Evidence map›Paper›PMID 36875322›Full record

ReviewWorld neurosurgery: X2023

Epidemiology, management, and treatment outcomes of metastatic spinal melanoma.

David X Zheng, Sauson Soldozy, Kathleen M Mulligan, Melissa A Levoska, Erin F Cohn, Ariel Finberg, Peter Alsaloum, Thomas B Cwalina, Simon J Hanft, Jeffrey F Scott and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in World neurosurgery: X, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 3 citations in OpenAlex.

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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

12 authors at 6 institutions in 1 country.

David X ZhengDepartment of Dermatology, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, OH, United States.
Sauson SoldozyDepartment of Neurological Surgery, University of Miami, Miami, FL, United States.
Kathleen M MulliganDepartment of Dermatology, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, OH, United States.
Melissa A LevoskaDepartment of Dermatology, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, OH, United States.
Erin F CohnDepartment of Genetics and Genome Sciences, Case Western Reserve University, Cleveland, OH, United States.
Ariel FinbergDepartment of Neurological Surgery, University of Miami, Miami, FL, United States.
Peter AlsaloumDepartment of Dermatology, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, OH, United States.
Thomas B CwalinaDepartment of Dermatology, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, OH, United States.
Simon J HanftDepartment of Neurosurgery, Westchester Medical Center, New York Medical College, Valhalla, NY, United States.
Jeffrey F ScottDepartment of Dermatology, Johns Hopkins University School of Medicine, Baltimore, MD, United States.
Luke D RothermelDepartment of Surgery, Division of Surgical Oncology, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, OH, United States.
Vinod E NambudiriDepartment of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States.
University Hospitals of Cleveland · USWestchester Medical Center · USBrigham and Women's Hospital · USCase Western Reserve University · USJohns Hopkins University · USUniversity of Miami · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Metastatic spinal melanoma is a rare and aggressive disease process with poor prognosis. We review the literature on metastatic spinal melanoma, focusing on its epidemiology, management, and treatment outcomes. Demographics of metastatic spinal melanoma are similar to those for cutaneous melanoma, and cutaneous primary tumors tend to be most common. Decompressive surgical intervention and radiotherapy have traditionally been considered mainstays of treatment, and stereotactic radiosurgery has emerged as a promising approach in the operative management of metastatic spinal melanoma. While survival outcomes for metastatic spinal melanoma remain poor, they have improved in recent years with the advent of immune checkpoint inhibition, used in conjunction with surgery and radiotherapy. New treatment options remain under investigation, especially for patients with disease refractory to immunotherapy. We additionally explore several of these promising future directions. Nevertheless, further investigation of treatment outcomes, ideally incorporating high-quality prospective data from randomized controlled trials, is needed to identify optimal management of metastatic spinal melanoma.

Indexed as

CAR, chimeric antigen receptorCNS, central nervous systemHMB-45, human melanoma black 45ICIs, immune checkpoint inhibitorsMEK, mitogen-activated protein kinaseMelanomaMRI, magnetic resonance imagingNeuroimmunologyNeurooncologyPD-1, programmed death receptor-1Spinal melanomaSpinal metastasisSRS, stereotactic radiosurgeryT-VEC, talimogene laherparepvec

Identifiers

PMID36875322
PMCPMC9976572
OpenAlexW4317632638

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.