Evidence map›Paper›PMID 41032320›Full record

ArticleJAMA dermatology2025

Facilitators and Barriers to the Timely Diagnosis and Treatment of Melanoma in Latino Persons.

Kimberly A Miller, Priscilla Marìn, Rosario Aguero, Guillermo Muñoz, Marlene Caldera, Jennifer B Unger, Ashley B Crew, Fumito Ito, Lourdes Baezconde-Garbanati, Myles G Cockburn

Abstract read
In one paragraph

Article in JAMA dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Kimberly A MillerDepartment of Population and Public Health Sciences, Keck School of Medicine of the University of Southern California, Los Angeles.
Priscilla MarìnDepartment of Population and Public Health Sciences, Keck School of Medicine of the University of Southern California, Los Angeles.
Rosario AgueroDepartment of Population and Public Health Sciences, Keck School of Medicine of the University of Southern California, Los Angeles.
Guillermo MuñozDepartment of Population and Public Health Sciences, Keck School of Medicine of the University of Southern California, Los Angeles.
Marlene CalderaDepartment of Population and Public Health Sciences, Keck School of Medicine of the University of Southern California, Los Angeles.
Jennifer B UngerDepartment of Population and Public Health Sciences, Keck School of Medicine of the University of Southern California, Los Angeles.
Ashley B CrewDepartment of Dermatology, Keck School of Medicine of the University of Southern California, Los Angeles.
Fumito ItoDepartment of Surgery, Keck School of Medicine of the University of Southern California, Los Angeles.
Lourdes Baezconde-GarbanatiDepartment of Population and Public Health Sciences, Keck School of Medicine of the University of Southern California, Los Angeles.
Myles G CockburnDepartment of Population and Public Health Sciences, Keck School of Medicine of the University of Southern California, Los Angeles.

Funding

USC/NORRIS COMPREHENSIVE CANCER CENTER (CORE) SUPPORTP30CA014089 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Fumito Ito · 1985 to 2026
$181.4M
Identifying modifiable factors that reduce the burden of late stage melanoma in HispanicsR01CA252182 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI COCKBURN, MYLES G, MILLER, KIMBERLY ANN · 2021 to 2025
$3.3M
In situ radioimmunotherapy to maximize the engagement of conventional type 1 dendritic cells against non-T cell-inflamed tumorsR01CA255240 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ITO, FUMITO · 2021 to 2025
$2.0M
NCI NIH HHS P30 CA014089NCI NIH HHS R01 CA252182NCI NIH HHS R01 CA255240
6 · The paper itself

Abstract

Importance: While mortality from melanoma has decreased in non-Hispanic White individuals over the last decade due to new and effective therapies, disparities in survival remain for Latino populations. Latino patients have lower overall incidence of melanoma than non-Hispanic White patients but are more likely to be diagnosed with thicker, more advanced tumors, leading to higher mortality. Objective: To identify the facilitators and barriers Latino patients face prior to melanoma diagnosis and treatment and to inform strategies that expedite care and improve survival rates in this population. Design, Setting, and Participants: This qualitative study used reflexive thematic analysis of interviews with Latino patients with melanoma of any stage at diagnosis conducted in Los Angeles County, California, between May and November 2023. Patients were identified from the California Cancer Registry, part of the Surveillance, Epidemiology, and End Results Program. Main Outcomes and Measures: A semistructured interview guide designed to explore multiple themes related to potential barriers and facilitators to timely diagnosis of melanoma among Latino patients. Results: Of 20 included Latino patients with melanoma, 13 (65%) were female, and the median (range) age was 56.5 (41-79) years. Half of the interviews were conducted in Spanish, and 15 participants (75%) were diagnosed at an early stage (in situ or regional). A total of 6 themes were identified: 2 facilitators, including patients as advocates for their health care and linguistically appropriate care, and 4 barriers, including barriers to timely care due to health insurance procedures, delays in accessing specialty referral, low awareness of melanoma prior to diagnosis, and a lack of linguistically appropriate care. Conclusions and Relevance: This qualitative study identified multifaceted challenges faced by Latino patients as they seek both diagnosis and treatment of melanoma. Findings suggest several recommendations to accelerate time to diagnosis and prompt initiation of treatment to reduce disparities experienced by this patient population.

Indexed as

Health Services AccessibilityHispanic or LatinoMelanomaSkin NeoplasmsAdultAgedDelayed DiagnosisEarly Detection of CancerFemaleHealthcare DisparitiesHumansInterviews as TopicLos AngelesMaleMiddle AgedQualitative Research

Identifiers

PMID41032320
PMCPMC12489795

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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.