Evidence map›Paper›PMID 32562325›Full record

ArticleHead & neck2020

COVID-19 pandemic and health care disparities in head and neck cancer: Scanning the horizon.

Evan Graboyes, John Cramer, Karthik Balakrishnan, David M Cognetti, Daniel López-Cevallos, John R de Almeida, Uchechukwu C Megwalu, Charles E Moore, Cherie-Ann Nathan, Matthew E Spector and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Head & neck, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.2field-weighted citation impact, top 10% 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

16 citing papers in PubMed, 32 citations in OpenAlex.

  1. Redefining Nursing in Otorhinolaryngology-Head & Neck Care: Implications of the ICN's 2025 Definitions for an Evolving Specialty.ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses · 2026
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  12. Making the Best of Limited Resources: Improving Outcomes in Head and Neck Cancer.American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting · 2021
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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

12 authors at 10 institutions in 2 countries.

Evan GraboyesDepartment of Otolaryngology-Head & Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.ORCID https://orcid.org/0000-0003-3766-468X
John CramerDepartment of Otolaryngology-Head & Neck Surgery, Wayne State University, Detroit, Michigan, USA.
Karthik BalakrishnanDepartment of Otolaryngology-Head & Neck Surgery, Stanford University, Stanford, California, USA.
David M CognettiDepartment of Otolaryngology-Head & Neck Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0001-7039-3055
Daniel López-CevallosSchool of Language, Culture & Society, Oregon State University, Corvallis, Oregon, USA.
John R de AlmeidaUniversity Health Network/ Princess Margaret Cancer Centre, University of Toronto, Toronto, Ontario, USA.
Uchechukwu C MegwaluDepartment of Otolaryngology-Head & Neck Surgery, Stanford University, Stanford, California, USA.
Charles E MooreDepartment of Otolaryngology-Head & Neck Surgery, Emory University, Atlanta, Georgia, USA.
Cherie-Ann NathanDepartment of Otolaryngology-Head & Neck Surgery, Louisiana State University Health Sciences Center, Shreveport, Louisiana, USA.ORCID https://orcid.org/0000-0001-7386-318X
Matthew E SpectorDepartment of Otolaryngology-Head & Neck Surgery, University of Michigan, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0001-7646-6075
Carol M LewisHead & Neck Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Michael J BrennerDepartment of Otolaryngology-Head & Neck Surgery, University of Michigan, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0003-4926-0957
Stanford Medicine · USUniversity of Michigan · USEmory University · USLouisiana State University in Shreveport · USMedical University of South Carolina · USOregon State University · USPrincess Margaret Cancer Centre · CAThe University of Texas MD Anderson Cancer Center · USThomas Jefferson University · USWayne State University · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
Improving the Timeliness and Equity of Adjuvant Therapy Following Surgery for Head and Neck CancerK08CA237858 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI GRABOYES, EVAN MICHAEL · 2019 to 2023
$1.3M
Doris Duke Charitable Foundation DDCF2015209NCI NIH HHS K08 CA237858NCI NIH HHS K08CA237858NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

The COVID-19 pandemic has profoundly disrupted head and neck cancer (HNC) care delivery in ways that will likely persist long term. As we scan the horizon, this crisis has the potential to amplify preexisting racial/ethnic disparities for patients with HNC. Potential drivers of disparate HNC survival resulting from the pandemic include (a) differential access to telemedicine, timely diagnosis, and treatment; (b) implicit bias in initiatives to triage, prioritize, and schedule HNC-directed therapy; and (c) the marked changes in employment, health insurance, and dependent care. We present four strategies to mitigate these disparities: (a) collect detailed data on access to care by race/ethnicity, income, education, and community; (b) raise awareness of HNC disparities; (c) engage stakeholders in developing culturally appropriate solutions; and (d) ensure that surgical prioritization protocols minimize risk of racial/ethnic bias. Collectively, these measures address social determinants of health and the moral imperative to provide equitable, high-quality HNC care.

Indexed as

BetacoronavirusHealthcare DisparitiesHealth Services AccessibilityCoronavirus InfectionsCOVID-19Data CollectionHead and Neck NeoplasmsHealth PrioritiesHumansInsurance CoverageInsurance, HealthPandemicsPneumonia, ViralRace FactorsRisk AssessmentSARS-CoV-2COVID-19head and neck cancerhealth care deliveryracial and ethnic disparitiessocial determinants of health

Identifiers

PMID32562325
PMCPMC7323088
OpenAlexW3036837190

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.