Evidence map›Paper›PMID 41237350›Full record

ArticleJCO clinical cancer informatics2025

Harvesting Risk: An Ecologic Study of Agricultural Practices and Patterns and Melanoma Incidence in Pennsylvania.

Benjamin J Marks, Jiangang Liao, Charlene Lam, Camille Moeckel, Eugene J Lengerich

Abstract read
In one paragraph

Article in JCO clinical cancer informatics, 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. Cannabis use and perceptions among rural and urban cancer patients and survivors from a Pennsylvania cancer center.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    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

5 authors.

Benjamin J MarksPenn State College of Medicine, Hershey, PA.ORCID 0009-0008-2039-9131
Jiangang LiaoDepartment of Public Health Sciences, Penn State College of Medicine, Hershey, PA.
Charlene LamPenn State Cancer Institute, Penn State Health, Hershey, PA.
Camille MoeckelPenn State College of Medicine, Hershey, PA.
Eugene J LengerichDepartment of Public Health Sciences, Penn State College of Medicine, Hershey, PA.ORCID 0000-0001-9872-1647

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo examine the geospatial distribution of melanoma incidence in Pennsylvania (PA), quantify its association with agriculture practices and patterns, and consider its relevance for cancer control.

methodsThe study used an ecologic design with county-level PA data on the 2017-2021 incidence of invasive melanoma among adults 50 years and older, as well as agricultural patterns and practices, ultraviolet radiation (UVR), and demographics/socioeconomics. Spatial clustering was examined using local indicators of spatial association and Getis-Ord Gi*. Separate adjacency-weighted Conway-Maxwell-Poisson models, adjusted for UVR and social vulnerability, quantified the association between melanoma and (1) cultivated and pasture/hay acreage and (2) herbicide-, insecticide-, fungicide-, and manure-treated acreage.

resultsMelanoma incidence was 57.1% greater in a 15-county cluster (

conclusionMelanoma incidence clustered in South Central PA, an area with substantial agricultural industry. However, a majority of counties in the cluster were designated as metropolitan, challenging the concept that agriculture is primarily an industry of counties designated as nonmetropolitan (rural). Agricultural practices and patterns were associated with incidence, suggesting that cancer control adopt an integrated One Health approach to concurrently address occupational, environmental, and behavioral risks. The cluster was entirely within the 28-county catchment area of the Penn State Cancer Institute, demonstrating the utility of geospatial data and analysis for cancer control by a cancer center.

Indexed as

AgricultureMelanomaSkin NeoplasmsAgedFemaleHumansIncidenceMaleMiddle AgedPennsylvaniaRisk FactorsUltraviolet Rays

Identifiers

PMID41237350
PMCPMC12629121

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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.