Evidence map›Paper›PMID 29496065›Full record

ArticleOral oncology2018

Neck recurrence in clinically node-negative oral cancer: 27-year experience at a single institution.

Aviram Mizrachi, Jocelyn C Migliacci, Pablo H Montero, Sean McBride, Jatin P Shah, Snehal G Patel, Ian Ganly

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Oral oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05073809 (Clinical Translation of Photoacoustic Imaging for the Assessment of Head and Neck Tumours), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
7.0field-weighted citation impact, top 2% 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.

NCT05073809 withdrawnnot on this mapstarted 2022, after this paper: background citation

Clinical Translation of Photoacoustic Imaging for the Assessment of Head and Neck Tumours

TypeobservationalSponsorUniversity College, LondonRan2022 to 2022Enrolled0ConditionsHead and Neck CancerArmsPhotoacoustic Imaging Scan
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

  1. Pooled it
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  5. Evaluation of Factors Predicting Recurrence in Oral Squamous Cell Carcinoma.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025
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  14. Observational
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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

7 authors at 1 institution in 1 country.

Aviram MizrachiHead and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, United States. Electronic address: aviramm2@clalit.org.il.
Jocelyn C MigliacciHead and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, United States. Electronic address: migliacj@mskcc.org.
Pablo H MonteroHead and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, United States. Electronic address: phmontero@gmail.com.
Sean McBrideDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, United States. Electronic address: mcbrides@mskcc.org.
Jatin P ShahHead and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, United States. Electronic address: shahj@mskcc.org.
Snehal G PatelHead and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, United States. Electronic address: patels@mskcc.org.
Ian GanlyHead and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, United States. Electronic address: ganlyi@mskcc.org.
Memorial Sloan Kettering Cancer Center · US

Funding

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

Abstract

objectivesNeck failure in patients with oral squamous cell carcinoma (OSCC) carries a poor outcome, yet the management of patients who initially present with clinically node-negative (cN0) neck is not clearly defined. PATIENTS AND

methodsRetrospective review of patients with cN0 OSCC treated at Memorial Sloan Kettering Cancer Center from 1985 to 2012, focusing on rate, pattern and predictors of neck failure, salvage treatment, and survival outcomes.

resultsOf 1,302 patients, 806 (62%) underwent elective neck dissection (END) and 496 (38%) had observation. 190 patients (15%) developed neck recurrence. Median follow-up was 58.5 months (range 1-343); 5-year neck recurrence-free survival (NRFS) was 85% and 80% for the END and observation group respectively (p = .06). Patients with neck failure had poorer outcomes than patients without neck failure (5-year overall survival, 37% vs. 74% [p < .001]; disease-specific survival [DSS], 41% vs. 91% [p < .001]). Independent predictors of neck failure were smoking, primary tumor subsite (hard palate and upper gum), and extranodal extension. 87% of patients underwent salvage treatment (END: 81.1%; observation: 94%). Salvage surgery with adjuvant (chemo) radiation had better DSS than surgery alone or nonsurgical salvage.

conclusionsIn our cohort of patients with initially cN0 OSCC triaged to END vs. observation using clinical parameters, 15% developed neck failure. Salvage treatment was feasible in most cases but survival was poorer compared to patients without neck failure. Surgery followed by adjuvant (chemo) radiation resulted in the best outcome.

Indexed as

Neoplasm Recurrence, LocalAdolescentAdultAgedAged, 80 and overCarcinoma, Squamous CellFemaleHumansKaplan-Meier EstimateLymphatic MetastasisMaleMiddle AgedMouth NeoplasmsNeck DissectionRetrospective StudiesYoung AdultElective neck dissectionNeck recurrenceObservationOral squamous cell carcinomaRadiotherapySalvage surgery

Identifiers

PMID29496065
PMCPMC5836807
OpenAlexW2790569682

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.