-062, SP, Sao Paulo, Brazil.
Melina Correa MoralesDepartament of Ophthalmology and Visual Sciences, Escola Paulista de Medicina, Universidade Federal de São Paulo - UNIFESP, Rua Botucatu, 816, 04023-062, SP, Sao Paulo, Brazil.
Rubens Belfort NetoDepartament of Ophthalmology and Visual Sciences, Escola Paulista de Medicina, Universidade Federal de São Paulo - UNIFESP, Rua Botucatu, 816, 04023-062, SP, Sao Paulo, Brazil.
Universidade Federal de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChoroid, ciliary body, and iris melanomas are often grouped as uveal melanoma, the most common intraocular primary malignancy. The purpose of the current study was to analyze the tumor profile of newly diagnosed cases of choroidal melanoma at a reference center in Sao Paulo, Brazil, and to investigate the frequency of eyes treated by enucleation that could have been treated with brachytherapy if available in the service.

methodsMedical records of patients referred to our service with initial diagnostic hypothesis of choroidal melanoma from July 2014 to June 2020 were analysed on demographics, diagnosis confirmation, tumor measurement by ultrasonography and established treatment. Data were evaluated on clinical and demographic characteristics as age, sex, affected eye, ultrasound parameters, and treatment management of patients with clinically diagnosed choroidal melanoma. Among the patients submitted to enucleation, we investigated how many could have been selected to receive brachytherapy.

resultsFrom the 102 patients referred with the choroidal melanoma diagnosis hypothesis, 70 (68.62%) were confirmed. Mean measurements from the tumors in millimetres were: 9.19 ± 3.69 at height and 12.97 ± 3.09 by 13.30 ± 3.30 at basal. A total of 48 cases (68.57%) were enucleated, 8 (11.43%) were treated by brachytherapy in a different service, and 14 patients (20.00%) returned for enucleation at their original referral center. Out of the 48 patients enucleated, 26 (54.17%) could have been selected to brachytherapy treatment.

conclusionsThe results indicate a late diagnosis of choroidal melanoma cases referred to our service. Most enucleated cases could have been treated with brachytherapy if it was broadly available at the national public health insurance. Further public health political efforts should focus on early diagnosis and better quality of life post-treatment for oncologic patients.

Indexed as

Choroid NeoplasmsMelanomaUveal NeoplasmsBrazilCiliary BodyEye EnucleationHumansQuality of LifeUveal MelanomaChoroidal neoplasmsDelivery of health careEye neoplasmsOphthalmologyPublic health

Identifiers

PMID36578013
PMCPMC9798647
OpenAlexW4313339679

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.