Evidence map›Paper›PMID 39799507›Full record

ArticleJNCI cancer spectrum2025

Sex differences in melanoma survival-a GEM study.

Tharani Murali, Matthew Schwartz, Adam Z Reynolds, Li Luo, Grace Ridgeway, Klaus J Busam, Anne E Cust, Hoda Anton-Culver, Richard P Gallagher, Roberto Zanetti and 7 more

Abstract read
In one paragraph

Article in JNCI cancer spectrum, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Tumor Microenvironment in Melanoma-Characteristic and Clinical Implications.International journal of molecular sciences · 2025
    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

17 authors.

Tharani MuraliDepartment of Internal Medicine, School of Medicine, University of New Mexico, Albuquerque, NM 87131, United States.
Matthew SchwartzCollege of Population Health, University of New Mexico, Albuquerque, NM 87131, United States.ORCID 0000-0001-9563-5727
Adam Z ReynoldsUniversity of New Mexico Comprehensive Cancer Center, Division of Epidemiology, Biostatistics and Preventive Medicine, Albuquerque, NM 87131, United States.
Li LuoUniversity of New Mexico Comprehensive Cancer Center, Division of Epidemiology, Biostatistics and Preventive Medicine, Albuquerque, NM 87131, United States.
Grace RidgewayDepartment of Internal Medicine, School of Medicine, University of New Mexico, Albuquerque, NM 87131, United States.
Klaus J BusamDepartment of Pathology, New York, NY 10065, United States.
Anne E CustThe Daffodil Center and the Melanoma Institute of Australia, School of Public Health, University of Sydney, Sydney, NSW 2050, Australia.ORCID 0000-0002-5331-6370
Hoda Anton-CulverDivision of General Internal Medicine and Primary Care, Medicine, University of California at Irvine, Irvine, CA 92697, United States.ORCID 0000-0002-9603-0110
Richard P GallagherBritish Columbia Cancer Research Center, University of British Columbia, Vancouver, BC V6T 1Z3, Canada.ORCID 0000-0003-2365-0391
Roberto ZanettiPiedmont Cancer Registry, CPO, Turin 2015, Italy.
Stefano RossoPiedmont Cancer Registry, CPO, Turin 2015, Italy.ORCID 0000-0001-6816-2661
Lidia SacchettoBayer AG, Berlin 13353, Germany.ORCID 0000-0001-6590-325X
Colin B BeggDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY 10065, United States.ORCID 0000-0003-3772-1795
Irene OrlowDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY 10065, United States.ORCID 0000-0001-6234-6961
Nancy E ThomasDepartment of Dermatology and Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC 27514, United States.ORCID 0000-0002-2230-1328
Marianne BerwickUniversity of New Mexico Comprehensive Cancer Center, Division of Epidemiology, Biostatistics and Preventive Medicine, Albuquerque, NM 87131, United States.ORCID 0000-0001-5062-2180
GEM Study Team

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Virology Research Program (Program 4)P30CA016086 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI David Darr · 1985 to 2026
$201.5M
Sex Differences in Methylome Alterations and Mutational Burden in Early Stage MelanomaP01CA206980 · NCI · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI BERWICK, MARIANNE, THOMAS, NANCY E. · 2017 to 2022
$10.1M
Identification of Lethal Melanomas at the Time of DiagnosisR01CA233524 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ANTON-CULVER, HODA A, BEGG, COLIN B · 2020 to 2024
$4.5M
Memorial Sloan Kettering Cancer Center P30 CA0008748NCI NIH HHS P01 CA206980NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA016086NCI NIH HHS R01 CA233524NHMR Investigator Fellowship 2008454NIH HHS P01 CA206980The UNC Lineberger Comprehensive Cancer Center NCIP30CA016086University of New Mexico Comprehensive Cancer Center
6 · The paper itself

Abstract

Sex differences in melanoma are prominent, with female having a significant survival advantage. However, it is unclear why we see this survival advantage. Here, we investigate the relationship between sex, clinicopathologic variables, and melanoma specific survival in 1753 single primary melanomas from patients in the GEM (Genes, Environment, and Melanoma) study. Using Cox proportional hazard models and formal mediation analysis, the effect of sex on survival is explained largely by differences in the clinicopathologic features of tumors at diagnosis. Specifically, we find evidence that 86.5% of the effect of sex on melanoma survival is mediated by differences in age at diagnosis, Breslow thickness, ulceration, mitoses, and site (hazard ratio [HR] = 1.85, P < .001). This analysis indicates that the female survival advantage in melanoma is not primarily due to a direct effect of sex (HR = 1.19, P = .42) but is largely a result of an indirect effect of sex mediated by clinicopathologic features.

Indexed as

MelanomaSkin NeoplasmsAdultAgedAge FactorsFemaleHumansMaleMiddle AgedProportional Hazards ModelsSex Factors

Identifiers

PMID39799507
PMCPMC11812020

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.