Low level of education is associated with later stage at diagnosis and reduced survival in cutaneous malignant melanoma: A nationwide population-based study in Sweden

Eriksson, Hanna; Lyth, Johan; Månsson‐Brahme, Eva; Frohm-Nilsson, Margareta; Ingvar, Christian; Lindholm, Christer; Naredi, Peter; Stierner, Ulrika; Wagenius, Gunnar; Carstensen, John; Hansson, Johan

doi:10.1016/j.ejca.2013.03.013

Cited by 66 publications

(104 citation statements)

References 135 publications

(209 reference statements)

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“…Other factors could contribute to explain the differences in survival, such as different socioeconomic status (SES), which has been shown to be an independent prognostic factor [33]. People with low SES present with later-stage disease at diagnosis and worse prognosis [34].…”

Section: Discussionmentioning

confidence: 99%

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Survival of patients with skin melanoma in Europe increases further: Results of the EUROCARE-5 study

Crocetti¹,

Robsahm

Lopez

et al. 2015

European Journal of Cancer

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Section: Discussionmentioning

confidence: 99%

“…Women had better survival across all ages, melanoma site and morphology. A better stage distribution at diagnosis has been suggested as a possible explanation [33] due to the supposed greater attention of women than men to their body and health. Moreover, an independent effect of female sex has been suggested [39].…”

Section: Melanoma Of the Skinmentioning

confidence: 97%

Survival of patients with skin melanoma in Europe increases further: Results of the EUROCARE-5 study

Crocetti¹,

Robsahm

Lopez

et al. 2015

European Journal of Cancer

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“…Several reports have been published based on SMR data (10)(11)(12)(13)(14). As this database includes information about important risk factors for the CMMs and is linked to the cause of death registry on an individual base, CMM-specific survival could be analysed.…”

Section: Introductionmentioning

confidence: 99%

Prognostic instrument for survival outcome in melanoma patients: based on data from the population-based Swedish Melanoma Register

Lyth

Mikiver

Nielsen

et al. 2016

European Journal of Cancer

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“…We have previously identified sub‐groups of CMM patients in Sweden with a worse outcome, e.g. individuals with low level of education . This indicates the need to target specific patient groups for secondary preventive efforts.…”

mentioning

confidence: 99%

Prognostic factors and disease-specific survival among immigrants diagnosed with cutaneous malignant melanoma in Sweden

et al. 2016

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Little is known about cutaneous malignant melanoma (CMM) among immigrants in Europe. We aimed to investigate clinical characteristics and disease‐specific survival among first‐ and second‐generation immigrants in Sweden. This nationwide population‐based study included 27,235 patients from the Swedish Melanoma Register diagnosed with primary invasive CMM, 1990–2007. Data were linked to nationwide, population‐based registers followed up through 2013. Logistic regression and Cox regression models were used to determine the association between immigrant status, stage and CMM prognosis, respectively. After adjustments for confounders, first generation immigrants from Southern Europe were associated with significantly more advanced stages of disease compared to Swedish‐born patients [Stage II vs. I: Odds ratio (OR) = 2.37, 95% CI = 1.61–3.50. Stage III–IV vs I: OR = 2.40, 95% CI = 1.08–5.37]. The ORs of stage II–IV versus stage I disease were increased among men (OR = 1.9; 95% CI = 1.1–3.3; p = 0.020), and women (OR = 4.8; 95% CI = 2.6–9.1; p < 0.001) in a subgroup of immigrants from former Yugoslavia compared to Swedish‐born patients. The CMM‐specific survival was significantly decreased among women from former Yugoslavia versus Swedish‐born women [hazard ratio (HR)=2.2; 95% CI = 1.1–4.2; p = 0.043]. After additional adjustments including stage, the survival difference was no longer significant. No survival difference between the second generation immigrant group and Swedish‐born patients were observed. In conclusion, a worse CMM‐specific survival in women from former Yugoslavia was associated with more advanced stages of CMM at diagnosis. Secondary prevention efforts focusing on specific groups may be needed to further improve the CMM prognosis.

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Low level of education is associated with later stage at diagnosis and reduced survival in cutaneous malignant melanoma: A nationwide population-based study in Sweden

Cited by 66 publications

References 135 publications

Survival of patients with skin melanoma in Europe increases further: Results of the EUROCARE-5 study

Survival of patients with skin melanoma in Europe increases further: Results of the EUROCARE-5 study

Prognostic instrument for survival outcome in melanoma patients: based on data from the population-based Swedish Melanoma Register

Prognostic factors and disease-specific survival among immigrants diagnosed with cutaneous malignant melanoma in Sweden

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