{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T12:48:40Z","timestamp":1788871720496,"version":"build-2803163510"},"reference-count":22,"publisher":"Wiley","license":[{"start":{"date-parts":[[2013,1,10]],"date-time":"2013-01-10T00:00:00Z","timestamp":1357776000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["TR 000002"],"award-info":[{"award-number":["TR 000002"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ISRN Dermatology"],"published-print":{"date-parts":[[2013,1,10]]},"abstract":"<jats:p>\n                    <jats:italic>Background<\/jats:italic>\n                    . Sentinel lymph node biopsy (SLNB) for thick cutaneous melanoma is supported by national guidelines. We report on factors associated with the use and underuse of SLNB for thick primary cutaneous melanoma.\n                    <jats:italic>Methods<\/jats:italic>\n                    . The Surveillance, Epidemiology, and End Results database was queried for patients who underwent surgery for thick primary cutaneous melanoma from 2004 to 2008. We used multivariate logistic regression models to predict use of SLNB.\n                    <jats:italic>Results<\/jats:italic>\n                    . Among 1,981 patients, 833 (41.8%) did not undergo SLNB. Patients with primary melanomas of the arm (OR 2.07, CI 1.56\u20132.75;\n                    <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                      <mml:mi>P<\/mml:mi>\n                      <mml:mo>&lt;<\/mml:mo>\n                      <mml:mn>0.001<\/mml:mn>\n                    <\/mml:math>\n                    ), leg (OR 2.40, CI 1.70\u20133.40;\n                    <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\">\n                      <mml:mi>P<\/mml:mi>\n                      <mml:mo>&lt;<\/mml:mo>\n                      <mml:mn>0.001<\/mml:mn>\n                    <\/mml:math>\n                    ), and trunk (OR 1.82, CI 1.38\u20132.40;\n                    <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\">\n                      <mml:mi>P<\/mml:mi>\n                      <mml:mo>&lt;<\/mml:mo>\n                      <mml:mn>0.001<\/mml:mn>\n                    <\/mml:math>\n                    ) had an increased likelihood of receiving a SLNB, as did those with desmoplastic histology (OR 1.47, CI 1.11\u20131.96;\n                    <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\">\n                      <mml:mi>P<\/mml:mi>\n                      <mml:mo>=<\/mml:mo>\n                      <mml:mn>0.008<\/mml:mn>\n                    <\/mml:math>\n                    ). A decreased likelihood of receiving SLNB was noted for advancing age \u2265 60 years (age 60 to 69: OR 0.58, CI 0.33\u20130.99,\n                    <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M5\">\n                      <mml:mi>P<\/mml:mi>\n                      <mml:mo>=<\/mml:mo>\n                      <mml:mn>0.047<\/mml:mn>\n                    <\/mml:math>\n                    ; age 70 to 79: OR 0.32, CI 0.19\u20130.54,\n                    <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M6\">\n                      <mml:mi>P<\/mml:mi>\n                      <mml:mo>&lt;<\/mml:mo>\n                      <mml:mn>0.001<\/mml:mn>\n                    <\/mml:math>\n                    ; age 80 or more: OR 0.10, CI 0.06\u20130.16,\n                    <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M7\">\n                      <mml:mi>P<\/mml:mi>\n                      <mml:mo>&lt;<\/mml:mo>\n                      <mml:mn>0.001<\/mml:mn>\n                    <\/mml:math>\n                    ) and unknown race\/ethnicity (OR 0.21, CI 0.07\u20130.62;\n                    <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M8\">\n                      <mml:mi>P<\/mml:mi>\n                      <mml:mo>=<\/mml:mo>\n                      <mml:mn>0.005<\/mml:mn>\n                    <\/mml:math>\n                    ).\n                    <jats:italic>Conclusions<\/jats:italic>\n                    . In particular, elderly patients are less likely to receive SLNB. Further research is needed to assess whether use of SLNB in this population is detrimental or beneficial.\n                  <\/jats:p>","DOI":"10.1155\/2013\/315609","type":"journal-article","created":{"date-parts":[[2013,1,10]],"date-time":"2013-01-10T16:27:27Z","timestamp":1357835247000},"page":"1-5","source":"Crossref","is-referenced-by-count":5,"title":["Sentinel Lymph Node Biopsy in Patients with Thick Primary Cutaneous Melanoma: Patterns of Use and Underuse Utilizing a Population-Based Model"],"prefix":"10.1155","volume":"2013","author":[{"given":"Steve R.","family":"Martinez","sequence":"first","affiliation":[{"name":"Division of Surgical Oncology, Department of Surgery, University of California at Davis, Saeramento, CA 95817, USA"},{"name":"UC Davis Comprehensive Cancer Center, 4501 X Street, Suite 3010, Sacramento, CA 95817, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dhruvil R.","family":"Shah","sequence":"additional","affiliation":[{"name":"Division of Surgical Oncology, Department of Surgery, University of California at Davis, Saeramento, CA 95817, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony D.","family":"Yang","sequence":"additional","affiliation":[{"name":"Division of Surgical Oncology, Department of Surgery, University of California at Davis, Saeramento, CA 95817, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert J.","family":"Canter","sequence":"additional","affiliation":[{"name":"Division of Surgical Oncology, Department of Surgery, University of California at Davis, Saeramento, CA 95817, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanual","family":"Maverakis","sequence":"additional","affiliation":[{"name":"Department of Dermatology, University of California at Davis, Saeramento, CA 95817, USA"},{"name":"Department of Veteran Affairs, Northern California Health Care System, Sacramento, CA 95655, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"issue":"4","key":"1","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1001\/archsurg.1992.01420040034005","volume":"127","year":"1992","journal-title":"Archives of Surgery"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2009.23.4799"},{"issue":"3","key":"3","first-page":"439","volume":"25","year":"2011","journal-title":"In Vivo"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1245\/aso.2002.9.7.637"},{"issue":"2","key":"5","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1007\/s10434-000-0160-4","volume":"7","year":"2000","journal-title":"Annals of Surgical Oncology"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1610-0387.2007.06569.x"},{"issue":"1","key":"7","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1177\/000313480407000114","volume":"70","year":"2004","journal-title":"American 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