Evidence map›Paper›PMID 28472822›Full record

ArticleBritish journal of cancer2017

Human papillomavirus association is the most important predictor for surgically treated patients with oropharyngeal cancer.

Steffen Wagner, Claus Wittekindt, Shachi Jenny Sharma, Nora Wuerdemann, Theresa Jüttner, Miriam Reuschenbach, Elena-Sophie Prigge, Magnus von Knebel Doeberitz, Stefan Gattenlöhner, Ernst Burkhardt and 2 more

Open access · hybridAbstract read
In one paragraph

Article in British journal of cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
8.7field-weighted citation impact, top 2% 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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 66 citations in OpenAlex.

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  4. Review
  5. Is an oropharyngeal HPV infection more frequently detectable in women with a genital HPV infection?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 · 2024
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  15. European white paper: oropharyngeal dysphagia in head and neck cancer.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 · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

Steffen WagnerDepartment of Otorhinolaryngology, Head and Neck Surgery, University of Giessen, Giessen DE-35392, Germany.
Claus WittekindtDepartment of Otorhinolaryngology, Head and Neck Surgery, University of Giessen, Giessen DE-35392, Germany.
Shachi Jenny SharmaDepartment of Otorhinolaryngology, Head and Neck Surgery, University of Giessen, Giessen DE-35392, Germany.
Nora WuerdemannDepartment of Otorhinolaryngology, Head and Neck Surgery, University of Giessen, Giessen DE-35392, Germany.
Theresa JüttnerDepartment of Otorhinolaryngology, Head and Neck Surgery, University of Giessen, Giessen DE-35392, Germany.
Miriam ReuschenbachDepartment of Applied Tumour Biology, Institute of Pathology, University Hospital Heidelberg, Heidelberg D-69120, Germany.
Elena-Sophie PriggeDepartment of Applied Tumour Biology, Institute of Pathology, University Hospital Heidelberg, Heidelberg D-69120, Germany.
Magnus von Knebel DoeberitzDepartment of Applied Tumour Biology, Institute of Pathology, University Hospital Heidelberg, Heidelberg D-69120, Germany.
Stefan GattenlöhnerDepartment of Pathology, University of Giessen, Giessen DE-35392, Germany.
Ernst BurkhardtDepartment of Medical Statistics, Institute of Medical Informatics, University of Giessen, Giessen DE-35392, Germany.
Jörn Pons-KühnemannDepartment of Medical Statistics, Institute of Medical Informatics, University of Giessen, Giessen DE-35392, Germany.
Jens Peter KlussmannDepartment of Otorhinolaryngology, Head and Neck Surgery, University of Giessen, Giessen DE-35392, Germany.
University of Giessen · DEUniversity Hospital Heidelberg · DEFrankfurt Cancer Institute · DEGerman Cancer Research Center · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUpfront surgery is a valuable treatment option for oropharyngeal squamous cell carcinoma (OPSCC) and risk stratification is emerging for treatment de-escalation in human papillomavirus (HPV)-related OPSCC. Available prognostic models are either based on selected, mainly non-surgically treated cohorts. Therefore, we investigated unselected OPSCC treated with predominantly upfront surgery.

methodsAll patients diagnosed with OPSCC and treated with curative intent between 2000 and 2009 (n=359) were included. HPV association was determined by HPV-DNA detection and p16

resultsRisk models generated from non-surgically treated patients showed low discrimination in our cohort. A new model developed for unselected patients predominantly treated with upfront surgery separates low-, intermediate- and high-risk patients with significant differences in 5-year OS (86%, 53% and 19%, P<0.001, respectively). HPV status is the most important parameter followed by T-stage in HPV-related and performance status in HPV-negative OPSCC. HPV status and ECOG remained important parameters in risk models for patients treated with or without surgery.

conclusionsRegardless of treatment strategies, HPV status is the strongest predictor of survival in unselected OPSCC patients. The proposed risk models are suitable to discriminate risk groups in unselected OPSCC patients treated with upfront surgery, which has substantial impact for design and interpretation of de-escalation trials.

Indexed as

Carcinoma, Squamous CellCyclin-Dependent Kinase Inhibitor p16DNA, ViralFemaleHumansMaleMiddle AgedNeoplasm StagingOropharyngeal NeoplasmsPapillomaviridaePapillomavirus InfectionsPrognosisProportional Hazards ModelsRisk FactorsSeverity of Illness IndexSurvival RateCyclin-Dependent Kinase Inhibitor p16DNA, Viral

Identifiers

PMID28472822
PMCPMC5518861
OpenAlexW2610548600

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.