Evidence map›Paper›PMID 29299512›Full record

ArticleLaryngoscope investigative otolaryngology2017

Head and neck paragangliomas: A two-decade institutional experience and algorithm for management.

Joshua D Smith, Rachel N Harvey, Owen A Darr, Mark E Prince, Carol R Bradford, Gregory T Wolf, Tobias Else, Gregory J Basura

Open access · goldAbstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
6.7field-weighted citation impact, top 3% 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

41 citing papers in PubMed, 2 syntheses or guidelines pooled it, 98 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Multidisciplinary Management of Lateral Skull Base Paragangliomas: A 20-Year Experience.Journal of neurological surgery. Part B, Skull base · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Jugular Foramen Paragangliomas.Advances and technical standards in neurosurgery · 2024
    Article
  18. An Update on Temporal Bone Paragangliomas.Current treatment options in oncology · 2023
    Review
  19. Primary intra-abdominal paraganglioma: A case report.World journal of clinical cases · 2023
    Article
  20. 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

8 authors at 2 institutions in 1 country.

Joshua D SmithUniversity of Michigan Medical School Ann Arbor Michigan U.S.A.
Rachel N HarveyUniversity of Michigan College of Literature Sciences, and the Arts Ann Arbor Michigan U.S.A.
Owen A DarrDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan Medical School Ann Arbor Michigan U.S.A.
Mark E PrinceDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan Medical School Ann Arbor Michigan U.S.A.
Carol R BradfordDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan Medical School Ann Arbor Michigan U.S.A.
Gregory T WolfDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan Medical School Ann Arbor Michigan U.S.A.
Tobias ElseDivision of Metabolism Endocrinology, and Diabetes, Department of Internal Medicine, University of Michigan Medical School Ann Arbor Michigan U.S.A.
Gregory J BasuraDepartment of Otolaryngology-Head and Neck Surgery Kresge Hearing Research Institute Ann Arbor Michigan U.S.A.ORCID 0000-0002-5574-7385
University of Michigan · USEnvironmental Research Institute of Michigan · US

Funding

Advanced Research Training in OtolaryngologyT32DC005356 · NIDCD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CORFAS, GABRIEL · 2002 to 2021
$3.5M
NIDCD NIH HHS T32 DC005356
6 · The paper itself

Abstract

Objectives: Paragangliomas of the head and neck and cranial base are typically benign, slow-growing tumors arising within the jugular foramen, middle ear, carotid bifurcation, or vagus nerve proper. The objective of this study was to provide a comprehensive characterization of our institutional experience with clinical management of these tumors and posit an algorithm for diagnostic evaluation and treatment. Methods: This was a retrospective cohort study of patients undergoing treatment for paragangliomas of the head and neck and cranial base at our institution from 2000-2017. Data on tumor location, catecholamine levels, and specific imaging modalities employed in diagnostic work-up, pre-treatment cranial nerve palsy, treatment modality, utilization of preoperative angiographic embolization, complications of treatment, tumor control and recurrence, and hereditary status (ie, succinate dehydrogenase mutations) were collected and summarized. Results: The mean (SD) age of our cohort was 51.8 (±16.1) years with 123 (63.4%) female patients and 71 (36.6%) male patients. Catecholamine-secreting lesions were found in nine (4.6%) patients. Fifty-one patients underwent genetic testing, with mutations identified in 43 (20 Conclusion: An algorithmic approach to clinical management of these tumors, derived from our longitudinal institutional experience and current empiric evidence, may assist otolaryngologists, radiation oncologists, and geneticists in the care of these complex neoplasms. Level of Evidence: 4.

Indexed as

glomusParagangliomasuccinate dehydrogenase

Identifiers

PMID29299512
PMCPMC5743157
OpenAlexW2767687555

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.