Evidence map›Paper›PMID 39552276›Full record

ArticleJournal of surgical oncology2025

Are Nomograms Useful for Predicting Sentinel Lymph Node Status in Melanoma Patients?

Kristel Lourdault, Arthur W Cowman, Douglas Hanes, Anthony J Scholer, Tyler Aguilar, Richard Essner

Abstract readMulticenter Study
In one paragraph

Article in Journal of surgical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. 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

6 authors.

Kristel LourdaultSaint John's Cancer Institute at Providence St. John's Health Center, Santa Monica, California, USA.ORCID http://orcid.org/0000-0003-2875-5918
Arthur W CowmanSaint John's Cancer Institute at Providence St. John's Health Center, Santa Monica, California, USA.
Douglas HanesProvidence Research Network, Portland, Oregon, USA.
Anthony J ScholerSaint John's Cancer Institute at Providence St. John's Health Center, Santa Monica, California, USA.ORCID http://orcid.org/0000-0002-7693-9298
Tyler AguilarSaint John's Cancer Institute at Providence St. John's Health Center, Santa Monica, California, USA.
Richard EssnerSaint John's Cancer Institute at Providence St. John's Health Center, Santa Monica, California, USA.

Funding

This study was supported by the Borstein Family Melanoma Program, the Melamed Family Foundation, the John Wayne Cancer Foundation, and the Donald L Morton Melanoma Research Fund.
6 · The paper itself

Abstract

BACKGROUND AND

objectivesClinical nomograms have been developed to predict sentinel lymph node (SLN) status in early-stage melanoma patients, but the clinical utility of these tools remains debatable. We created and validated a nomogram using data from a randomized clinical trial and assessed its accuracy against the well-validated Melanoma Institute Australia (MIA) nomogram.

methodsWe developed our model to predict SLN status using logistic regression on clinicopathological patient data from the Multicenter Selective Lymphadenectomy Trial-I. The model was externally validated using the National Cancer Database (NCDB) data set, and its performance was compared to that of the MIA nomogram.

resultsOur model had good discrimination between positive and negative SLNs, with a training set area under the curve (AUC) of 0.706 (0.661-0.751). Our model achieved an AUC of 0.715 (0.706-0.724) compared to 0.723 (0.715-0.731) with the MIA model, using the NCDB set.

conclusionOur model performed similarly to the MIA model, confirming that despite using different clinical features and data sets, no clinical nomogram is currently accurate enough for clinical use.

Indexed as

MelanomaNomogramsSentinel Lymph NodeSentinel Lymph Node BiopsySkin NeoplasmsAdultAgedFemaleHumansLymphatic MetastasisLymph Node ExcisionMaleMiddle AgedPrognosismelanomaMSLT‐INCDBnomogramrisk assessmentsentinel lymph node biopsysurgery

Identifiers

PMID39552276
PMCPMC12065441

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

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 Socratic graph.