Evidence map›Paper›PMID 28963806›Full record

ArticleHead & neck2017

Predictors of survival after total laryngectomy for recurrent/persistent laryngeal squamous cell carcinoma.

Andrew C Birkeland, Lauren Beesley, Emily Bellile, Andrew J Rosko, Rebecca Hoesli, Steven B Chinn, Andrew G Shuman, Mark E Prince, Gregory T Wolf, Carol R Bradford and 2 more

Open access · greenAbstract read
In one paragraph

Article in Head & neck, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 4% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Machine learning in personalized laryngeal cancer management: insights into clinical characteristics, therapeutic options, and survival predictions.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
  4. Influential Factors on Survival in Laryngeal Cancer and Treatment Modalities Comparison.ORL; journal for oto-rhino-laryngology and its related specialties · 2025
    Article
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  9. Prognostic value of CD103Oral oncology · 2022
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  16. [Analysis of correlation factors and prognosis of local recurrence of laryngeal squamous cell carcinoma].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2020
    Article
  17. Review
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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

12 authors at 1 institution in 1 country.

Andrew C BirkelandDepartment of Otolaryngology - Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan.
Lauren BeesleyDepartment of Otolaryngology - Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan.
Emily BellileDepartment of Otolaryngology - Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan.
Andrew J RoskoDepartment of Otolaryngology - Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan.
Rebecca HoesliDepartment of Otolaryngology - Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan.
Steven B ChinnDepartment of Otolaryngology - Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan.
Andrew G ShumanDepartment of Otolaryngology - Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan.
Mark E PrinceDepartment of Otolaryngology - Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan.
Gregory T WolfDepartment of Otolaryngology - Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan.
Carol R BradfordDepartment of Otolaryngology - Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan.
J Chad BrennerDepartment of Otolaryngology - Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan.
Matthew E SpectorDepartment of Otolaryngology - Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan.ORCID 0000-0001-7646-6075
Michigan Medicine · US

Funding

Biostatistics Training Program in Cancer ResearchT32CA083654 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Veerabhadran Baladandayuthapani, Kelley McLain Kidwell · 2002 to 2026
$4.3M
Dissecting Co-Dependent Pathways in Oral CancersU01DE025184 · NIDCR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BRENNER, JOHN CHADWICK, CAREY, THOMAS E. · 2015 to 2018
$3.7M
Advanced Research Training in OtolaryngologyT32DC005356 · NIDCD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CORFAS, GABRIEL · 2002 to 2021
$3.5M
NCI NIH HHS T32 CA083654NIDCD NIH HHS T32 DC005356NIDCR NIH HHS U01 DE025184
6 · The paper itself

Abstract

backgroundTotal laryngectomy remains the treatment of choice for recurrent/persistent laryngeal squamous cell carcinoma (SCC) after radiotherapy (RT) or chemoradiotherapy (CRT). However, despite attempts at aggressive surgical salvage, survival in this cohort remains suboptimal.

methodsA prospectively maintained single-institution database was queried for patients undergoing total laryngectomy for recurrent/persistent laryngeal SCC after initial RT/CRT between 1998 and 2015(n = 244). Demographic, clinical, and survival data were abstracted. The Kaplan-Meier survival curves and hazard ratios (HRs) were calculated.

resultsFive-year overall survival (OS) was 49%. Five-year disease-free survival (DFS) was 58%. Independent predictors of OS included severe comorbidity (Adult Comorbidity Evaluation-27 [ACE-27] scale; HR 3.76; 95% confidence interval [CI] 1.56-9.06), and positive recurrent clinical nodes (HR 2.91; 95% CI 1.74-4.88).

conclusionSevere comorbidity status is the strongest predictor of OS, suggesting that increased attention to mitigating competing risks to health is critical. These data may inform a risk prediction model to allow for focused shared decision making, preoperative health optimization, and patient selection for adjuvant therapies.

Indexed as

AdultAgedCarcinoma, Squamous CellChemoradiotherapyCohort StudiesDatabases, FactualDisease-Free SurvivalFemaleFollow-Up StudiesHead and Neck NeoplasmsHumansKaplan-Meier EstimateLaryngeal NeoplasmsLaryngectomyMaleMiddle AgedAdult Comorbidity Evaluation-27 (ACE-27)disease-specific survivaloverall survivalrecurrent laryngeal cancersalvage laryngectomy

Identifiers

PMID28963806
PMCPMC5686454
OpenAlexW2760047129

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.