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The benefit of sentinel lymph node biopsy in elderly patients with melanoma: A retrospective analysis of SEER Medicare data (2010-2018).
- Source :
-
American journal of surgery [Am J Surg] 2024 Nov; Vol. 237, pp. 115896. Date of Electronic Publication: 2024 Aug 14. - Publication Year :
- 2024
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Abstract
- Background: Sentinel lymph node status is critical for melanoma staging and treatment. However, the factors influencing SLNB and its oncologic benefits in elderly patients are unclear.<br />Methods: We conducted a retrospective analysis of patients aged ≥65 with clinically node-negative melanoma and Breslow depth ≥1 mm, using Surveillance, Epidemiology, and End Results Medicare database (2010-2018). Multivariable logistic regression assessed SLNB likelihood by demographic and clinical factors, and Cox-proportional hazard models evaluated overall and melanoma-specific mortality (MSM) for SLNB recipients versus non-recipients.<br />Results: Of 13,160 melanoma patients, 62.29 % underwent SLNB. SLNB was linked to reduced all-cause mortality (HR: 0.65 [95%CI 0.61-0.70]) and MSM (HR: 0.76 [95%CI 0.67-0.85]). Older age, non-White race, male sex, and unmarried status was associated with decreased SLNB likelihood, while cardiopulmonary, neurologic, and secondary cancer comorbidities were associated with increased SLNB likelihood.<br />Conclusions: Though less frequently performed, SLNB is associated with lower mortality in elderly melanoma patients. Advanced age alone should not contraindicate SLNB.<br />Competing Interests: Declaration of competing interest The authors declare no conflicts of interest regarding the publication of this manuscript.<br /> (Copyright © 2024 Elsevier Inc. All rights reserved.)
- Subjects :
- Humans
Male
Female
Retrospective Studies
Aged
United States epidemiology
Aged, 80 and over
Neoplasm Staging
Melanoma pathology
Melanoma mortality
Sentinel Lymph Node Biopsy statistics & numerical data
SEER Program
Medicare statistics & numerical data
Skin Neoplasms pathology
Skin Neoplasms mortality
Subjects
Details
- Language :
- English
- ISSN :
- 1879-1883
- Volume :
- 237
- Database :
- MEDLINE
- Journal :
- American journal of surgery
- Publication Type :
- Academic Journal
- Accession number :
- 39173521
- Full Text :
- https://doi.org/10.1016/j.amjsurg.2024.115896