Evidence map›Paper›PMID 30816619›Full record

ArticleHead & neck2019

Geriatric assessment and 1-year mortality in older patients with cancer in the head and neck region: A cohort study.

Floor J van Deudekom, Lilly-Ann van der Velden, Willianne H Zijl, Anouk S Schimberg, Anton P Langeveld, Marije Slingerland, Gerard J Blauw, Simon P Mooijaart

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 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 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

15 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Observational
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  7. Review
  8. Review
  9. Malnutrition risk and frailty in head and neck cancer patients: coexistent but distinct conditions.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

8 authors.

Floor J van DeudekomDepartment of Internal Medicine, Section of Gerontology and Geriatrics, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0001-9931-6256
Lilly-Ann van der VeldenDepartment of Head and Neck Surgery and Oncology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Willianne H ZijlDepartment of Internal Medicine, Section of Gerontology and Geriatrics, Leiden University Medical Center, Leiden, The Netherlands.
Anouk S SchimbergDepartment of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
Anton P LangeveldDepartment of Head and Neck Surgery and Oncology, Leiden University Medical Center, Leiden, The Netherlands.
Marije SlingerlandDepartment of Medical Oncology, Leiden University Medical Center, Leiden, The Netherlands.
Gerard J BlauwDepartment of Internal Medicine, Section of Gerontology and Geriatrics, Leiden University Medical Center, Leiden, The Netherlands.
Simon P MooijaartDepartment of Internal Medicine, Section of Gerontology and Geriatrics, Leiden University Medical Center, Leiden, The Netherlands.

Funding

Dutch Ministry of Health, Welfare and SportNetherlands Organisation for Health Research and Development 62700.3001The Institute for Evidence-Based Medicine in Old Age (IEMO)
6 · The paper itself

Abstract

backgroundThe aim is to describe the association of functional capacity and cognitive functioning with 1-year mortality in older patients with cancer in the head and neck region.

methodsWe performed a cohort study in which all patients aged 70 years and older received a geriatric screening before treatment. Main outcome was 1-year mortality.

resultsA total of 102 patients were included. Median age was 78.7 years (interquartile range [IQR], 72.3-84.5), 25% were cognitive impaired, 40% were malnourished, and 28.4% used a walking device. Overall, 1-year mortality was 42.3%. Male sex (hazard ratio [HR], 4.30; 95% confidence interval [CI], 1.35-13.67), malnutrition (HR, 2.55; 95% CI, 1.19-5.16), and using a walking device (HR, 2.80; 95% CI 1.13-6.93) were associated with higher mortality risk, independent of stage and comorbidities.

conclusionIn older patients with head and neck cancer, the mortality rates are high. Nutritional status and mobility are determinants of 1-year mortality, independent of tumor stage, age, and comorbidity.

Indexed as

Geriatric AssessmentAgedAged, 80 and overCanesCohort StudiesFemaleHead and Neck NeoplasmsHumansMaleMalnutritionNetherlandsPersons with DisabilitiesRetrospective StudiesSex FactorsWalkerscognitive disordersgeriatric oncologyhead and neck cancerphysical functioningsocial functioning

Identifiers

PMID30816619
PMCPMC6766841

What OpenQuestion holds

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LicenceCC BY-NC
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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.