{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T08:00:14Z","timestamp":1774684814434,"version":"3.50.1"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,5,30]],"date-time":"2022-05-30T00:00:00Z","timestamp":1653868800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust J Dermatology"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Melanoma is a skin cancer that has higher mortality among cutaneous malignant tumours. Tumour incidence in most world regions is rising. Here, we intend to highlight these trends in the world.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We used the global burden of disease dataset to assess the incidence and mortality of melanoma from 1995 to 2019 in 204 countries\/territories. To identify country\/territory groups with similar trends of melanoma incidence and mortality, a model\u2010based clustering with a mixture of multivariate t\u2010distributions was used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Australia and New Zealand had the largest incidence and mortality rates. Men in Egypt and women in Sri Lanka and Guam had the lowest incidence and mortality rates. The clustering analysis revealed 4 classes of incidence in both gender and 3 and 2 classes of mortality in male and female, respectively. All groups had a growing incidence rate in both gender, similar to the worldwide trend. In 10% of the countries\/territories, central and Western Europe, the incidence increase rate was greater than in the countries\/territories with the greatest incidence. The total mortality rate for men was steadily growing, although it was decreasing in Asian and African countries\/territories. Overall, the mortality rate for women remained relatively steady over time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Due to the increasing trend of melanoma in the world, primary and secondary prevention of this disease, especially in areas with higher incidence and mortality, is essential. Raising awareness about the disease is helpful in prevention and early detection of melanoma.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajd.13882","type":"journal-article","created":{"date-parts":[[2022,5,30]],"date-time":"2022-05-30T13:24:00Z","timestamp":1653917040000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Clustering trends of melanoma incidence and mortality: A\u00a0worldwide assessment from 1995 to 2019"],"prefix":"10.1111","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8609-1860","authenticated-orcid":false,"given":"Farzane","family":"Ahmadi","sequence":"first","affiliation":[{"name":"Assistant Professor of Biostatistics and Epidemiology, Faculty of Medicine Zanjan University of Medical Sciences  Zanjan Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1513-7945","authenticated-orcid":false,"given":"Farzaneh","family":"Karamitanha","sequence":"additional","affiliation":[{"name":"Assistant Professor of Community Medicine, Faculty of Medicine Zanjan University of Medical Sciences  Zanjan Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3696-8983","authenticated-orcid":false,"given":"Afshar","family":"Ramezanpour","sequence":"additional","affiliation":[{"name":"Associate professor of Dermatology, Dermatologic Ward, Valiasr Hospital School of Medicine Zanjan University of Medical Sciences  Zanjan Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,5,30]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"1989","volume-title":"Dermatology","author":"Garbe C","year":"2017"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.3322\/CAAC.21660"},{"key":"e_1_2_7_4_1","volume-title":"Cancer facts and figures 2020","author":"American Cancer Society","year":"2020"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/JAMADERMATOL.2020.0470"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/1203475419852048"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/JAMADERMATOL.2019.3353"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/CMR.0000000000000385"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/JDV.15322"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/JAMADERMATOL.2022.0160"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.JAAD.2016.06.006"},{"key":"e_1_2_7_12_1","volume-title":"Global burden of disease study 2019 (GBD 2019) results","author":"Global Burden of Disease Collaborative Network","year":"2020"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(20)30925\u20109"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11222\u2010011\u20109272\u2010x"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.JSPI.2011.11.026"},{"key":"e_1_2_7_16_1","unstructured":"McNicholasPD JampaniKR SubediS.longclust: model\u2010based clustering and classification for longitudinal data. 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