{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:36:16Z","timestamp":1747182976155,"version":"3.40.5"},"reference-count":23,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T00:00:00Z","timestamp":1692662400000},"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":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background\/Objectives<\/jats:title><jats:p>To compare survival outcomes for patients with cutaneous invasive head and neck melanoma (HNM) with those of patients with melanoma on other anatomical sites.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective cohort study using patient data extracted from the Cancer Alliance Queensland's Oncology Analysis System (OASYS) over a 10\u2010year period from 2009 to 2018. Melanoma\u2010specific survival was compared between patients with HNM and non\u2010HNM. Kaplan\u2013Meier survival estimates were calculated at 5 and 10\u2009years. Univariable and multivariable Cox proportional hazards regression analysis determined factors associated with survival.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The 5\u2010 and 10\u2010year survival probabilities were 90.7% and 89.1%, respectively for HNM, compared with 94.7% and 93.0%, respectively, for non\u2010HNM melanoma. The 5\u2010 and 10\u2010year survival probabilities for scalp melanoma were 77.8% and 75.5%, respectively. Patients with HNM died of melanoma at 1.22 times (HR 1.22, 95% CI 1.09\u20131.37) the rate of those with non\u2010HNM, controlling for sex, age, socioeconomic status, remoteness, Breslow thickness, the presence of multiple invasion melanoma and ulceration. Patients with scalp melanoma died of melanoma at 1.57 times (HR 1.57, 95% CI 1.26\u20131.95) the rate of those with non\u2010scalp HNM.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There is a statistically significant survival difference between patients with HNM and non\u2010HNM, and between patients with scalp melanoma and non\u2010scalp HNM, even after adjusting for prognostic factors.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajd.14140","type":"journal-article","created":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T12:14:38Z","timestamp":1692706478000},"page":"488-496","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Survival outcomes of head and neck melanoma patients in Queensland, Australia from 2009 to 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