Evidence map›Paper›PMID 27841136›Full record

GuidelineThe Journal of laryngology and otology2016

Follow-up after treatment for head and neck cancer: United Kingdom National Multidisciplinary Guidelines.

R Simo, J Homer, P Clarke, K Mackenzie, V Paleri, P Pracy, N Roland

Abstract readPractice Guideline
In one paragraph

Guideline in The Journal of laryngology and otology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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

42 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Surveillance after treatment for head and neck cancer.Current opinion in otolaryngology & head and neck surgery · 2026
    Review
  8. Review
  9. Article
  10. Article
  11. European Laryngological Society consensus statement on optimal monitoring schedules after treatment for early glottic cancer: a risk-stratification.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 · 2025
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Subtotal Petrosectomy: Pictorial Review of Clinical Indications and Surgical Approach.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2024
    Article
  19. Article
  20. 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

7 authors.

R SimoDepartment of Otolaryngology - Head and Neck Surgery,Guy's and St Thomas' Hospital NHS Foundation Trust,Guy's, King's and St Thomas' Medical and Dental School,London,UK.
J HomerDepartment of Otolaryngology - Head and Neck Surgery,Manchester Royal Infirmary and Christie Hospital,University of Manchester,Manchester,UK.
P ClarkeDepartment of ENT,Charing Cross and Royal Marsden Hospitals,London,UK.
K MackenzieGlasgow Royal Infirmary,University of Glasgow,Glasgow,UK.
V PaleriDepartment of Otolaryngology-Head and Neck Surgery,The Newcastle upon Tyne Hospitals NHS Foundation Trust,Northern Institute of Cancer Research,Newcastle upon Tyne,UK.
P PracyDepartment of ENT Head and Neck Surgery,Queen Elizabeth Hospital,Birmingham,UK.
N RolandDepartment of Otolaryngology-Head and Neck Surgery,Aintree University Hospitals NHS Foundation Trust,Liverpool,UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This is the official guideline endorsed by the specialty associations involved in the care of head and neck cancer patients in the UK. In the absence of high-level evidence base for follow-up practices, the duration and frequency are often at the discretion of local centres. By reviewing the existing literature and collating experience from varying practices across the UK, this paper provides recommendations on the work up and management of lateral skull base cancer based on the existing evidence base for this rare condition. Recommendations • Patients should be followed up to a minimum of five years with a prolonged follow-up for selected patients. (G) • Patients should be followed up at least two monthly in the first two years and three to six monthly in the subsequent years. (G) • Patients should be seen in dedicated multidisciplinary head and neck oncology clinics. (G) • Patients should be followed up by dedicated multidisciplinary clinical teams. (G) • The multidisciplinary follow-up team should include clinical nurse specialists, speech and language therapists, dietitians and other allied health professionals in the role of key workers. (G) • Clinical assessment should include adequate clinical examination including fibre-optic rigid or flexible nasopharyngolaryngoscopy. (R) • Magnetic resonance imaging and positron emission tomography combined with computed tomography imaging should be used when recurrence is suspected. (R) • Narrow band imaging can be used in the follow-up in selected sites. (R) • Second primary tumours should be part of rationale of follow-up and therefore adequate screening strategies should be used to detect them. (G) • Patients should be educated with regard to the appearance and detection of recurrences. (G) • Patients with persistent pain should be investigated to exclude recurrent disease. (R) • Patients should be offered support with tobacco and alcohol cessation services. (R).

Indexed as

AftercareHead and Neck NeoplasmsHumansInterdisciplinary CommunicationNeoplasm Recurrence, LocalPatient Education as TopicSecond-Look SurgeryTime FactorsUnited Kingdom

Identifiers

PMID27841136
PMCPMC4873918

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.