Evidence map›Paper›PMID 27987269›Full record

ArticleCancer medicine2017

Survival prognostic factors for metachronous second primary head and neck squamous cell carcinoma.

Jin-Hua Chen, Yu-Chun Yen, Tsung-Ming Chen, Kevin Sheng-Po Yuan, Fei-Peng Lee, Kuan-Chou Lin, Ming-Tang Lai, Chia-Che Wu, Chia-Lun Chang, Szu-Yuan Wu

Abstract read
In one paragraph

Article in Cancer medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  7. Circumferential pharyngectomy in laryngectomised patient and pharyngeal reconstruction by tubed free flap.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 · 2020
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  16. Cyproheptadine use in hepatocellular carcinoma.American journal of cancer research · 2017
    Article
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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

10 authors.

Jin-Hua ChenBiostatistics Center and School of Public Health, Taipei Medical University, Taipei, Taiwan.
Yu-Chun YenBiostatistics Center and School of Public Health, Taipei Medical University, Taipei, Taiwan.
Tsung-Ming ChenDepartment of Otorhinolaryngology, Shuang-Ho Hospital, Taipei Medical University, Taipei, Taiwan.
Kevin Sheng-Po YuanDepartment of Otorhinolaryngology, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
Fei-Peng LeeDepartment of Otorhinolaryngology, Shuang-Ho Hospital, Taipei Medical University, Taipei, Taiwan.
Kuan-Chou LinDepartment of Oral and Maxillofacial Surgery, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
Ming-Tang LaiDepartment of Otorhinolaryngology, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
Chia-Che WuDepartment of Otorhinolaryngology, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
Chia-Lun ChangDepartment of Hemato-Oncology, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.
Szu-Yuan WuInstitute of Toxicology, College of Medicine, National Taiwan University, Taipei, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We examined the overall survival rates of a national cohort to determine optimal treatments and prognostic factors for patients with metachronous second primary head and neck squamous cell carcinomas (mspHNSCCs) at different stages and sites. We analyzed data of mspHNSCC patients collected from the Taiwan Cancer Registry database. The patients were categorized into four groups based on the treatment modality: Group 1 (control arm; chemotherapy [CT] alone), Group 2 (reirradiation [re-RT] alone with intensity-modulated radiotherapy [IMRT]), Group 3 (concurrent chemoradiotherapy alone [irradiation with IMRT]), and Group 4 (salvage surgery with or without RT or CT). We enrolled 1741 mspHNSCC patients without distant metastasis. Multivariate Cox regression analyses revealed that Charlson comorbidity index (CCI) ≥6, stage of second HNSCC, stage of first HNSCC, and duration from first primary HNSCC of <3 years were significant poor independent prognostic risk factors for overall survival. After adjustment, adjusted hazard ratios and 95% confidence intervals for the overall all-cause mortality risk at mspHNSCC clinical stages III and IV were 0.72 (0.40-1.82), 0.52 (0.35-0.75), and 0.32 (0.22-0.45) in Groups 2, 3, and 4, respectively. A Cox regression analysis indicated that a re-RT dose of ≥6000 cGy was an independent protective prognostic factor for treatment modalities. CCI ≥ 6, stage of second HNSCC, stage of first HNSCC, and duration from first primary HNSCC of <3 years were significant poor independent prognostic risk factors for overall survival. A re-RT dose of ≥6000 cGy may be necessary for mspHNSCCs.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsCarboplatinCarcinoma, Squamous CellChemoradiotherapyCisplatinDeoxycytidineDocetaxelFemaleFluorouracilGemcitabineHead and Neck NeoplasmsHumansHydroxyureaMaleCarboplatinCisplatinDeoxycytidineDocetaxelFluorouracilGemcitabineHydroxyureaMethotrexatePaclitaxelTaxoidsHead and neck cancerincidencemetachronous second primaryprognostic factorssurvivaltreatment outcomes

Identifiers

PMID27987269
PMCPMC5269705

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Registered trials

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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.