Evidence map›Paper›PMID 31912359›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2020

Young head and neck cancer patients are at increased risk of developing oral mucositis and trismus.

Karina Morais-Faria, Natalia Rangel Palmier, Jaqueline de Lima Correia, Gilberto de Castro Júnior, Reinaldo Brito Dias, Henrique da Graça Pinto, Marcio Ajudarte Lopes, Ana Carolina Prado Ribeiro, Thaís Bianca Brandão, Alan Roger Santos-Silva

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.1field-weighted citation impact, top 19% 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

10 citing papers in PubMed, 18 citations in OpenAlex.

  1. Clinicopathological and biobehavioral factors influence the onset and severity of oral mucositis in patients with head and neck cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  2. Association of ABO and Rhesus Blood Groups With Oral Cancers.Journal of clinical medicine research · 2025
    Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Confounding factors in the assessment of oral mucositis in head and neck cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Review
  9. Article
  10. 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 at 3 institutions in 1 country.

Karina Morais-FariaDental Oncology Service, Instituto do Câncer do Estado de São Paulo, ICESP-FMUSP, São Paulo, Brazil.
Natalia Rangel PalmierOral Diagnosis Department, Semiology Area, Piracicaba Dental School, UNICAMP, 901, Av. Limeira, Areão, Piracicaba, São Paulo, 13414-903, Brazil.
Jaqueline de Lima CorreiaOral Diagnosis Department, Semiology Area, Piracicaba Dental School, UNICAMP, 901, Av. Limeira, Areão, Piracicaba, São Paulo, 13414-903, Brazil.
Gilberto de Castro JúniorClinical Oncology Service, São Paulo State Cancer Institute (ICESP), School of Medicine of the University of São Paulo, São Paulo, Brazil.
Reinaldo Brito DiasDepartment of Maxillofacial Surgery, Prosthesis and Traumatology, USP, São Paulo, Brazil.
Henrique da Graça PintoDepartment of Maxillofacial Surgery, Prosthesis and Traumatology, USP, São Paulo, Brazil.
Marcio Ajudarte LopesOral Diagnosis Department, Semiology Area, Piracicaba Dental School, UNICAMP, 901, Av. Limeira, Areão, Piracicaba, São Paulo, 13414-903, Brazil.
Ana Carolina Prado RibeiroDental Oncology Service, Instituto do Câncer do Estado de São Paulo, ICESP-FMUSP, São Paulo, Brazil.
Thaís Bianca BrandãoDental Oncology Service, Instituto do Câncer do Estado de São Paulo, ICESP-FMUSP, São Paulo, Brazil.
Alan Roger Santos-SilvaDental Oncology Service, Instituto do Câncer do Estado de São Paulo, ICESP-FMUSP, São Paulo, Brazil. alan@unicamp.br.ORCID http://orcid.org/0000-0003-2040-6617
Universidade Estadual de Campinas (UNICAMP) · BRInstituto do Câncer do Estado de São Paulo · BRUniversidade de São Paulo · BR

Funding

Fundação de Amparo à Pesquisa do Estado de São Paulo 2016/22862-2Fundação de Amparo à Pesquisa do Estado de São Paulo 2018/02233-6Fundação de Amparo à Pesquisa do Estado de São Paulo 2018/04657-8
6 · The paper itself

Abstract

objectivesTo evaluate cancer treatment-related toxicities in young head and neck cancer (HNC) patients. MATERIAL AND

methodsA total of 44 patients were included in the present retrospective cohort study, which was designed to access oral toxicities of cancer treatment in young (< 45 years of age, Group I, n = 22) and old (> 58 years of age, Group II, n = 22) HNC patients with similar tumor stage and treatment protocols. Oral mucositis (OM), xerostomia, dysphagia, dysgeusia, trismus, and radiodermatitis were assessed during days 7th, 21st, and 35th of head and neck radiotherapy (HNRT) according to previously validated scales (World Health Organization criteria and the National Cancer Institute and Common Terminology Criteria for Adverse Events version 4.0).

resultsPatients from both groups showed high incidence and severity of oral toxicities by the end of the HNRT with OM (81.9% (Group I); 63.6% (Group II)) and xerostomia (72.6% (Group I); 77.2% (Group II)) being the most prevalent toxicities. No differences regarding xerostomia, dysphagia, dysgeusia, and radiodermatitis incidences or severity could be observed between groups. However, higher incidences and severity of OM at 21st and 35th fractions (odds ratio = 2.22 and 5.71, respectively) and trismus at 21st and 35th fractions (odds ratio = 6.17 and 14.5, respectively) were observed throughout the treatment in young patients when compared to older patients (p < 0.01 and p < 0.05, respectively).

conclusionYoung HNC patients are more affected by cancer treatment-related OM and trismus despite the similarities in clinical staging and treatment protocols with elderly patients.

Indexed as

AdultAgedChemoradiotherapyCohort StudiesFemaleHead and Neck NeoplasmsHumansMaleMiddle AgedRadiation InjuriesRadiodermatitisRetrospective StudiesStomatitisTrismusHead and neck cancerRadiotherapyToxicityYoung patients

Identifiers

PMID31912359
OpenAlexW2998251863

What OpenQuestion holds

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Registered trials

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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.