Evidence map›Paper›PMID 30073209›Full record

ArticleClinical and translational radiation oncology2018

Leukocytosis, prognosis biomarker in locally advanced head and neck cancer patients after chemoradiotherapy.

Antoine Schernberg, Pierre Blanchard, Cyrus Chargari, Dan Ou, Antonin Levy, Philippe Gorphe, Ingrid Breuskin, Sarah Atallah, Alexandre Caula, Alexandre Escande and 5 more

Open access · goldAbstract read
In one paragraph

Article in Clinical and translational radiation oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

10 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
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  4. Significance of neutrophil to lymphocyte ratio as a predictor of outcome in head and neck cancer treated with definitive chemoradiation.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2023
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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

15 authors at 3 institutions in 1 country.

Antoine SchernbergRadiation Oncology Department, Gustave Roussy Cancer Campus, Villejuif, France.
Pierre BlanchardRadiation Oncology Department, Gustave Roussy Cancer Campus, Villejuif, France.
Cyrus ChargariRadiation Oncology Department, Gustave Roussy Cancer Campus, Villejuif, France.
Dan OuRadiation Oncology Department, Gustave Roussy Cancer Campus, Villejuif, France.
Antonin LevyRadiation Oncology Department, Gustave Roussy Cancer Campus, Villejuif, France.
Philippe GorpheHead and Neck Oncology Department, Gustave Roussy Cancer Campus, Villejuif, France.
Ingrid BreuskinHead and Neck Oncology Department, Gustave Roussy Cancer Campus, Villejuif, France.
Sarah AtallahRadiation Oncology Department, Gustave Roussy Cancer Campus, Villejuif, France.
Alexandre CaulaHead and Neck Oncology Department, Gustave Roussy Cancer Campus, Villejuif, France.
Alexandre EscandeRadiation Oncology Department, Gustave Roussy Cancer Campus, Villejuif, France.
François JanotHead and Neck Oncology Department, Gustave Roussy Cancer Campus, Villejuif, France.
France NguyenRadiation Oncology Department, Gustave Roussy Cancer Campus, Villejuif, France.
Stéphane TemamHead and Neck Oncology Department, Gustave Roussy Cancer Campus, Villejuif, France.
Eric DeutschRadiation Oncology Department, Gustave Roussy Cancer Campus, Villejuif, France.
Yungan TaoRadiation Oncology Department, Gustave Roussy Cancer Campus, Villejuif, France.
Institut Gustave Roussy · FRInserm · FRUniversité Paris-Saclay · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo study the prognostic value of leukocyte increase in a retrospective cohort of locally advanced head and neck squamous cell carcinoma (HNSCC) patients receiving definitive concurrent cisplatin and radiation. MATERIALS AND

methodsClinical records of consecutive previously untreated locally advanced HNSCC patients treated in our Institution between March 2006 and October 2012 by concurrent cisplatin (100 mg/m

resultsWe identified 193 patients, all treated with concurrent cisplatin-based chemoradiotherapy. Respectively 24% and 20% patients displayed baseline leukocytosis or neutrophilia. Mean leukocyte count were significantly more elevated in current smokers, patients with performance status (PS) >0, T4 and less in HPV + tumor. The 5-year actuarial overall survival (OS) and progression-free survival (PFS) were 56% and 51% respectively. In univariate analysis, both leukocytosis and neutrophilia were strongly associated with worse OS and PFS (p < 0.001). In multivariate analysis, N classification, HPV/p16, smoking status and leukocytosis were associated with worse OS and PFS. Patients with <3 cycles of cisplatin had worse survival.

conclusionIn locally advanced HNSCC treated with concurrent cisplatin and radiation, baseline leukocytosis predicts OS and PFS. In addition with HPV status, this independent biomarker could help identifying patients with high risk of tumor relapse.

Indexed as

BiomarkersConcurrent chemoradiationHead and neck cancerLeukocytosisNeutrophiliaPrognostic factorSquamous cell carcinoma

Identifiers

PMID30073209
PMCPMC6068078
OpenAlexW2838613946

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.