Evidence map›Paper›PMID 30549368›Full record

ArticleHead & neck2019

Population analysis of socioeconomic status and otolaryngologist distribution on head and neck cancer outcomes.

Nitin A Pagedar, Andrew B Davis, Steven M Sperry, Mary E Charlton, Charles F Lynch

Abstract read
In one paragraph

Article in Head & neck, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Perceived Discrimination Among Patients With Head and Neck Cancer.Laryngoscope investigative otolaryngology · 2026
    Article
  4. Article
  5. Article
  6. A Comparison of Neighborhood Socioeconomic Deprivation Measures and the Association with Survival among Black and White Women with Endometrial Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  7. Understanding the Composition of a Comprehensive Otolaryngologist's Practice Through Medicare Reimbursements.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025
    Article
  8. Article
  9. Disparities in Care for Patients with Head and Neck Cancer.Surgical oncology clinics of North America · 2024
    Review
  10. Article
  11. Article
  12. Racial survival disparities in head and neck cancer clinical trials.Journal of the National Cancer Institute · 2023
    Article
  13. Article
  14. Article
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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

5 authors.

Nitin A PagedarDepartment of Otolaryngology-Head and Neck Surgery, University of Iowa, Iowa City, Iowa.ORCID 0000-0002-1829-7258
Andrew B DavisDepartment of Otolaryngology-Head and Neck Surgery, University of Iowa, Iowa City, Iowa.
Steven M SperryDepartment of Otolaryngology-Head and Neck Surgery, University of Iowa, Iowa City, Iowa.ORCID 0000-0003-0760-8222
Mary E CharltonDepartment of Epidemiology, University of Iowa, Iowa City, Iowa.
Charles F LynchDepartment of Epidemiology, University of Iowa, Iowa City, Iowa.

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Douglas Robert Spitz · 2000 to 2026
$70.0M
NCI NIH HHS HHSN261201300020CNCI NIH HHS HHSN261201300020INCI NIH HHS P30 CA086862University of Iowa Holden Comprehensive Cancer Center NIH/NCI P30 CA086862University of Iowa (MEC) NIH/NCI HHSN261201300020I
6 · The paper itself

Abstract

backgroundThe relationship between clinical outcomes and geographic determinants is not well known for head and neck cancer. Socioeconomic status (SES) factors and the distribution of health care resources might impact outcomes.

methodsHead and neck cancer cases in the Surveillance, Epidemiology, and End Results (SEER) database were studied. Patient-level prognostic factors were identified from the SEER, and county-level factors were identified from the Area Health Resource File. Stage at presentation and observed survival were the outcomes of interest, with predictive factors identified by multivariate logistic and Cox proportional hazards regression.

resultsOn multivariate analysis, tumor site, sex, race, marital status, rural residence, and county poverty level predicted stage at presentation. Sex, race, marital status, county-level poverty, and number of otolaryngologists predicted observed survival.

conclusionAdverse county-level SES predicted advanced cancer stage at presentation and diminished observed survival. SES was a stronger predictor of patient outcomes than rurality or number of otolaryngologists.

Indexed as

Cohort StudiesDisease-Free SurvivalFemaleHead and Neck NeoplasmsHealthcare DisparitiesHealth ResourcesHumansLogistic ModelsMaleOtolaryngologistsPredictive Value of TestsProportional Hazards ModelsRetrospective StudiesSEER ProgramSocioeconomic FactorsSurvival Analysisearly detection of cancerepidemiologyhealth servicessocioeconomic statussurvival outcomes

Identifiers

PMID30549368
PMCPMC6420379

What OpenQuestion holds

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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.