Evidence map›Paper›PMID 36980693›Full record

ArticleCancers2023

The Influence of Obesity on Melanoma and Sentinel Lymph Node Diagnosis: A Retrospective Monocentric Study in 1001 Patients.

Filipa Almeida Oliveira, Julie Klose, Hans-Joachim Schulze, Marta Ribeiro Teixeira, Alexander Dermietzel, Sascha Wellenbrock, Grit-Sophie Herter-Sprie, Tobias Hirsch, Maximilian Kueckelhaus

Open access · goldFull text read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.2field-weighted citation impact, top 8% 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, 14 citations in OpenAlex.

  1. Review
  2. Life Factors and Melanoma: From the Macroscopic State to the Molecular Mechanism.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  3. Article
  4. Article
  5. Article
  6. Review
  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 3 institutions in 1 country.

Filipa Almeida OliveiraDepartment of Plastic and Reconstructive Surgery, Institute of Musculoskeletal Medicine, University Hospital Muenster, 48149 Muenster, Germany.
Julie KloseDepartment of Plastic and Reconstructive Surgery, Institute of Musculoskeletal Medicine, University Hospital Muenster, 48149 Muenster, Germany.
Hans-Joachim SchulzeDepartment of Dermatology, Dermatological Radiotherapy and Dermatohistopathology, Fachklinik Hornheide, 48157 Muenster, Germany.
Marta Ribeiro TeixeiraDepartment of Dermatology, Dermatological Radiotherapy and Dermatohistopathology, Fachklinik Hornheide, 48157 Muenster, Germany.
Alexander DermietzelDepartment of Plastic and Reconstructive Surgery, Institute of Musculoskeletal Medicine, University Hospital Muenster, 48149 Muenster, Germany.
Sascha WellenbrockDepartment of Plastic and Reconstructive Surgery, Institute of Musculoskeletal Medicine, University Hospital Muenster, 48149 Muenster, Germany.
Grit-Sophie Herter-SprieDepartment of Oncology, Fachklinik Hornheide, 48157 Muenster, Germany.
Tobias HirschDepartment of Plastic and Reconstructive Surgery, Institute of Musculoskeletal Medicine, University Hospital Muenster, 48149 Muenster, Germany.
Maximilian KueckelhausDepartment of Plastic and Reconstructive Surgery, Institute of Musculoskeletal Medicine, University Hospital Muenster, 48149 Muenster, Germany.
Fachklinik Hornheide · DEUniversity Hospital Münster · DEUniversity Hospital Cologne · DE

Funding

Deutsche Forschungsgemeinschaft HE 6897/2-1 to G.S.H.S.
6 · The paper itself

Abstract

(1) Background: While obesity is a known independent risk factor in the development of melanoma, there is no consensus on its influence on melanoma prognosis. (2) Methods: In a monocentric retrospective study, data was collected from patients who underwent sentinel lymph node (SLN) biopsy for stage IB-IIC melanoma between 2013 and 2018. Patients were divided into groups according to their body mass index (BMI). The association between BMI and melanoma features, as well as the risk factors for metastases in SLN were examined. (3) Results: Of the 1001 patients, 336 had normal weight (BMI < 25), 402 were overweight (BMI >= 25 and <30), 173 obese (BMI >= 30 and <35) and 90 extremely obese (BMI >= 35). Overweightness and obesity were associated with higher tumor thicknesses at time of diagnosis. Ulceration was not influenced by the patient's weight. Metastases in sentinel lymph node was almost twice more likely in extremely obese patients than in normal weight patients. Independent risk factors for metastases in SLN in our study were tumor thickness, ulceration, and BMI > 35. (4) Conclusions: This is the first study to show higher metastases rates in high-BMI patients with melanoma, raising important questions regarding the screening and treatment of this specific patient population.

Indexed as

body mass indexBreslow thicknessmelanomametastasisobesitysentinel lymph nodesentinel lymph node biopsy

Identifiers

PMID36980693
PMCPMC10046741
OpenAlexW4327700025

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read30
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.