Evidence map›Paper›PMID 31536842›Full record

ArticleOral oncology2019

Human papillomavirus-associated squamous cell carcinoma of the larynx or hypopharynx: Clinical outcomes and implications for laryngeal preservation.

Ryan T Hughes, William J Beuerlein, Stacey S O'Neill, Mercedes Porosnicu, Thomas W Lycan, Joshua D Waltonen, Bart A Frizzell, Kathryn M Greven

Open access · hybridAbstract read
In one paragraph

Article in Oral oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
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  5. Immune cell topography of head and neck cancer.Journal for immunotherapy of cancer · 2024
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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 at 1 institution in 1 country.

Ryan T HughesDepartment of Radiation Oncology, Wake Forest School of Medicine, Winston-Salem, NC, United States. Electronic address: ryhughes@wakehealth.edu.
William J BeuerleinDepartment of Pathology, Wake Forest School of Medicine, Winston-Salem, NC, United States.
Stacey S O'NeillDepartment of Pathology, Wake Forest School of Medicine, Winston-Salem, NC, United States.
Mercedes PorosnicuDepartment of Medicine, Section of Hematology/Oncology, Wake Forest School of Medicine, Winston-Salem, NC, United States.
Thomas W LycanDepartment of Medicine, Section of Hematology/Oncology, Wake Forest School of Medicine, Winston-Salem, NC, United States.
Joshua D WaltonenDepartment of Otolaryngology/Head and Neck Surgery, Wake Forest School of Medicine, Winston-Salem, NC, United States.
Bart A FrizzellDepartment of Radiation Oncology, Wake Forest School of Medicine, Winston-Salem, NC, United States.
Kathryn M GrevenDepartment of Radiation Oncology, Wake Forest School of Medicine, Winston-Salem, NC, United States.
Wake Forest University · US

Funding

Tumor Tissue CoreP30CA012197 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Ruben A. Mesa · 1985 to 2026
$55.4M
Wake Forest Clinical and Translational Science AwardUL1TR001420 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ARD, JAMY D, FOLEY, KRISTIE L · 2015 to 2023
$32.3M
NCATS NIH HHS UL1 TR001420NCI NIH HHS P30 CA012197
6 · The paper itself

Abstract

objectivesHuman papillomavirus (HPV) can be detected in approximately 25% of squamous cell carcinomas (SCC) of the larynx and hypopharynx. Though HPV is associated with improved survival and disease control in patients with oropharyngeal SCC, the role of HPV as a marker of favorable treatment outcomes in laryngeal and hypopharyngeal cancer is unclear. MATERIALS AND

methodsPatients treated for laryngeal or hypopharyngeal SCC were reviewed. HPV status detected by p16 and/or HPV DNA PCR were abstracted from the medical record. A subset of samples (stage III-IV treated with primary radiotherapy) was retrospectively tested for p16 and HPV DNA. Overall survival (OS), disease-free survival (DFS), and locoregional control (LRC) were determined and compared between HPV-positive (p16+, PCR+ or both) and HPV-negative (p16- or PCR-) patients.

resultsIn total, 279 patients were identified, 94 of which were tested for HPV. Eighty-two (87%) were negative and 12 (13%) were positive for HPV. At 3 years, there were no significant differences in OS (72% v. 83%), DFS (60% v. 71%) and LRC (80% v. 89%). Performance status, smoking history and stage predicted for OS, while performance status and stage predicted for DFS. Analysis of patients treated with primary radiotherapy revealed non-significantly higher rates of laryngeal preservation at 3 years (75% v. 100%).

conclusionHPV was detected in 13% of tested laryngeal/hypopharyngeal cancers. HPV does not appear to significantly impact survival or disease control in patients with SCC of the larynx or hypopharynx. Non-significant improvements in laryngeal preservation were observed in HPV-positive patients.

Indexed as

PapillomaviridaeAdultAgedAged, 80 and overCarcinoma, Squamous CellCell Transformation, ViralDisease SusceptibilityFemaleHumansHypopharyngeal NeoplasmsKaplan-Meier EstimateLaryngeal NeoplasmsMaleMiddle AgedNeoplasm StagingPapillomavirus InfectionsHead and neck neoplasmsHuman papillomavirusHypopharyngeal cancerLaryngeal cancerOrgan preservationSquamous cell carcinoma

Identifiers

PMID31536842
PMCPMC7457446
OpenAlexW2974744121

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.