Evidence map›Paper›PMID 29385294›Full record

ArticleHead & neck2018

Outcomes utilizing intensity-modulated radiotherapy in oropharyngeal cancers: Tonsils versus base of tongue.

Madhava R Kanakamedala, Shankar P G Giri, Robert D Hamilton, Eldrin Bhanat, Srinivasan Vijayakumar

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Head & neck, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 35% 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, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Transoral robotic surgery and intensity-modulated radiotherapy in the treatment of the oropharyngeal carcinoma: a systematic review and meta-analysis.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
    Pooled it
  2. Article
  3. Review
  4. 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

5 authors at 1 institution in 1 country.

Madhava R KanakamedalaDepartment of Radiation Oncology, University of Mississippi Medical Center, Jackson, Mississippi.ORCID 0000-0002-6015-3207
Shankar P G GiriDepartment of Radiation Oncology, University of Mississippi Medical Center, Jackson, Mississippi.
Robert D HamiltonDepartment of Radiation Oncology, University of Mississippi Medical Center, Jackson, Mississippi.
Eldrin BhanatDepartment of Radiation Oncology, University of Mississippi Medical Center, Jackson, Mississippi.
Srinivasan VijayakumarDepartment of Radiation Oncology, University of Mississippi Medical Center, Jackson, Mississippi.
Jackson Memorial Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study was to present the outcomes of oropharyngeal cancers treated with intensity-modulated radiotherapy (IMRT) especially the differences between tonsillar and base of tongue (BOT) primaries.

methodsRetrospective analysis of 124 patients with biopsy proven squamous cell carcinomas of the oropharynx, treated with IMRT.

resultsHuman papillomavirus (HPV) association correlated with improvement in survivals in both tonsillar and BOT primaries. At the 2-year median follow-up, the cumulative incidences of locoregional recurrences were 8% in both the tonsil and BOT groups (P = .76) but the distant metastases were 8% in the tonsil group versus 26% in the BOT group (P = .009). Thirty percent of tonsil primaries has ≥N2c neck disease as compared to 54% of BOT. Incidence of distant metastases increases with advanced nodal classification, especially >N2c.

conclusionEven though the locoregional controls are excellent with IMRT and chemotherapy, these patients continue to fail distantly, particularly significant for the BOT group and for nodal stage >N2c.

Indexed as

AdultAgedCarcinoma, Squamous CellDisease-Free SurvivalFemaleHumansMaleMiddle AgedOropharyngeal NeoplasmsProcedures and Techniques UtilizationRadiotherapy, Intensity-ModulatedRetrospective StudiesSurvival RateTongue Neoplasmsconcurrent chemoradiationhuman papillomavirus (HPV)intensity-modulated radiotherapyoropharyngeal cancertonsil versus base of tongue

Identifiers

PMID29385294
PMCPMC5947155
OpenAlexW2792560604

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.