Evidence map›Paper›PMID 28570758›Full record

ArticleJournal of surgical oncology2017

Variation in use of postoperative chemoradiation following surgery for T1 and T2 oropharyngeal squamous cell carcinoma; National Cancer Database.

Benjamin R Roman, Shrujal S Baxi, Jennifer R Cracchiolo, Timothy J Blackwell, David G Pfister, Sean McBride, Ian Ganly, Jatin P Shah, Snehal G Patel, Luc G Morris and 1 more

Open access · greenAbstract read
In one paragraph

Article in Journal of surgical oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 32% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Going Off Guidelines: An NCDB Analysis of Missed Adjuvant Therapy Among Surgically Treated Oral Cavity Cancer.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2023
    Article
  2. Article
  3. Article
  4. pN status predicts outcomes in surgically treated pT1-pT2 patients of various disease stages with squamous cell carcinoma of the head and neck: a 17-year retrospective single center cohort study.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 · 2018
    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

11 authors at 1 institution in 1 country.

Benjamin R RomanMemorial Sloan Kettering Cancer Center, New York, New York.ORCID http://orcid.org/0000-0003-0947-538X
Shrujal S BaxiMemorial Sloan Kettering Cancer Center, New York, New York.
Jennifer R CracchioloMemorial Sloan Kettering Cancer Center, New York, New York.
Timothy J BlackwellMemorial Sloan Kettering Cancer Center, New York, New York.
David G PfisterMemorial Sloan Kettering Cancer Center, New York, New York.
Sean McBrideMemorial Sloan Kettering Cancer Center, New York, New York.
Ian GanlyMemorial Sloan Kettering Cancer Center, New York, New York.
Jatin P ShahMemorial Sloan Kettering Cancer Center, New York, New York.
Snehal G PatelMemorial Sloan Kettering Cancer Center, New York, New York.
Luc G MorrisMemorial Sloan Kettering Cancer Center, New York, New York.
Marc A CohenMemorial Sloan Kettering Cancer Center, New York, New York.
Memorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

BACKGROUND AND

objectivesPrimary surgical treatment of patients with early T-classification (T1-T2) oropharyngeal squamous cell carcinoma (OPSCC) has increased. We sought to determine how often these patients receive postoperative chemoradiation (CRT).

methodsPatients with T1-T2 OPSCC in the National Cancer Database who underwent primary surgery were evaluated for receipt of postoperative CRT. Postoperative CRT use was examined among patients with high risk factors (positive margins and/or extracapsular spread [ECS]), intermediate risk factors (negative margins, no ECS, and either pT3-4 and/or N2-N3), and no apparent risk factors.

resultsOf 4833 patients with T1-T2 OPSCC who underwent primary surgery, 43% had high risk pathologic factors, of whom only 63% received postoperative CRT. Another 31% had no apparent risk factors, of whom 16% nonetheless received postoperative CRT. On multivariable analysis, in addition to tumor and demographic factors, patients treated at community hospitals were more likely to receive postoperative CRT (O.R. 1.41 C.I. 1.18-1.87, P = 0.001).

conclusionsVariation in postoperative CRT use indicates a lack of consensus and/or knowledge about its benefits and indications. Usage of postoperative CRT regardless of pathologic risk factors suggests an area where future efforts at implementation of best practices may be targeted.

Indexed as

Chemoradiotherapy, AdjuvantPharyngectomyPostoperative CareAgedAged, 80 and overCarcinoma, Squamous CellCohort StudiesDatabases, FactualFemaleHumansMaleMiddle AgedOropharyngeal NeoplasmsRisk FactorsUnited Statesadjuvant chemoradiation (postoperative CRT)hospital-level variationHPV-related oropharyngeal squamous cell carcinoma (OPSCC)National Comprehensive Cancer Network (NCCN) guidelinespathologic risk factors

Identifiers

PMID28570758
PMCPMC5533641
OpenAlexW2620874392

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.