Evidence map›Paper›PMID 30103407›Full record

ReviewCancers2018

The Current Role of Salvage Surgery in Recurrent Head and Neck Squamous Cell Carcinoma.

Marc Hamoir, Sandra Schmitz, Carlos Suarez, Primoz Strojan, Kate A Hutcheson, Juan P Rodrigo, William M Mendenhall, Ricard Simo, Nabil F Saba, Anil K D'Cruz and 5 more

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
12.3field-weighted citation impact, top 1% 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

50 citing papers in PubMed, 123 citations in OpenAlex.

  1. Phase II Trial of Adjuvant Nivolumab Following Salvage Resection in Patients with Recurrent Squamous Cell Carcinoma of the Head and Neck.Clinical cancer research : an official journal of the American Association for Cancer Research · 2022
    Trial
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Article
  7. The Use of Fluorescent Markers to Detect and Delineate Head and Neck Cancer: A Scoping Review.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2025
    Article
  8. Review
  9. Article
  10. Article
  11. Observational
  12. Imaging for Laryngeal Malignancies: Guidelines for Clinicians.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2023
    Article
  13. Article
  14. Review
  15. Reconstruction in Salvage Surgery for Head and Neck Cancers.Craniomaxillofacial trauma & reconstruction · 2023
    Article
  16. Article
  17. Review
  18. Article
  19. Review
  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

15 authors at 12 institutions in 7 countries.

Marc HamoirDepartment of Head and Neck Surgery, King Albert II Cancer Institute, St Luc University Hospital, 1200 Brussels, Belgium. marc.hamoir@uclouvain.be.ORCID 0000-0001-8547-2768
Sandra SchmitzDepartment of Head and Neck Surgery, King Albert II Cancer Institute, St Luc University Hospital, 1200 Brussels, Belgium. sandra.schmitz@uclouvain.be.
Carlos SuarezInstituto de Investigación Sanitaria del Principado de Asturias and CIBERONC, ISCIII, Instituto Universitario de Oncología del Principado de Asturias, University of Oviedo, 33011 Oviedo, Spain. csuareznieto@gmail.com.
Primoz StrojanDepartment of Radiation Oncology, Institute of Oncology, Ljubljana SI-1000, Slovenia. pstrojan@onko-i.si.ORCID 0000-0002-0445-112X
Kate A HutchesonDepartment of Head and Neck Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX 77006, USA. KArnold@mdanderson.org.
Juan P RodrigoDepartment of Otolaryngology, Hospital Universitario Central de Asturias, IUOPA, University of Oviedo, CIBERONC, 33011 Oviedo, Spain. jprodrigo@uniovi.es.ORCID 0000-0003-3063-0890
William M MendenhallDepartment of Radiation Oncology, University of Florida, Gainesville, FL 32610-0385, USA. mendwm@shands.ufl.edu.
Ricard SimoHead and Neck Cancer Unit, Guy's and St Thomas' Hospital NHS Foundation Trust, London SE1 9RT, UK. Ricard.Simo@gstt.nhs.uk.
Nabil F SabaDepartment of Hematology and Medical Oncology, The Winship Cancer Institute of Emory University, Atlanta, GA 30305, USA. nfsaba@emory.edu.
Anil K D'CruzHead Neck Services, Tata Memorial Hospital, Parel Mumbai 400012, India. docdcruz@gmail.com.
Missak HaigentzDivision of Hematology/Oncology, Department of Medicine, Morristown Medical Center/Atlantic Health System, Morristown, NJ 07960, USA. Missak.Haigentz@atlantichealth.org.ORCID 0000-0002-3610-2266
Carol R BradfordDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, MI 48109, USA. cbradfor@med.umich.edu.
Eric M GendenDepartment of Otolaryngology-Head and Neck Surgery, Mount Sinai Medical Center, New York, NY 10029, USA. Eric.Genden@mountsinai.org.
Alessandra RinaldoUniversity of Udine School of Medicine, 33100 Udine, Italy. alessandra.rinaldo@uniud.it.
Alfio FerlitoInternational Head and Neck Scientific Group, 35030 Padua, Italy. alfio.ferlito@uniud.it.
UCLouvain · BEUniversidad de Oviedo · ESEmory University · USInstitute of Oncology Ljubljana · SIMorristown Medical Center · USMount Sinai Medical Center · USSt Thomas' Hospital · GBTata Memorial Hospital · INThe University of Texas MD Anderson Cancer Center · USUniversity of Florida · USUniversity of Michigan · USUniversity of Udine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chemoradiotherapy has emerged as a gold standard in advanced squamous cell carcinoma of the head and neck (SCCHN). Because 50% of advanced stage patients relapse after nonsurgical primary treatment, the role of salvage surgery (SS) is critical because surgery is generally regarded as the best treatment option in patients with recurrent resectable SCCHN. Surgeons are increasingly confronted with considering operation among patients with significant effects of failed non-surgical primary treatment. Wide local excision to achieve clear margins must be balanced with the morbidity of the procedure, the functional consequences of organ mutilation, and the likelihood of success. Accurate selection of patients suitable for surgery is a major issue. It is essential to establish objective criteria based on functional and oncologic outcomes to select the best candidates for SS. The authors propose first to understand preoperative prognostic factors influencing survival. Predictive modeling based on preoperative information is now available to better select patients having a good chance to be successfully treated with surgery. Patients with a high comorbidity index, advanced oropharyngeal or hypopharyngeal primary tumors, and both local and regional recurrence have a very limited likelihood of success with salvage surgery and should be strongly considered for other treatments. Following SS, identifying patients with postoperative prognostic factors predicting high risk of recurrence is essential because those patients could benefit of adjuvant treatment or be included in clinical trials. Finally, defining HPV tumor status is needed in future studies including recurrent oropharyngeal SCC patients.

Indexed as

cancer recurrencehead and neck cancersalvage surgerysquamous cell carcinomatreatment failure

Identifiers

PMID30103407
PMCPMC6115801
OpenAlexW2885704063

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.