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Comparing Bibliometric Analysis Using PubMed, Scopus, and Web of Science Databases
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An Age-Based Analysis of Pediatric Melanoma: Staging, Surgery, and Mortality in the Surveillance, Epidemiology, and

Patrick H Lam1, Augustine C Obirieze, Gezzer Ortega

  • 1Howard University College of Medicine, Washington, District of Columbia, USA.

The American Surgeon
|July 4, 2018
PubMed

Insights

Pediatric melanoma management lacks clear guidelines. Younger children (≤12 years) present with later-stage melanomas, receive less invasive surgery, and have poorer survival rates, indicating significant disparities.

Area of Science:

  • Oncology
  • Pediatric Medicine
  • Epidemiology

Background:

  • Pediatric melanoma is not well-characterized.
  • Management guidelines for pediatric melanoma are undefined.
  • Understanding population characteristics and outcomes is crucial for improving care.

Purpose of the Study:

  • To identify the pediatric melanoma population.
  • To analyze treatment modalities and outcomes.
  • To investigate age-related disparities in melanoma management.

Main Methods:

  • Utilized the Surveillance, Epidemiology, and End Results (SEER) database (2004-2008).
  • Included patients aged 21 years or younger diagnosed with melanoma.
  • Grouped patients into three age categories: ≤12 years, 13-18 years, and 19-21 years.

Main Results:

  • 1255 pediatric melanoma cases were analyzed.
  • Younger patients (≤12 years) had higher proportions of Stage IV melanoma (3.6%) compared to older groups (0.9%).
  • Patients aged 19-21 years showed worse survival rates (HR: 5.26) than the ≤12 years group.

Conclusions:

  • Significant disparities exist in pediatric melanoma care.
  • Younger children (≤12 years) experience later-stage diagnosis, less aggressive surgical treatment, and reduced survival.
  • Further research is needed to identify prognostic factors for better management of pediatric melanoma.

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