Evidence map›Paper›PMID 29044458›Full record

Trial reportCancer2018

Patient-reported quality-of-life outcomes after de-escalated chemoradiation for human papillomavirus-positive oropharyngeal carcinoma: Findings from a phase 2 trial.

John V Hegde, Narek Shaverdian, Megan E Daly, Carol Felix, Deborah L Wong, Michael H Rosove, Jordan H Garst, Pin-Chieh Wang, Darlene Veruttipong, Shyam Rao and 4 more

Open access · bronzeAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Impact of tongue base mucosectomy on quality-of-life outcomes: systematic review and single-centre experience.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
    Pooled it
  3. Trial
  4. Article
  5. Review
  6. Review
  7. Article
  8. Overall survival, disease-free survival and quality of life in patients affected by HPV mediated p16+ oropharyngeal squamous cell carcinoma treated with upfront trans-oral robotic surgery vs radiotherapy or chemoradiotherapy.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
    Article
  9. Quality of Life in Patients With Recurrent and Second Primary Head and Neck Cancer.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2023
    Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. The changing therapeutic landscape of head and neck cancer.Nature reviews. Clinical oncology · 2019
    Review
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

14 authors at 2 institutions in 1 country.

John V HegdeDepartment of Radiation Oncology, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California.
Narek ShaverdianDepartment of Radiation Oncology, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California.ORCID 0000-0002-9372-2672
Megan E DalyDepartment of Radiation Oncology, University of California at Davis School of Medicine, Sacramento, California.
Carol FelixDepartment of Radiation Oncology, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California.
Deborah L WongDivision of Hematology and Oncology, Department of Internal Medicine, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California.
Michael H RosoveDivision of Hematology and Oncology, Department of Internal Medicine, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California.
Jordan H GarstDepartment of Radiation Oncology, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California.
Pin-Chieh WangDepartment of Radiation Oncology, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California.
Darlene VeruttipongDepartment of Radiation Oncology, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California.
Shyam RaoDepartment of Radiation Oncology, University of California at Davis School of Medicine, Sacramento, California.
Ruben C FragosoDepartment of Radiation Oncology, University of California at Davis School of Medicine, Sacramento, California.
Jonathan W RiessDivision of Hematology and Oncology, Department of Internal Medicine, University of California at Davis School of Medicine, Sacramento, California.
Michael L SteinbergDepartment of Radiation Oncology, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California.
Allen M ChenDepartment of Radiation Oncology, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California.ORCID 0000-0002-4582-712X
University of California, Los Angeles · USUniversity of California, Davis · US

Funding

Staff InvestigatorsP30CA093373 · NCI · UNIVERSITY OF CALIFORNIA DAVIS · PI Laura Marcu · 2002 to 2026
$84.9M
NCI NIH HHS P30 CA093373
6 · The paper itself

Abstract

backgroundThe current study represents a subset analysis of quality-of-life (QOL) outcomes among patients treated on a phase 2 trial of de-escalated chemoradiation for human papillomavirus (HPV)-associated oropharyngeal cancer.

methodsEligibility included newly diagnosed, (American Joint Committee on Cancer, 7th edition) stage III or IV oropharyngeal squamous cell carcinoma, p16 positivity, age ≥ 18 years, and a Zubrod performance status of 0 to 1. Treatment was induction paclitaxel at a dose of 175 mg/m

resultsA total of 45 patients were registered, 40 of whom completed QOL surveys and were evaluable. Nadirs for overall UW-QOL and Functional Assessment of Cancer Therapy-Head and Neck scores were reached at 4 weeks after treatment but returned to baseline at 3 months. Nearly all functional indices returned to baseline levels by 6 to 9 months. The mean overall UW-QOL score was 71.6 at baseline compared with 70.8, 73.0, 83.3, and 81.1, respectively, at 3 months, 6 months, 1 year, and 2 years after therapy. The percentage of patients rating their overall QOL as "very good" or "outstanding" at 6 months, 1 year, and 2 years using the UW-QOL was 50%, 77%, and 84%, respectively.

conclusionsThis de-escalation regimen achieved QOL outcomes that were favorable compared with historical controls. These results serve as powerful evidence that ongoing de-escalation efforts lead to tangible gains in function and QOL. Cancer 2018;124:521-9. © 2017 American Cancer Society.

Indexed as

ChemoradiotherapyPatient Reported Outcome MeasuresQuality of LifeAgedFemaleHumansMaleMiddle AgedOropharyngeal NeoplasmsPapillomaviridaechemoradiationde-escalationhead and neckhuman papillomavirus (HPV)oropharyngealquality of life (QOL)

Identifiers

PMID29044458
PMCPMC5916816
OpenAlexW2765798901

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.