Evidence map›Paper›PMID 30666441›Full record

ArticleEuropean 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 Surgery2019

Outcomes of salvage surgery for the oropharynx and larynx: a contemporary experience in a UK Cancer Centre.

Ashley Hay, Ricard Simo, Gillian Hall, Selvam Tharavai, Richard Oakley, Alastair Fry, Luke Cascarini, Mary Lei, Teresa Guerro-Urbano, Jean-Pierre Jeannon

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Article in 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, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
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  3. Article
  4. 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

10 authors.

Ashley HayHead and Neck Surgery Department, Guys and St Thomas' NHS Trust, Great Maze Pond, London, SE1 9RT, UK. ashley.hay@nhs.net.ORCID http://orcid.org/0000-0002-4666-836X
Ricard SimoHead and Neck Surgery Department, Guys and St Thomas' NHS Trust, Great Maze Pond, London, SE1 9RT, UK.
Gillian HallHead and Neck Surgery Department, Guys and St Thomas' NHS Trust, Great Maze Pond, London, SE1 9RT, UK.
Selvam TharavaiHead and Neck Surgery Department, Guys and St Thomas' NHS Trust, Great Maze Pond, London, SE1 9RT, UK.
Richard OakleyHead and Neck Surgery Department, Guys and St Thomas' NHS Trust, Great Maze Pond, London, SE1 9RT, UK.
Alastair FryHead and Neck Surgery Department, Guys and St Thomas' NHS Trust, Great Maze Pond, London, SE1 9RT, UK.
Luke CascariniHead and Neck Surgery Department, Guys and St Thomas' NHS Trust, Great Maze Pond, London, SE1 9RT, UK.
Mary LeiHead and Neck Surgery Department, Guys and St Thomas' NHS Trust, Great Maze Pond, London, SE1 9RT, UK.
Teresa Guerro-UrbanoHead and Neck Surgery Department, Guys and St Thomas' NHS Trust, Great Maze Pond, London, SE1 9RT, UK.
Jean-Pierre JeannonHead and Neck Surgery Department, Guys and St Thomas' NHS Trust, Great Maze Pond, London, SE1 9RT, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe purpose of this study was to review our recent experience of salvage surgery, comparing larynx and oropharynx recurrence patterns.

methodsA single centre, retrospective review of salvage surgery for recurrent head and neck cancer including patients between 2008 and 2016.

results61 patients were identified, 36 underwent salvage laryngectomy and 25 received oropharyngeal resections. The median overall survival of oropharyngeal recurrent tumors was 26 months (95% CI 15-118 months) and for laryngeal tumors was 23 months (95% CI 11-38 months), p = 0.1008. There was a significant overall survival benefit in patients with negative resection margin. The median survival in the negative margin group was 38 months (95% CI 25-108 months) compared to the positive margin group, 9 months (95% CI 5-15 months), p < 0.0001.

conclusionSurvival results following surgical salvage in the larynx and oropharynx appear to be similarly poor. Those patients with clear margins appear to have a significantly better prognosis.

Indexed as

Laryngeal NeoplasmsNeoplasm Recurrence, LocalOropharyngeal NeoplasmsAdultAgedCarcinoma, Squamous CellFemaleHumansLaryngectomyMaleMargins of ExcisionMiddle AgedPrognosisRetrospective StudiesSalvage TherapySurvival AnalysisLarynx cancerOropharynx cancerRecurrent head and neck cancerSalvage surgery

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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.