Evidence map›Paper›PMID 24801106›Full record

ArticleHead & neck2015

Oropharyngeal squamous cell carcinoma in the veteran population: Association with traditional carcinogen exposure and poor clinical outcomes.

Vlad C Sandulache, John Hamblin, Syeling Lai, Todd Pezzi, Heath D Skinner, Numan A Khan, Shayan M Dioun, Christine Hartman, Jennifer Kramer, Elizabeth Chiao and 2 more

Open access · greenAbstract readComparative Study
In one paragraph

Article in Head & neck, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
0.3field-weighted citation impact, top 43% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 50 citations in OpenAlex.

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  8. Observational
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  10. Oropharyngeal cancer outcomes correlate with p16 status, multinucleation and immune infiltration.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2022
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  20. A Hidden Epidemic of "Intermediate Risk" Oropharynx Cancer.Laryngoscope investigative otolaryngology · 2019
    Review
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

12 authors at 4 institutions in 1 country.

Vlad C SandulacheBobby R. Alford Department of Otolaryngology Head and Neck Surgery, Baylor College of Medicine, Houston, Texas.
John HamblinBobby R. Alford Department of Otolaryngology Head and Neck Surgery, Baylor College of Medicine, Houston, Texas.
Syeling LaiDepartment of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Todd PezziBobby R. Alford Department of Otolaryngology Head and Neck Surgery, Baylor College of Medicine, Houston, Texas.
Heath D SkinnerDepartment of Pathology and Immunology, Baylor College of Medicine, Houston, Texas.
Numan A KhanBobby R. Alford Department of Otolaryngology Head and Neck Surgery, Baylor College of Medicine, Houston, Texas.
Shayan M DiounBobby R. Alford Department of Otolaryngology Head and Neck Surgery, Baylor College of Medicine, Houston, Texas.
Christine HartmanDepartment of Pathology, Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas.
Jennifer KramerDepartment of Pathology, Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas.
Elizabeth ChiaoDepartment of Pathology, Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas.
Xiaodong ZhouDepartment of Internal Medicine, The University of Texas Health Science Center at Houston, Houston, Texas.
Jose P ZevallosBobby R. Alford Department of Otolaryngology Head and Neck Surgery, Baylor College of Medicine, Houston, Texas.
Baylor College of Medicine · USMichael E. DeBakey VA Medical Center · USHealth Services Research & Development · USThe University of Texas Health Science Center at Houston · US

Funding

The Effectiveness of Screening HIV-Infected Women for Anal Cancer PrecursorsR01CA163103 · NCI · BAYLOR COLLEGE OF MEDICINE · PI CHIAO, ELIZABETH Y. · 2011 to 2015
$2.8M
NCI NIH HHS R01 CA163103
6 · The paper itself

Abstract

backgroundA significant fraction of oropharyngeal squamous cell carcinoma (SCC) cases is associated with traditional carcinogens; in these patients, treatment response and clinical outcomes remain poor.

methodsWe evaluated patient, tumor, and treatment characteristics for 200 veterans with oropharyngeal SCC treated at the Michael E. DeBakey Veterans Affairs Medical Center (MEDVAMC) between 2000 and 2012.

resultsMost patients (77%) were white and heavy smokers. Twenty-seven patients required tracheostomy and 63 required gastrostomy placement during treatment. Overall survival (OS) at 5 years was 40%. Survival was impacted by T classification, treatment intensity, completion of treatment, and p16 tumor status. Almost 30% of patients were unable to complete a treatment regimen consistent with National Comprehensive Cancer Network (NCCN) guidelines.

conclusionOropharyngeal SCC in veterans is associated with traditional carcinogens and poor clinical outcomes. Despite heavy smoking exposure, p16 tumor status significantly impacts survival. Careful consideration must be given to improving treatment paradigms for this cohort given their limited tolerance for treatment escalation.

Indexed as

AdultAgedAlcoholismCarcinogensCarcinoma, Squamous CellChemoradiotherapyCohort StudiesDisease-Free SurvivalHospitals, VeteransHumansKaplan-Meier EstimateMaleMiddle AgedMultivariate AnalysisNeoplasm InvasivenessNeoplasm Recurrence, LocalCarcinogensgastrostomyoropharyngeal cancersmokingtracheostomyveteran

Identifiers

PMID24801106
PMCPMC4496314
OpenAlexW1914523975

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.