Evidence map›Paper›PMID 29947066›Full record

ArticleHead & neck2018

Racial disparities in the choice of definitive treatment for squamous cell carcinoma of the oral cavity.

Carol M Lewis, Gaurav S Ajmani, Alexandra Kyrillos, Paul Chamberlain, Chi-Hsiung Wang, Cheryl C Nocon, Monica Peek, Mihir K Bhayani

Open access · greenAbstract 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.6field-weighted citation impact, top 19% 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

5 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Disparities in Care for Patients with Head and Neck Cancer.Surgical oncology clinics of North America · 2024
    Review
  3. Article
  4. Article
  5. 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 4 institutions in 1 country.

Carol M LewisDepartment of Head and Neck Surgery, Division of Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Gaurav S AjmaniDivision of Otolaryngology - Head and Neck Surgery, Department of Surgery, NorthShore University HealthSystem, Evanston, Illinois.
Alexandra KyrillosDivision of Otolaryngology - Head and Neck Surgery, Department of Surgery, NorthShore University HealthSystem, Evanston, Illinois.
Paul ChamberlainBaylor College of Medicine, Houston, Texas.
Chi-Hsiung WangCenter for Biomedical Research Informatics, NorthShore University HealthSystem, Evanston, Illinois.
Cheryl C NoconDivision of Otolaryngology - Head and Neck Surgery, Department of Surgery, NorthShore University HealthSystem, Evanston, Illinois.
Monica PeekSecton of General Internal Medicine, Department of Medicine, The University of Chicago, Chicago, Illinois.
Mihir K BhayaniDivision of Otolaryngology - Head and Neck Surgery, Department of Surgery, NorthShore University HealthSystem, Evanston, Illinois.ORCID 0000-0002-4500-2742
NorthShore University HealthSystem · USBaylor College of Medicine · USThe University of Texas MD Anderson Cancer Center · USUniversity of Illinois Chicago · US

Funding

Research Design, Data, and Analytics CoreP30DK092949 · NIDDK · UNIVERSITY OF CHICAGO · PI ELBERT S. HUANG · 2011 to 2026
$10.0M
NIDDK NIH HHS P30 DK092949
6 · The paper itself

Abstract

backgroundDefinitive surgery is recommended for oral cavity squamous cell carcinoma (SCC). The purpose of this study was to present our assessment of the disparities in treatment selection for oral cavity SCC.

methodsNon-Hispanic white and non-Hispanic black patients with oral cavity SCC were identified in the National Cancer Database (NCDB). Regression models were used to estimate relative risk (RR) of receiving surgery and absolute difference between non-Hispanic white and non-Hispanic black patients.

resultsThere were 82.3% of non-Hispanic white patients who received surgery, compared to 64.2% of non-Hispanic black patients (P < .001). The non-Hispanic black patients were less likely to receive surgery than non-Hispanic white patients (RR 0.87) with an absolute difference of 10.9%. The non-Hispanic black patients were significantly more likely to not be offered surgery (RR 1.42) and to refuse recommended surgery (RR 1.38) but not have a contraindication to surgery (RR 1.17).

conclusionThe non-Hispanic black patients are less likely to receive or be recommended surgery for oral cavity SCC and are more likely to refuse surgery. Further study is needed to identify strategies to close this disparity.

Indexed as

AgedBlack or African AmericanCarcinoma, Squamous CellChemoradiotherapyDatabases, FactualDisease-Free SurvivalFemaleHealthcare DisparitiesHispanic or LatinoHumansKaplan-Meier EstimateMaleMiddle AgedMouth NeoplasmsPatient PreferenceRetrospective Studiesoral cavity carcinomaracial disparityreason for no surgerysurgerytreatment selection

Identifiers

PMID29947066
PMCPMC6563920
OpenAlexW2810103077

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.