Evidence map›Paper›PMID 32599499›Full record

SynthesisOral oncology2020

Nonsurgical management of resectable oral cavity cancer in the wake of COVID-19: A rapid review and meta-analysis.

David Forner, Christopher W Noel, Vincent Wu, Ambica Parmar, Kelvin K W Chan, John R de Almeida, Zain Husain, Antoine Eskander

Open access · bronzeAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Oral oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.5field-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

12 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Oral cavity cancer management during the COVID-19 pandemic.Journal of the Korean Association of Oral and Maxillofacial Surgeons · 2020
    Article
  12. 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 2 institutions in 1 country.

David FornerDivision of Otolaryngology - Head and Neck Surgery, Dalhousie University, Halifax, Canada; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada.
Christopher W NoelInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada; Department of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, Canada.
Vincent WuDepartment of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, Canada.
Ambica ParmarInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada; Department of Medical Oncology, University of Toronto, Toronto, Canada.
Kelvin K W ChanInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada; Department of Medical Oncology, University of Toronto, Toronto, Canada.
John R de AlmeidaInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada; Department of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, Canada.
Zain HusainDepartment of Radiation Oncology, University of Toronto, Toronto, Canada.
Antoine EskanderInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Canada; Department of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, Canada. Electronic address: antoine.eskander@mail.utoronto.ca.
University of Toronto · CADalhousie University · CA

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

objectiveSurgery is the preferred treatment modality for oral squamous cell carcinoma (OSCC). However, due to limited resources, re-assessment of treatment paradigms in the wake of the Coronavirus Disease 2019 (COVID-19) pandemic is urgently required. In this rapid review, we described contemporary oncological outcomes for OSCC using non-surgical modalities.

methodsA systematic literature search was conducted for articles published between January 1, 2010 and April 1, 2020 on MEDLINE and Cochrane CENTRAL. Studies were included if they contained patients with OSCC treated with either neoadjuvant, induction, or definitive radiotherapy, chemotherapy, immunotherapy, or combination thereof, and an outcome of overall survival.

resultsIn total, 36 articles were included. Definitive radiotherapy or chemoradiotherapy were the focus of 18 articles and neoadjuvant chemotherapy or chemoradiotherapy were the focus of the other 18 articles. In early stage OSCC, definitive radiotherapy, with or without concurrent chemotherapy, was associated with a significantly increased hazard of death compared to definitive surgery (HR: 2.39, 95% CI: 1.56-3.67, I

conclusionThis review suggests that primary radiotherapy and chemoradiotherapy are inferior to surgical management for OSCC. Strategies for surgical delay warranting consideration are sparse, but may include several neoadjuvant regimens, recognizing these regimens may not offer a survival benefit over definitive surgery alone.

Indexed as

ChemoradiotherapyNeoadjuvant TherapyRadiotherapyAntineoplastic AgentsAntineoplastic Agents, ImmunologicalBetacoronavirusCoronavirus InfectionsCOVID-19Delivery of Health CareDisease ManagementHead and Neck NeoplasmsHealth ResourcesHumansMortalityMouth NeoplasmsPandemicsAntineoplastic AgentsAntineoplastic Agents, ImmunologicalChemo-radiotherapyChemotherapyCOVID-19ImmunotherapyOral cavityOutcomesRadiotherapySquamous cell carcinoma

Identifiers

PMID32599499
PMCPMC7284253
OpenAlexW3034123061

What OpenQuestion holds

Textmetadata
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.