Evidence map›Paper›PMID 21246640›Full record

ArticleHead & neck2011

Factors associated with pharyngoesophageal stricture in patients treated with concurrent chemotherapy and radiation therapy for oropharyngeal squamous cell carcinoma.

Simon R Best, Patrick K Ha, Ray G Blanco, John R Saunders, Eva S Zinreich, Marshall A Levine, Sara I Pai, Melissa Walker, Jaclyn Trachta, Karen Ulmer and 4 more

2 registry-linked trialsAbstract read
In one paragraph

Article in Head & neck, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01706939 phase3active not recruitingnot on this mapstarted 2012, after this paper: background citation

The Quarterback Trial: A Randomized Phase III Clinical Trial Comparing Reduced and Standard Radiation Therapy Doses for Locally Advanced HPV Positive Oropharynx Cancer

TypeinterventionalSponsorIcahn School of Medicine at Mount SinaiRan2012 to 2035Enrolled23ConditionsSquamous Cell CarcinomasArmsReduced Dose Radiation, Standard Dose Radiation, Carboplatin
NCT02945631 naactive not recruitingnot on this mapstarted 2016, after this paper: background citation

Quarterback 22: A Phase II Clinical Trial of Sequential Therapy and De-Intensified Chemoradiotherapy for Locally Advanced HPV Positive Oropharynx Cancer

TypeinterventionalSponsorIcahn School of Medicine at Mount SinaiRan2016 to 2027Enrolled43ConditionsLocally Advanced HPV Positive Oropharynx CancerArmsPTV56, PTV50.4
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

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  10. Nomogram for predicting symptom severity during radiation therapy for head and neck cancer.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2014
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 1 country.

Simon R BestDepartment of Otolaryngology-Head and Neck Surgery, Johns Hopkins Medical Institution, Baltimore, Maryland, USA.
Patrick K Ha
Ray G Blanco
John R Saunders
Eva S Zinreich
Marshall A Levine
Sara I Pai
Melissa Walker
Jaclyn Trachta
Karen Ulmer
Peter Murakami
Richard Thompson
Joseph A Califano
Barbara P Messing
Greater Baltimore Medical Center · USJohns Hopkins Medicine · USJohns Hopkins University · US

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI Rosalie Wollett · 1985 to 2026
$208.6M
NCI NIH HHS P30 CA006973
6 · The paper itself

Abstract

backgroundThe purpose of this study was to elucidate factors associated with pharyngoesophageal strictures after treatment for head and neck squamous cell carcinoma (SCC).

methodsWe conducted a retrospective review of patients receiving cisplatin and 5-fluorouracil chemotherapy combined with concurrent hyperfractionated radiation therapy for oropharyngeal squamous cell carcinoma.

resultsStrictures developed in 13 of 67 patients (19%). Strictures were associated with tumor location (tonsil vs base of tongue; p = .03), neck dissection after completion of therapy (p = .03), and the duration of treatment-induced mucositis (weeks with mucositis grade ≥2; National Cancer Institute (NCI) Common Toxicity Criteria; p < .001). Age, sex, race, tumor stage, nodal stage, American Joint Committee on Cancer (AJCC) stage, human papillomavirus (HPV) status, smoking, radiation dose, maximum severity of mucositis, amifostine use, and pretreatment swallow dysfunction were not significantly associated with stricture. In multivariate analysis, only duration of mucositis, after controlling for age, sex, and tumor location, remained highly significant (p < .01).

conclusionThe duration of treatment-related mucositis is an independent risk factor for stricture formation in patients with oropharyngeal SCC treated with concurrent chemotherapy and radiation therapy.

Indexed as

Radiation InjuriesAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Squamous CellCisplatinCombined Modality TherapyConstriction, PathologicDose Fractionation, RadiationEsophageal StenosisFemaleFluorouracilHumansMaleMiddle AgedOropharyngeal NeoplasmsPharyngeal DiseasesStomatitisCisplatinFluorouracil

Identifiers

PMID21246640
PMCPMC4695991
OpenAlexW2121230945

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.