Evidence map›Paper›PMID 21549515›Full record

Trial reportInternational journal of radiation oncology, biology, physics2011

Impact of gender, partner status, and race on locoregional failure and overall survival in head and neck cancer patients in three radiation therapy oncology group trials.

Thomas J Dilling, Kyounghwa Bae, Rebecca Paulus, Deborah Watkins-Bruner, Adam S Garden, Arlene Forastiere, K Kian Ang, Benjamin Movsas

2 registry-linked trialsOpen access · greenAbstract readClinical Trial, Phase IIClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in International journal of radiation oncology, biology, physics, 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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.3field-weighted citation impact, top 13% 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.

NCT00002496 phase3completednot on this map

Phase iii trial to preserve the larynx: induction chemotherapy and radiation therapy versus concomitant chemotherapy and radiation therapy versus radiation therapy

TypeinterventionalSponsorRadiation Therapy Oncology GroupRan1992 to 2013ConditionsHead and Neck CancerArmschemotherapy, cisplatin, fluorouracil, conventional surgery, low-LET cobalt-60 gamma ray therapy
NCT00771641 phase3completednot on this map

Phase III Randomized Comparison of Radiotherapy Fractionation in Advanced Squamous Cell Carcinoma of the Head and Neck: Twice-Daily Hyperfractionation vs Split-Course Accelerated Hyperfractionation vs Accelerated Fractionation With Concomitant Boost vs Standard Fractionation

TypeinterventionalSponsorRadiation Therapy Oncology GroupEnrolled1,113ConditionsHead and Neck CancerArmsconventional surgery, low-LET cobalt-60 gamma ray therapy, low-LET electron therapy, low-LET photon therapy, radiation therapy
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Racial survival disparities in head and neck cancer clinical trials.Journal of the National Cancer Institute · 2023
    Article
  3. Article
  4. Review
  5. Article
  6. The "rocky treatment course": identifying a high-risk subgroup of head and neck cancer patients for supportive interventions.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2017
    Article
  7. Observational
  8. Article
  9. Article
  10. Article
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

8 authors at 6 institutions in 1 country.

Thomas J DillingDepartment of Radiation Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL 33612, USA. Thomas.Dilling@moffitt.org
Kyounghwa Bae
Rebecca Paulus
Deborah Watkins-Bruner
Adam S Garden
Arlene Forastiere
K Kian Ang
Benjamin Movsas
RTOG Foundation · USThe University of Texas MD Anderson Cancer Center · USHenry Ford Hospital · USJohns Hopkins Hospital · USMoffitt Cancer Center · USUniversity of Pennsylvania · US

Funding

RTOG Foreign AccrualU10CA021661 · NCI · AMERICAN COLLEGE OF RADIOLOGY · PI CURRAN, WALTER J. · 1985 to 2013
$150.3M
RTOG Foreign AccrualsU10CA037422 · NCI · AMERICAN COLLEGE OF RADIOLOGY · PI BRUNER, DEBORAH WATKINS · 1985 to 2013
$30.4M
NCI NIH HHS U10 CA021661NCI NIH HHS U10 CA037422NCI NIH HHS U10 CA21661NCI NIH HHS U10 CA37422
6 · The paper itself

Abstract

purposeWe investigated the impact of race, in conjunction with gender and partner status, on locoregional control (LRC) and overall survival (OS) in three head and neck trials conducted by the Radiation Therapy Oncology Group (RTOG). METHODS AND MATERIALS: Patients from RTOG studies 9003, 9111, and 9703 were included. Patients were stratified by treatment arms. Covariates of interest were partner status (partnered vs. non-partnered), race (white vs. non-white), and sex (female vs. male). Chi-square testing demonstrated homogeneity across treatment arms. Hazards ratio (HR) was used to estimate time to event outcome. Unadjusted and adjusted HRs were calculated for all covariates with associated 95% confidence intervals (CIs) and p values.

resultsA total of 1,736 patients were analyzed. Unpartnered males had inferior OS rates compared to partnered females (adjusted HR = 1.22, 95% CI, 1.09-1.36), partnered males (adjusted HR = 1.20, 95% CI, 1.09-1.28), and unpartnered females (adjusted HR = 1.20, 95% CI, 1.09-1.32). White females had superior OS compared with white males, non-white females, and non-white males. Non-white males had inferior OS compared to white males. Partnered whites had improved OS relative to partnered non-white, unpartnered white, and unpartnered non-white patients. Unpartnered males had inferior LRC compared to partnered males (adjusted HR = 1.26, 95% CI, 1.09-1.46) and unpartnered females (adjusted HR = 1.30, 95% CI, 1.05-1.62). White females had LRC superior to non-white males and females. White males had improved LRC compared to non-white males. Partnered whites had improved LRC compared to partnered and unpartnered non-white patients. Unpartnered whites had improved LRC compared to unpartnered non-whites.

conclusionsRace, gender, and partner status had impacts on both OS and locoregional failure, both singly and in combination.

Indexed as

Marital StatusSex FactorsAdultAgedAged, 80 and overCarcinoma, Squamous CellChemoradiotherapyChi-Square DistributionConfidence IntervalsFemaleHead and Neck NeoplasmsHumansMaleMiddle AgedProportional Hazards ModelsSurvival Analysis

Identifiers

PMID21549515
PMCPMC3170693
OpenAlexW2028906626

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.