Sunburn, suntan and the risk of cutaneous malignant melanoma - The Western Canada Melanoma Study
1985

Sunburn, Suntan, and Melanoma Risk

Sample size: 595 publication Evidence: moderate

Author Information

Author(s): J.M. Elwood, R.P. Gallagher, J. Davison, G.B. Hill

Primary Institution: University of Nottingham

Hypothesis

Melanoma risk is increased by intermittent intense sun exposure on normally unexposed skin.

Conclusion

The study found that melanoma risk is more closely associated with pigmentation characteristics and the usual skin reaction to sun than with sunburn and suntan histories.

Supporting Evidence

  • Melanoma risk increased with the frequency and severity of past episodes of sunburn.
  • Melanoma risk was higher in subjects with a mild degree of suntan compared to those with moderate or deep suntan.
  • Associations with sunburn and suntan were independent.
  • Pigmentation characteristics were more closely associated with melanoma risk than sunburn and suntan histories.

Takeaway

People who burn easily and tan poorly are at a higher risk of getting skin cancer from the sun, more than those who just have a history of sunburn.

Methodology

The study compared interview data from 595 melanoma patients with matched controls from the general population, assessing their sunburn and suntan histories.

Potential Biases

Possible selection bias in the choice of cases for study.

Limitations

The study excluded certain types of melanoma and relied on self-reported data, which may introduce bias.

Participant Demographics

Participants included 595 patients with newly incident cutaneous melanoma and matched controls from the general population.

Statistical Information

P-Value

p<0.01

Statistical Significance

p<0.01

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