Evidence map›Paper›PMID 32357934›Full record

ArticleWorld journal of surgical oncology2020

Treatment patterns and survival outcomes of advanced hypopharyngeal squamous cell carcinoma.

Yao-Te Tsai, Wen-Cheng Chen, Chih-Yen Chien, Cheng-Ming Hsu, Yi-Chan Lee, Ming-Shao Tsai, Meng-Hung Lin, Chia-Hsuan Lai, Kai-Ping Chang

Open access · goldAbstract readComparative Study
In one paragraph

Article in World journal of surgical oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
3.8field-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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Upfront Surgery Versus Upfront Concurrent Chemoradiotherapy as Primary Modality in Hypopharyngeal Squamous Cell Carcinoma: A Systematic Review and Meta-Analysis.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
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  12. Patterns of recurrence in HNSCC patients treated definitively with upfront surgery, chemoradiation.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 · 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

9 authors at 4 institutions in 1 country.

Yao-Te TsaiDepartment of Otorhinolaryngology-Head and Neck Surgery, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan. yaote1215@gmail.com.ORCID http://orcid.org/0000-0002-2313-0890
Wen-Cheng ChenDepartment of Radiation Oncology, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.
Chih-Yen ChienDepartment of Otorhinolaryngology-Head and Neck Surgery, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
Cheng-Ming HsuDepartment of Otorhinolaryngology-Head and Neck Surgery, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.
Yi-Chan LeeDepartment of Otorhinolaryngology-Head and Neck Surgery, Keelung Chang Gung Memorial Hospital, Keelung, Taiwan.
Ming-Shao TsaiDepartment of Otorhinolaryngology-Head and Neck Surgery, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.
Meng-Hung LinHealth Information and Epidemiology Laboratory, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.
Chia-Hsuan LaiDepartment of Radiation Oncology, Chiayi Chang Gung Memorial Hospital, Chiayi, Taiwan.
Kai-Ping ChangDepartment of Otolaryngology-Head and Neck Surgery, Linkou Chang Gung Memorial Hospital, No. 5 Fu-Hsing street, Taoyuan, Taiwan, 33305. dr.kpchang@gmail.com.
Chiayi Chang Gung Memorial Hospital · TWChang Gung University · TWKaohsiung Chang Gung Memorial Hospital · TWKeelung Chang Gung Memorial Hospital · TW

Funding

Chang Gung Memorial Hospital, Linkou CORPG3G0171, CMRPG3H0852, and CIRPG3B0014
6 · The paper itself

Abstract

backgroundThis study evaluated the treatment outcomes of the primary surgery (PS) or concurrent chemoradiotherapy (CCRT) as the initial treatment for hypopharyngeal squamous cell carcinoma (HPSCC).

methodsThis retrospective cohort study included patients with stages III-IV HPSCC from four tertiary referral centers consecutively enrolled from 2003 to 2012; of them, 213 (32.6%) and 439 (67.4%) had received PS and CCRT as their primary treatments, respectively. The 5-year overall survival (OS) and disease-free survival (DFS) rates were analyzed using the Kaplan-Meier method and Cox regression models.

resultsIn patients undergoing PS and CCRT, OS rates were 45.0% and 33.1% (p < 0.001), respectively, and DFS rates were 36.2% and 28.9% (p = 0.003), respectively. In subgroup analysis, in patients with stage IVA HPSCC, PS was associated with higher OS rate (p = 0.002), particularly in those with T4 or N2 classification (p = 0.021 and 0.002, respectively). Multivariate analysis indicated that stage IVA HPSCC, stage IVB HPSCC, and CCRT were independent adverse prognostic factors for OS rate (p = 0.004, < 0.001, and 0.014, respectively). Furthermore, in patients with stage IVA HPSCC aged ≥ 65 years and with N2 classification, CCRT was significantly associated with lower OS rates than was PS (p = 0.027 and 0.010, respectively).

conclusionsIn patients with advanced HPSCC, PS was significantly associated with better prognosis than CCRT. PS could be a favorable primary treatment modality for the management of patients with stage IVA HPSCC, particularly those aged ≥ 65 years and with T4 and N2 classification.

Indexed as

AgedAge FactorsChemoradiotherapyClinical Decision-MakingDisease-Free SurvivalFemaleHumansHypopharyngeal NeoplasmsHypopharynxKaplan-Meier EstimateMaleMiddle AgedNeoplasm StagingPatient SelectionPharyngectomyRetrospective StudiesCancerHead and neckHypopharynxPrognosisSquamous cell carcinoma

Identifiers

PMID32357934
PMCPMC7195763
OpenAlexW3023048397

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.