Evidence map›Paper›PMID 38421511›Full record

ArticleCancer causes & control : CCC2024

Persistent poverty and incidence-based melanoma mortality in Texas.

Karla Madrigal, Lillian Morris, Kehe Zhang, Emelie Nelson, Tiffaney Tran, Marcita Galindez, Zhigang Duan, Adewole S Adamson, Hui Zhao, Hung Q Doan and 3 more

Abstract read
PubMed Publisher
In one paragraph

Article in Cancer causes & control : CCC, 2024. 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
–field-weighted citation impact
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.

  1. Article
  2. Cancer Burden in Persistent Poverty Areas across the Cancer Continuum: A Scoping Review to Identify Gaps and Opportunities for Future Research.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  3. Colorectal cancer survival disparities in persistent poverty areas.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025
    Article
  4. Article
  5. 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

13 authors.

Karla MadrigalJohn P. and Kathrine G. McGovern Medical School, The University of Texas Health Science Center, Houston, TX, USA.ORCID http://orcid.org/0009-0009-1872-9741
Lillian MorrisJohn P. and Kathrine G. McGovern Medical School, The University of Texas Health Science Center, Houston, TX, USA.ORCID http://orcid.org/0000-0002-0272-2336
Kehe ZhangDepartment of Biostatistics and Data Science, School of Public Health, The University of Texas Health Science Center, Houston, TX, USA.ORCID http://orcid.org/0000-0001-8013-265X
Emelie NelsonJohn P. and Kathrine G. McGovern Medical School, The University of Texas Health Science Center, Houston, TX, USA.ORCID http://orcid.org/0000-0002-6255-5111
Tiffaney TranTransitional Year Residency Program, HCA Houston Healthcare Kingwood, Kingwood, TX, USA.ORCID http://orcid.org/0000-0002-4889-0554
Marcita GalindezImpact Evaluation Core, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0009-0006-5479-387X
Zhigang DuanDivision of Cancer Prevention and Population Sciences, Department of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Adewole S AdamsonDivision of Dermatology, Dell Medical School, The University of Texas at Austin, Austin, TX, USA.ORCID http://orcid.org/0000-0002-1493-1776
Hui ZhaoDepartment of Dermatology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0003-4742-1139
Hung Q DoanDepartment of Dermatology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0002-4715-0562
Madison M TaylorJohn P. and Kathrine G. McGovern Medical School, The University of Texas Health Science Center, Houston, TX, USA.ORCID http://orcid.org/0009-0002-9493-2468
Cici BauerDepartment of Biostatistics and Data Science, School of Public Health, The University of Texas Health Science Center, Houston, TX, USA. Cici.X.Bauer@uth.tmc.edu.ORCID http://orcid.org/0000-0002-2337-7965
Kelly C NelsonDepartment of Dermatology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. kcnelson1@mdanderson.org.ORCID http://orcid.org/0000-0002-5042-7366

Funding

Institute for Integration of Medicine & Science: A Partnership to Improve HealthUL1TR002645 · NCATS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI CLARK, ROBERT A, HARGREAVES, KENNETH M · 2018 to 2022
$20.4M
CANCER PREVENTION EDUCAT--STUDENT RESEARCH EXPERIENCESR25CA056452 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Shine Chang · 1992 to 2026
$6.9M
Cancer Prevention and Research Institute of Texas RP20036National Cancer Institute of the National Institutes of Health R25CA056452NIH HHS UL1 TR002645
6 · The paper itself

Abstract

purposePrevious studies have shown that individuals living in areas with persistent poverty (PP) experience worse cancer outcomes compared to those living in areas with transient or no persistent poverty (nPP). The association between PP and melanoma outcomes remains unexplored. We hypothesized that melanoma patients living in PP counties (defined as counties with ≥ 20% of residents living at or below the federal poverty level for the past two decennial censuses) would exhibit higher rates of incidence-based melanoma mortality (IMM).

methodsWe used Texas Cancer Registry data to identify the patients diagnosed with invasive melanoma or melanoma in situ (stages 0 through 4) between 2000 and 2018 (n = 82,458). Each patient's PP status was determined by their county of residence at the time of diagnosis.

resultsAfter adjusting for demographic variables, logistic regression analyses revealed that melanoma patients in PP counties had statistically significant higher IMM compared to those in nPP counties (17.4% versus 11.3%) with an adjusted odds ratio of 1.35 (95% CI 1.25-1.47).

conclusionThese findings highlight the relationship between persistent poverty and incidence-based melanoma mortality rates, revealing that melanoma patients residing in counties with persistent poverty have higher melanoma-specific mortality compared to those residing in counties with transient or no poverty. This study further emphasizes the importance of considering area-specific socioeconomic characteristics when implementing place-based interventions to facilitate early melanoma diagnosis and improve melanoma treatment outcomes.

Indexed as

MelanomaPovertyAdultAgedFemaleHumansIncidenceMaleMiddle AgedRegistriesSkin NeoplasmsTexasYoung AdultCutaneous melanomaHealthcare disparitiesIncidence-based mortalityPersistent povertySecondary preventionTexas Cancer Registry

Identifiers

PMID38421511

What OpenQuestion holds

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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.