Evidence map›Paper›PMID 39525848›Full record

ArticleJAAD international2024

Incidence and outcomes of Merkel cell carcinoma related to Merkel cell polyomavirus status in Iceland in 1981-2023.

Maria Vygovska, David Hoyt, Ashley M Snyder, Thorarinn Jonmundsson, Ashley Khouri, Dev Ram Sahni, Jonathan Ungar, Jesse M Lewin, Nicholas Gulati, Robert G Phelps and 5 more

Abstract read
In one paragraph

Article in JAAD international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. [Merkel cell carcinoma: current surgical approaches and multidisciplinary treatment].Revista medica del Instituto Mexicano del Seguro Social · 2026
    Review
  2. Article
  3. 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

15 authors.

Maria VygovskaDivision of Pathology, Landspitali-University Hospital, Reykjavik, Iceland.
David HoytDivision of Dermatology, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, Utah.
Ashley M SnyderDepartment of Dermatology, University of Utah, Salt Lake City, Utah.
Thorarinn JonmundssonFaculty of Medicine, Division of Oncology, University of Iceland, Reykjavik, Iceland.
Ashley KhouriDivision of Dermatology, Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City, Utah.
Dev Ram SahniDepartment of Dermatology, Brigham and Women's Hospital, Boston, Massachusetts.
Jonathan UngarDepartment of Dermatology, Icahn School of Medicine at Mount Sinai, New York, New York.
Jesse M LewinDepartment of Dermatology, Icahn School of Medicine at Mount Sinai, New York, New York.
Nicholas GulatiDepartment of Dermatology, Icahn School of Medicine at Mount Sinai, New York, New York.
Robert G PhelpsDepartment of Dermatology, Icahn School of Medicine at Mount Sinai, New York, New York.
Vikram N SahniDepartment of Dermatology, University of Utah, Salt Lake City, Utah.
Jane M Grant-KelsDepartment of Dermatology, University of Connecticut School of Medicine, Farmington, Connecticut.
Helgi SigurdssonFaculty of Medicine, Division of Oncology, University of Iceland, Reykjavik, Iceland.
Jon Gunnlaugur JonassonDivision of Pathology, Landspitali-University Hospital, Reykjavik, Iceland.
Jonas A AdalsteinssonDepartment of Dermatology, Icahn School of Medicine at Mount Sinai, New York, New York.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Impact of Merkel cell polyomavirus (MCPyV) associated Merkel cell carcinoma (MCC) has not been assessed in the Icelandic population, nor in a whole population elsewhere. Objectives: The primary objective was to assess trends in the incidence of MCC in Iceland and the association with MCPyV. Secondary objectives aimed to analyze MCC outcomes. Methods: In this retrospective cohort study, patients diagnosed with MCC between 1981 and 2021 were identified from the Icelandic Cancer Registry. Patients were separated into 2 groups based on MCPyV immunochemistry staining. Age-standardized incidence was calculated and Joinpoint analysis was used to assess incidence trends. A Cox proportional hazards model was used to assess survival differences between the 2 groups. Results: Overall incidence of MCC increased from 0.015 to 0.26 per 100,000 persons, though the incidence of MCPyV positive cases recently decreased while negative cases increased. MCPyV negative tumors were associated with sun exposure ( Limitations: Even with population-level data, comprehensively investigating associations with MCC is difficult due to its rarity. Conclusion: MCPyV negative MCC tumors were associated with lower survival despite smaller tumor size. Thus, MCPyV status could be an important prognostic biomarker.

Indexed as

basal cell carcinomaIcelandMerkel cell carcinomaphotodamagepolyomavirussquamous cell carcinoma

Identifiers

PMID39525848
PMCPMC11549985

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.