Evidence map›Paper›PMID 30582237›Full record

ArticleHead & neck2019

Association between pretreatment obesity, sarcopenia, and survival in patients with head and neck cancer.

Michael Fattouh, Gina Y Chang, Thomas J Ow, Keivan Shifteh, Gregory Rosenblatt, Viraj M Patel, Richard V Smith, Michael B Prystowsky, Nicolas F Schlecht

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 36 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 4 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

36 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. The changing face of head and neck cancer: are patients with human papillomavirus-positive disease at greater nutritional risk? A systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Pooled it
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  9. mEnergy: Development of a Novel mHealth Multi-device Platform for Near Real-time Remote Assessment of Energy Disorders.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2025
    Article
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  12. PPARα Agonism Enhances Immune Response to Radiotherapy While Dietary Oleic Acid Results in Counteraction.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
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  16. Role of sarcopenia on survival and treatment-related toxicity in head and neck cancer: a narrative review of current evidence and future perspectives.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 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

9 authors.

Michael FattouhAlbert Einstein College of Medicine, Bronx, New York.
Gina Y ChangAlbert Einstein College of Medicine, Bronx, New York.
Thomas J OwDepartment of Otorhinolaryngology-Head and Neck Surgery, Montefiore Medical Center, Bronx, New York.
Keivan ShiftehDepartment of Radiology, Montefiore Medical Center, Bronx, New York.
Gregory RosenblattDepartment of Pathology, Montefiore Medical Center, Bronx, New York.
Viraj M PatelDepartment of Otorhinolaryngology-Head and Neck Surgery, Montefiore Medical Center, Bronx, New York.
Richard V SmithDepartment of Otorhinolaryngology-Head and Neck Surgery, Montefiore Medical Center, Bronx, New York.
Michael B PrystowskyDepartment of Pathology, Montefiore Medical Center, Bronx, New York.
Nicolas F SchlechtDepartment of Pathology, Montefiore Medical Center, Bronx, New York.ORCID 0000-0003-2482-244X

Funding

Two-Spirit Films in Indigenous Cancer HealthP30CA016056 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI MARK G FRATTINI · 1985 to 2026
$116.6M
WORD PROCESSORP30CA013330 · NCI · YESHIVA UNIVERSITY · PI THOMAS E ROHAN · 1985 to 2026
$111.2M
CTSA Administrative Supplement for Informatics Core: A novel AI/ML system to predict respiratory failure and ARDS in Covid-19 patientsUL1TR002556 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KELLER, MARLA J, KIM, MIMI Y · 2018 to 2022
$26.7M
Core-010UL1TR001073 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KELLER, MARLA J, SHAMOON, HARRY · 2013 to 2017
$21.3M
Paul Calabresis Career Development Award For Clinical Oncology K12CA132783 · NCI · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI PEREZ-SOLER, ROMAN, VERMA, AMIT K. · 2009 to 2019
$8.2M
Developing a HPV-mediated DNA methylation panel in HNSCCR21DE023941 · NIDCR · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI BELBIN, THOMAS J., SCHLECHT, NICOLAS · 2013 to 2014
$459k
HPV Induced Pathogenesis in Head and Neck CancerR03CA115243 · NCI · ALBERT EINSTEIN COL OF MED YESHIVA UNIV · PI SCHLECHT, NICOLAS · 2005 to 2006
$163k
NCATS NIH HHS UL1 TR001073NCATS NIH HHS UL1 TR002556NCI NIH HHS K12 CA132783NCI NIH HHS P30 CA013330NCI NIH HHS P30 CA016056NCI NIH HHS R03 CA115243NIDCR NIH HHS R21 DE023941NIH HHS CA013330CA016056CA115243 CA132783DE023941 UL1TR001073
6 · The paper itself

Abstract

backgroundBody mass index (BMI), sarcopenia, and obesity-related comorbidities have been associated with head and neck squamous cell carcinoma (HNSCC) progression.

methodsWe conducted a retrospective analysis of 441 normal-weight, overweight, and obese HNSCC patients treated at Montefiore Medical Center (New York). Patients were grouped by BMI prior to treatment and assessed for differences in survival adjusting for comorbid conditions (cardiovascular disease and diabetes). Evidence of sarcopenia was also assessed using pretreatment abdominal CT scans in a subset of 113 patients.

resultsPrior to treatment, 55% of HNSCC patients were overweight or obese. Overweight/obese patients had significantly better overall survival (hazard ratio [HR] = 0.4, 95% CI: 0.3-0.6) compared to normal-weight patients, independent of comorbid conditions. Patients with sarcopenia had significantly poorer survival (HR = 2.1, 95% CI: 1.1-3.9) compared to non-sarcopenic patients, with the strongest association seen among overweight/obese patients.

conclusionOur data support the importance of sarcopenia assessment, in addition to BMI, among patients with HNSCC.

Indexed as

AgedBody Mass IndexFemaleHead and Neck NeoplasmsHumansMaleMiddle AgedObesityRetrospective StudiesRisk FactorsSarcopeniaSquamous Cell Carcinoma of Head and NeckSurvival Ratebody mass indexepidemiologyobesitysarcopeniasurvival

Identifiers

PMID30582237
PMCPMC6709588

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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.