Evidence map›Paper›PMID 25251643›Full record

ArticleHead & neck2016

Matted nodes as a predictor of distant metastasis in advanced-stage III/IV oropharyngeal squamous cell carcinoma.

Matthew E Spector, Steven B Chinn, Emily Bellile, K Kelly Gallagher, Mohannad Ibrahim, Jeffrey Vainshtein, Eric J Chanowski, Heather M Walline, Jeffrey S Moyer, Mark E Prince and 7 more

Open access · greenAbstract read
In one paragraph

Article in Head & neck, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

18 citing papers in PubMed, 42 citations in OpenAlex.

  1. Trial
  2. Upfront Neck Dissection for Treatment Selection and Improvement in Quality of Life as a Novel Treatment Paradigm for Deintensification in HPV+ OPSCC.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Trial
  3. Nodal fusion and soft tissue invasion provide incremental risk stratification in pathologically N3b classification hypopharyngeal squamous cell carcinoma.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
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  10. Metastatic disease in head & neck oncology.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2020
    Review
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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

17 authors at 3 institutions in 2 countries.

Matthew E SpectorDepartment of Otolaryngology - Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan.
Steven B ChinnDepartment of Otolaryngology - Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan.
Emily BellileDepartment of Biostatistics, University of Michigan Health System, Ann Arbor, Michigan.
K Kelly GallagherDepartment of Otolaryngology - Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan.
Mohannad IbrahimDepartment of Radiology, University of Michigan Health System, Ann Arbor, Michigan.
Jeffrey VainshteinDepartment of Radiation Oncology, University of Michigan Health System, Ann Arbor, Michigan.
Eric J ChanowskiDepartment of Otolaryngology - Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan.
Heather M WallineDepartment of Otolaryngology - Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan.
Jeffrey S MoyerDepartment of Otolaryngology - Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan.
Mark E PrinceDepartment of Otolaryngology - Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan.
Gregory T WolfDepartment of Otolaryngology - Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan.
Carol R BradfordDepartment of Otolaryngology - Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan.
Jonathan B McHughDepartment of Pathology, University of Michigan Health System, Ann Arbor, Michigan.
Thomas CareyDepartment of Otolaryngology - Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan.
Francis P WordenDepartment of Medical Oncology, University of Michigan Health System, Ann Arbor, Michigan.
Avraham EisbruchDepartment of Radiation Oncology, University of Michigan Health System, Ann Arbor, Michigan.
Douglas B ChepehaDepartment of Otolaryngology, Department of Surgical Oncology, University of Toronto.
Michigan Medicine · USUniversity of Michigan–Ann Arbor · USUniversity of Toronto · CA

Funding

Therapeutic Potential and Mechanism of Action of Potent Small Molecule InhibitorsP50CA097248 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI WOLF, GREGORY T · 2002 to 2013
$25.3M
Advanced Research Training in OtolaryngologyT32DC005356 · NIDCD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CORFAS, GABRIEL · 2002 to 2021
$3.5M
NCI NIH HHS P50 CA097248NCI NIH HHS P50 CA97248NIDCD NIH HHS T32 DC005356
6 · The paper itself

Abstract

backgroundWe recently described the imaging characteristics of multiple confluent regional metastases (matted nodes) and found that this characteristic was associated with distant metastasis in patients with oropharyngeal squamous cell carcinoma (SCC). The purpose of this study was to determine if matted nodes are a predictive marker for distant metastasis.

methodsRadiologic lymph node characteristics on 205 patients with untreated stage III/IV with oropharyngeal SCC of whom 192 had known human papillomavirus (HPV) status underwent weekly carboplatin and paclitaxel with concomitant intensity-modulated radiation therapy (IMRT) between 2003 and 2010 with a minimum of 2-year of follow-up.

resultsThe 3-year disease-specific survival (DSS) for patients with matted nodes was 58% versus 97% with nonmatted nodes (p = .0001). The prevalence of matted nodes in the population was 20%. The positive predictive value of matted nodes for distant metastasis was 66%, and the negative predictive value was 99%.

conclusionMatted nodes are a predictive marker for distant disease and can be used for planning new clinical interventions.

Indexed as

BiomarkersCarboplatinCarcinoma, Squamous CellChemoradiotherapyFemaleFollow-Up StudiesHumansLymph NodesMaleMiddle AgedNeoplasm MetastasisOropharyngeal NeoplasmsPaclitaxelPredictive Value of TestsRadiotherapy, Intensity-ModulatedSensitivity and SpecificityBiomarkersCarboplatinPaclitaxelbiomarkersdistant metastasismatted nodesoropharyngeal squamous cell carcinomapredictorprognosis

Identifiers

PMID25251643
PMCPMC4370799
OpenAlexW2136078470

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.