Evidence map›Paper›PMID 28304083›Full record

ArticleThe Laryngoscope2017

Influence of human papillomavirus on the clinical presentation of oropharyngeal carcinoma in the United States.

Matthew H Stenmark, Dean Shumway, Cui Guo, Jeffrey Vainshtein, Michelle Mierzwa, Reshma Jagsi, Jennifer J Griggs, Mousumi Banerjee

Abstract read
In one paragraph

Article in The Laryngoscope, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

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

  1. Pooled it
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  7. Review
  8. Article
  9. [Functional evaluation of anterolateral thigh flap and forearm flap for repairing defects after oropharyngeal cancer].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2021
    Article
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  13. Evaluating the Effectiveness of Human Papillomavirus Educational Intervention among Oral Health Professionals.Journal of cancer education : the official journal of the American Association for Cancer Education · 2019
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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

8 authors.

Matthew H StenmarkDepartment of Radiation Oncology, University of Michigan Medical Center, Ann Arbor, Michigan, U.S.A.
Dean ShumwayDepartment of Radiation Oncology, University of Michigan Medical Center, Ann Arbor, Michigan, U.S.A.ORCID 0000-0001-7758-8891
Cui GuoDepartment of Biostatistics, University of Michigan, Ann Arbor, Michigan, U.S.A.
Jeffrey VainshteinDepartment of Radiation Oncology, University of Michigan Medical Center, Ann Arbor, Michigan, U.S.A.
Michelle MierzwaDepartment of Radiation Oncology, University of Michigan Medical Center, Ann Arbor, Michigan, U.S.A.
Reshma JagsiDepartment of Radiation Oncology, University of Michigan Medical Center, Ann Arbor, Michigan, U.S.A.
Jennifer J GriggsDepartment of Internal Medicine, Hematology and Oncology Division, University of Michigan Medical Center, Ann Arbor, Michigan, U.S.A.
Mousumi BanerjeeDepartment of Biostatistics, University of Michigan, Ann Arbor, Michigan, U.S.A.

Funding

XenograftP30CA046592 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI THEODORE S LAWRENCE · 1988 to 2026
$178.2M
NCI NIH HHS P30 CA046592
6 · The paper itself

Abstract

objectiveMuch of what is known about the significance of human papillomavirus (HPV) in oropharyngeal squamous cell carcinoma is derived from single-institution retrospective studies, post hoc analyses of tissue specimens from clinical trials, and tissue bank studies with a small sample size. The objective of this study is to investigate the impact of HPV on the frequency and clinical presentation of oropharyngeal carcinoma in a large, national sample with information from patients who underwent HPV testing. STUDY

designRetrospective, cross-sectional study.

methodsWe identified a comprehensive national sample of 8,359 patients with oropharyngeal carcinoma and known HPV status diagnosed between 2010 and 2011 within the National Cancer Database. Multivariable logistic regression was used to assess correlates of patient and tumor characteristics on HPV status.

resultsAmong patients with oropharyngeal carcinoma, the frequency of HPV-related squamous cell carcinoma in the United States was 65.4%. HPV-related oropharyngeal carcinoma was associated with younger age, male sex, and white race (P < 0.001). Advanced primary tumor stage was associated with HPV-negative disease (P < 0.001), whereas increasing nodal burden was associated with HPV-positive disease (P < 0.001). Despite less-advanced nodal disease, HPV-negative tumors were associated with a higher likelihood of metastasis at presentation (P < 0.001).

conclusionHPV now accounts for the majority of newly diagnosed oropharyngeal carcinoma in the United States and is associated with a distinct clinical profile, supporting efforts to re-evaluate the staging and treatment paradigm for HPV-associated oropharyngeal cancer. LEVEL OF EVIDENCE: 4. Laryngoscope, 127:2270-2278, 2017.

Indexed as

PapillomaviridaeAdolescentAdultAgedCarcinomaCross-Sectional StudiesDatabases, FactualFemaleHumansLymphatic MetastasisLymph NodesMaleMiddle AgedNeoplasm StagingOropharyngeal NeoplasmsPapillomavirus Infectionsclinical presentationHPVhuman papillomavirusNational Cancer DatabaseOropharyngeal squamous cell carcinoma

Identifiers

PMID28304083
PMCPMC6615732

What OpenQuestion holds

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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.