Evidence map›Paper›PMID 31119434›Full record

ArticleCancer causes & control : CCC2019

Treatment trends in head and neck cancer: Surveillance, Epidemiology, and End Results (SEER) Patterns of Care analysis.

Jennifer A Schlichting, Nitin A Pagedar, Catherine Chioreso, Charles F Lynch, Mary E Charlton

Open access · greenAbstract read
In one paragraph

Article in Cancer causes & control : CCC, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Community socioeconomic status and rural/racial disparities in HPV-/+ head and neck cancer.Technical innovations & patient support in radiation oncology · 2023
    Article
  12. Article
  13. Head and neck cancer in Cali, Colombia: Population-based study.Community dentistry and oral epidemiology · 2022
    Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Epidemiological trends of head and neck Cancer survivors in Alberta: towards improved understanding of the burden of disease.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale · 2020
    Article
  19. Review
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 at 1 institution in 1 country.

Jennifer A SchlichtingDepartment of Epidemiology, University of Iowa College of Public Health, 145 N. Riverside, Dr, Iowa City, IA, 52242, USA.ORCID http://orcid.org/0000-0003-1160-4072
Nitin A PagedarDepartment of Otolaryngology - Head and Neck Surgery, University of Iowa, Iowa City, IA, USA.
Catherine ChioresoDepartment of Epidemiology, University of Iowa College of Public Health, 145 N. Riverside, Dr, Iowa City, IA, 52242, USA.
Charles F LynchDepartment of Epidemiology, University of Iowa College of Public Health, 145 N. Riverside, Dr, Iowa City, IA, 52242, USA.
Mary E CharltonDepartment of Epidemiology, University of Iowa College of Public Health, 145 N. Riverside, Dr, Iowa City, IA, 52242, USA. mary-charlton@uiowa.edu.
University of Iowa · US

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Douglas Robert Spitz · 2000 to 2026
$70.0M
National Cancer Institute P30 CA086862National Institutes of Health/National Cancer Institute (US) HHSN26120130000201/HHSN26100006NCI NIH HHS HHSN261201300020INCI NIH HHS P30 CA086862
6 · The paper itself

Abstract

purposeRecent advances in head and neck cancer (HNC) treatment, such as increased use of organ-preserving advanced radiation treatments, the approval of cetuximab for HNC treatment, and the increase in human papillomavirus (HPV)-related HNC, have changed clinical approaches to HNC management. We sought to identify treatment trends in a population-based cohort of HNC patients.

methodsThe Surveillance, Epidemiology, and End Results Patterns of Care program collected additional treatment and HPV testing information on stratified random samples of HNC patients diagnosed in 1997 (n = 473), 2004 (n = 1,317), and 2009 (n = 1,128). Rao-Scott Chi-square tests were used to examine unadjusted associations between year of diagnosis and patient sociodemographic, tumor, and treatment characteristics. Cochran-Armitage tests for trend were used to examine the hypothesis that certain treatments were used increasingly (or decreasingly) over the time period, while logistic regression was used to examine factors associated with particular treatments.

resultsUse of radiation and chemotherapy without surgery significantly increased for all HNC sites between 1997 and 2009. Cetuximab and taxane use also showed a significantly increasing trend. Lack of insurance was associated with not receiving treatment in multivariate models. The majority (64%) of cases undergoing radiation in 2009 received an advanced treatment, with 55% receiving intensity modulated. The majority of oropharyngeal cases with known HPV status received chemotherapy and radiation only (62%) and nearly all were insured and had one or fewer comorbidities.

conclusionsTreatment patterns have changed for HNC, leading to increased incorporation of systemic therapy and newer radiation techniques. HPV testing should be targeted for more widespread use, especially in traditionally underserved groups.

Indexed as

Cohort StudiesComorbidityFemaleHead and Neck NeoplasmsHumansMaleMiddle AgedPapillomaviridaePapillomavirus InfectionsSEER ProgramCetuximabChemotherapyHead and neck cancerHuman papillomavirusRadiation

Identifiers

PMID31119434
PMCPMC6668728
OpenAlexW2946019899

What OpenQuestion holds

Textmetadata
LicenceTDM
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.