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Survival and glycemic control in patients with coexisting melanoma and diabetes mellitus

AIM: Given the lack of data in the literature, we examined the impact of diabetes mellitus (DM) on melanoma survival and the impact of melanoma on glycemic control. MATERIALS & METHODS: Patients with melanoma with and without DM were matched 1:1 (2005–2016). Kaplan–Meier analysis was used to est...

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Autores principales: Karlin, Nina J, Mangold, Aaron R, Amin, Shailja B, Kosiorek, Heidi E, Buras, Matthew R, Verona, Patricia M, Cook, Curtiss B
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Future Science Ltd 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426167/
https://www.ncbi.nlm.nih.gov/pubmed/30906566
http://dx.doi.org/10.4155/fsoa-2018-0084
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author Karlin, Nina J
Mangold, Aaron R
Amin, Shailja B
Kosiorek, Heidi E
Buras, Matthew R
Verona, Patricia M
Cook, Curtiss B
author_facet Karlin, Nina J
Mangold, Aaron R
Amin, Shailja B
Kosiorek, Heidi E
Buras, Matthew R
Verona, Patricia M
Cook, Curtiss B
author_sort Karlin, Nina J
collection PubMed
description AIM: Given the lack of data in the literature, we examined the impact of diabetes mellitus (DM) on melanoma survival and the impact of melanoma on glycemic control. MATERIALS & METHODS: Patients with melanoma with and without DM were matched 1:1 (2005–2016). Kaplan–Meier analysis was used to estimate overall survival and progression-free survival (PFS). Mixed models compared hemoglobin A(1c) (HbA(1c)) and glucose measures over time. RESULTS: Mean HbA(1c) during the year after cancer diagnosis was 6.7%. The 5-year PFS rate was 89% (95% CI: 81–99%) for patients with DM and 63% (95% CI: 51–79%) for patients without DM (p = 0.02). CONCLUSION: Melanoma did not adversely impact glycemic control. The DM did not adversely impact survival of patients with melanoma, although increased PFS for melanoma was seen in individuals with DM.
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spelling pubmed-64261672019-03-22 Survival and glycemic control in patients with coexisting melanoma and diabetes mellitus Karlin, Nina J Mangold, Aaron R Amin, Shailja B Kosiorek, Heidi E Buras, Matthew R Verona, Patricia M Cook, Curtiss B Future Sci OA Research Article AIM: Given the lack of data in the literature, we examined the impact of diabetes mellitus (DM) on melanoma survival and the impact of melanoma on glycemic control. MATERIALS & METHODS: Patients with melanoma with and without DM were matched 1:1 (2005–2016). Kaplan–Meier analysis was used to estimate overall survival and progression-free survival (PFS). Mixed models compared hemoglobin A(1c) (HbA(1c)) and glucose measures over time. RESULTS: Mean HbA(1c) during the year after cancer diagnosis was 6.7%. The 5-year PFS rate was 89% (95% CI: 81–99%) for patients with DM and 63% (95% CI: 51–79%) for patients without DM (p = 0.02). CONCLUSION: Melanoma did not adversely impact glycemic control. The DM did not adversely impact survival of patients with melanoma, although increased PFS for melanoma was seen in individuals with DM. Future Science Ltd 2019-03-07 /pmc/articles/PMC6426167/ /pubmed/30906566 http://dx.doi.org/10.4155/fsoa-2018-0084 Text en © 2019 Mayo Foundation for Medical Education and Research This work is licensed under a Creative Commons Attribution-NonCommercial NonDerivative 4.0 Unported License (http://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Research Article
Karlin, Nina J
Mangold, Aaron R
Amin, Shailja B
Kosiorek, Heidi E
Buras, Matthew R
Verona, Patricia M
Cook, Curtiss B
Survival and glycemic control in patients with coexisting melanoma and diabetes mellitus
title Survival and glycemic control in patients with coexisting melanoma and diabetes mellitus
title_full Survival and glycemic control in patients with coexisting melanoma and diabetes mellitus
title_fullStr Survival and glycemic control in patients with coexisting melanoma and diabetes mellitus
title_full_unstemmed Survival and glycemic control in patients with coexisting melanoma and diabetes mellitus
title_short Survival and glycemic control in patients with coexisting melanoma and diabetes mellitus
title_sort survival and glycemic control in patients with coexisting melanoma and diabetes mellitus
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426167/
https://www.ncbi.nlm.nih.gov/pubmed/30906566
http://dx.doi.org/10.4155/fsoa-2018-0084
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