Challenges in assessing the sunscreen-melanoma association.
melanoma
meta-analysis
skin cancer
sun protection
sunscreen
Journal
International journal of cancer
ISSN: 1097-0215
Titre abrégé: Int J Cancer
Pays: United States
ID NLM: 0042124
Informations de publication
Date de publication:
01 06 2019
01 06 2019
Historique:
received:
13
06
2018
revised:
25
10
2018
accepted:
02
11
2018
pubmed:
18
11
2018
medline:
4
9
2019
entrez:
18
11
2018
Statut:
ppublish
Résumé
Whether sunscreen use affects melanoma risk has been widely studied with contradictory results. To answer this question we performed a systematic review of all published studies, accounting for sources of heterogeneity and bias. We searched for original articles investigating the sunscreen-melanoma association in humans to February 28, 2018. We then used random-effects meta-analysis to combine estimates of the association, stratified by study design. Stratified meta-analysis and meta-regression were used to identify sources of heterogeneity. We included 21,069 melanoma cases from 28 studies published 1979-2018: 23 case-control (11 hospital-based, 12 population-based), 1 ecological, 3 cohort and 1 randomised controlled trial (RCT). There was marked heterogeneity across study designs and among case-control studies but adjustment for confounding by sun exposure, sunburns and phenotype systematically moved estimates toward decreased melanoma risk among sunscreen users. Ever- vs. never-use of sunscreen was inversely associated with melanoma in hospital-based case-control studies (adjusted odds ratio (OR) = 0.57, 95%confidence interval (CI) 0.37-0.87, p
Identifiants
pubmed: 30447006
doi: 10.1002/ijc.31997
pmc: PMC6451658
mid: NIHMS998860
doi:
Substances chimiques
Sunscreening Agents
0
Types de publication
Journal Article
Meta-Analysis
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
2651-2668Subventions
Organisme : NCI NIH HHS
ID : R21 CA198216
Pays : United States
Informations de copyright
© 2018 The Authors. International Journal of Cancer published by John Wiley & Sons Ltd on behalf of UICC.
Références
J Clin Oncol. 2005 Apr 20;23(12):2669-75
pubmed: 15837981
Int J Cancer. 2015 Nov 1;137(9):2227-33
pubmed: 25960371
Evid Based Med. 2016 Aug;21(4):125-7
pubmed: 27339128
Br J Dermatol. 1990 Jan;122(1):43-51
pubmed: 2297503
Cancer Treat Res. 2016;167:17-49
pubmed: 26601858
Int J Cancer. 2000 Jun 15;86(6):879-82
pubmed: 10842205
Pigment Cell Melanoma Res. 2010 Dec;23(6):835-7
pubmed: 20726949
Control Clin Trials. 1986 Sep;7(3):177-88
pubmed: 3802833
Br J Cancer. 2011 Dec 6;105 Suppl 2:S66-9
pubmed: 22158324
Melanoma Res. 1998 Aug;8(4):370-8
pubmed: 9764814
Stat Med. 2002 Jun 15;21(11):1539-58
pubmed: 12111919
Am J Public Health. 2002 Jul;92(7):1173-7
pubmed: 12084704
Clin Pharmacol Ther. 2011 Jan;89(1):31-3
pubmed: 21170070
Occup Med (Lond). 2017 Oct 1;67(7):569-573
pubmed: 29048595
PLoS Med. 2009 Jul 21;6(7):e1000097
pubmed: 19621072
Int J Epidemiol. 2008 Jun;37(3):654-67
pubmed: 18276627
Int J Clin Exp Med. 2015 Feb 15;8(2):2378-84
pubmed: 25932176
Ann Intern Med. 2003 Dec 16;139(12):966-78
