Evidence map›Paper›PMID 31468551›Full record

ArticleThe Laryngoscope2020

The role of elective neck dissection in high-grade parotid malignancy: A hospital-based cohort study.

R Alex Harbison, Alan J Gray, Ted Westling, Marco Carone, Cristina P Rodriguez, Neal D Futran, Richard B Cannon, Jeffrey Houlton

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in The Laryngoscope, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

6 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
  2. Contemporary Management of Malignancies of the Parotid Gland: A State-of-the-Art Review.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
    Review
  3. Article
  4. Neck Dissection in cT3/T4 Mucoepidermoid Carcinoma of the Oral Cavity and Oropharynx.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2024
    Article
  5. Inference for treatment-specific survival curves using machine learning.Journal of the American Statistical Association · 2024
    Article
  6. 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

8 authors at 3 institutions in 1 country.

R Alex HarbisonDepartment of Otolaryngology-Head and Neck Surgery, University of Washington, Seattle, Washington.ORCID 0000-0002-4695-6142
Alan J GrayDepartment of Otolaryngology-Head and Neck Surgery, University of Washington, Seattle, Washington.ORCID 0000-0002-7957-1038
Ted WestlingCenter for Causal Inference, Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, Pennsylvania.
Marco CaroneDepartment of Biostatistics, School of Public Health, University of Washington, Seattle, Washington.
Cristina P RodriguezDepartment of Medicine, Division of Oncology, University of Washington, Seattle, Washington.
Neal D FutranDepartment of Otolaryngology-Head and Neck Surgery, University of Washington, Seattle, Washington.
Richard B CannonDepartment of Otolaryngology-Head and Neck Surgery, University of Utah, Salt Lake City, Utah.
Jeffrey HoultonDepartment of Otolaryngology-Head and Neck Surgery, University of Washington, Seattle, Washington.
University of Washington · USCenter for Clinical Research (United States) · USUniversity of Utah · US

Funding

Research Training in OtolaryngologyT32DC000018 · NIDCD · UNIVERSITY OF WASHINGTON · PI STONE, JENNIFER S. · 1989 to 2023
$7.8M
NIDCD NIH HHS T32 DC000018
6 · The paper itself

Abstract

objectives/hypothesisThe role of elective neck dissection (END) in patients with clinically N0 (cN0), high-grade parotid carcinoma is unclear. The objective of this study was to assess the association between END and survival in patients with cN0, high-grade parotid carcinoma. STUDY

designRetrospective, multicenter cohort study.

methodsA review of hospital-based cases from the National Cancer Data Base was performed. Participants included patients diagnosed with cN0, high-grade parotid cancer between January 1, 2004 and December 31, 2013. The primary exposure was receipt of neck dissection. Secondary exposures included receipt of adjuvant radiation and/or chemotherapy. Univariate and multivariate survival analyses were performed. Unadjusted and adjusted survival estimates were determined.

resultsOverall, 1,547 patients were included, with a median follow-up time of 48 months. END did not have a statistically significant effect on 3-year survival (3-year: 69.9%, 95% confidence interval [CI]: 67.2 to 72.6). Survival at 3-years among those not receiving END was 66.1% (95% CI: 62.7 to 69.5). Parotidectomy and adjuvant radiotherapy had the strongest effect on mortality. There was no difference in 3-year survival among patients who underwent parotidectomy and adjuvant radiation stratified by receipt of END nor did END have a statistically significant effect on survival in mucoepidermoid carcinoma, adenocarcinoma, high-risk histology, high T stage, or academic center treatment subgroups.

conclusionsEND did not have a statistically significant effect on survival among cN0 patients with high-grade parotid cancer when taking into account receipt of adjuvant therapy and confounding. The role of END on survival and locoregional control remains to be further elucidated in prospective studies. LEVEL OF EVIDENCE: 4 Laryngoscope, 130:1487-1495, 2020.

Indexed as

Elective Surgical ProceduresNeck DissectionAdolescentAdultAgedAged, 80 and overChildChild, PreschoolCohort StudiesFemaleHospitalizationHumansInfantMaleMiddle AgedNeoplasm Gradinghead and neck cancerneck dissectionParotid cancer

Identifiers

PMID31468551
PMCPMC8042643
OpenAlexW2970435724

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.