pubmed: 14678916
Pigment Cell Melanoma Res. 2011 Oct;24(5):879-97
pubmed: 21707960
Circulation. 2015 Nov 10;132(19):1786-94
pubmed: 26438781
J Clin Oncol. 2011 Jan 20;29(3):257-63
pubmed: 21135266
Cancer Detect Prev. 1993;17(6):601-8
pubmed: 8275512
BMJ. 2015 Jan 02;350:g7647
pubmed: 25555855
Eur J Dermatol. 2018 Apr 1;28(2):186-201
pubmed: 29620003
Int J Cancer. 2002 Mar 1;98(1):92-8
pubmed: 11857391
Melanoma Res. 2008 Feb;18(1):1-9
pubmed: 18227701
Neoplasma. 2012;59(3):316-25
pubmed: 22296501
J Clin Epidemiol. 2011 Apr;64(4):380-2
pubmed: 21185693
Photodermatol Photoimmunol Photomed. 2014 Apr-Jun;30(2-3):55-61
pubmed: 24417448
Cancer Epidemiol Biomarkers Prev. 2007 Oct;16(10):1921-2
pubmed: 17932337
Br J Dermatol. 2018 Jan;178(1):140-147
pubmed: 29239489
Int J Cancer. 1988 Sep 15;42(3):319-24
pubmed: 3417359
Int J Cancer. 2000 Dec 1;88(5):838-42
pubmed: 11072258
Cancer Epidemiol. 2016 Oct;44:203-221
pubmed: 27460784
J Natl Cancer Inst. 1986 Mar;76(3):403-14
pubmed: 3456458
Cancer Causes Control. 2008 Sep;19(7):671-9
pubmed: 18307049
J Clin Aesthet Dermatol. 2018 Jan;11(1):35-40
pubmed: 29410729
J Clin Epidemiol. 2012 May;65(5):511-9
pubmed: 22342263
J Invest Dermatol. 2009 Dec;129(12):2766-71
pubmed: 19536149
Epidemiology. 2008 Nov;19(6):766-79
pubmed: 18854702
BMJ. 1997 Sep 13;315(7109):629-34
pubmed: 9310563
Syst Rev. 2015 Jan 01;4:1
pubmed: 25554246
Control Clin Trials. 1994 Dec;15(6):512-22
pubmed: 7851112
Int J Cancer. 2000 Jul 1;87(1):145-50
pubmed: 10861466
Br J Dermatol. 2017 Jul;177(1):134-140
pubmed: 28369739
Nat Rev Cancer. 2017 Jul;17(7):393-394
pubmed: 28450704
Melanoma Res. 1995 Feb;5(1):59-65
pubmed: 7734957
Environ Res. 2006 May;101(1):123-31
pubmed: 16290819
J Epidemiol. 2018 Jan 5;28(1):27-33
pubmed: 29176271
Br J Dermatol. 2002 Apr;146 Suppl 61:24-30
pubmed: 11966729
Int J Cancer. 1995 Jun 9;61(6):749-55
pubmed: 7790106
Photodermatol Photoimmunol Photomed. 2017 May;33(3):135-142
pubmed: 28165636
Int J Cancer. 2007 Jul 1;121(1):1-5
pubmed: 17415716
Multivariate Behav Res. 2011 May;46(3):399-424
pubmed: 21818162
Stat Med. 2008 Mar 30;27(7):954-70
pubmed: 17676579
Int J Dermatol. 2002 Sep;41(9):557-62
pubmed: 12358823
Z Evid Fortbild Qual Gesundhwes. 2015;109(6):437-44
pubmed: 26474648
Am J Epidemiol. 1995 May 15;141(10):923-33
pubmed: 7741122
Cell. 2012 Jul 20;150(2):251-63
pubmed: 22817889
BMJ. 2004 Jun 19;328(7454):1490
pubmed: 15205295
PLoS One. 2012;7(4):e36348
pubmed: 22558444
Photodermatol Photoimmunol Photomed. 2018 Jan;34(1):13-24
pubmed: 28703311
Melanoma Res. 1999 Apr;9(2):199-205
pubmed: 10380943
Cancer Epidemiol Biomarkers Prev. 2011 Dec;20(12):2583-93
pubmed: 22016471
Cancer Epidemiol Biomarkers Prev. 1998 Oct;7(10):857-63
pubmed: 9796629
Ann Epidemiol. 2007 Dec;17(12):956-63
pubmed: 18022535
Int J Cancer. 1979 Apr 15;23(4):482-6
pubmed: 437925
Int J Cancer. 1997 Jan 6;70(1):26-31
pubmed: 8985086
J Clin Oncol. 2011 May 10;29(14):e425-6; author reply e427
pubmed: 21464415
Am J Epidemiol. 1985 Oct;122(4):606-19
pubmed: 4025303
Cancer Causes Control. 1996 Mar;7(2):275-83
pubmed: 8740740