Evidence map›Paper›PMID 32914515›Full record

ArticleHead & neck2021

Untreated head and neck cancer: Natural history and associated factors.

Paul Zolkind, Jake J Lee, Ryan S Jackson, Patrik Pipkorn, Sean T Massa

Open access · greenAbstract read
In one paragraph

Article in Head & neck, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 22% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

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  7. International journal of molecular sciences · 2025
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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

5 authors at 1 institution in 1 country.

Paul ZolkindDepartment of otolaryngology, Washington University in St. Louis, Saint Louis, Missouri, USA.ORCID 0000-0002-9475-1686
Jake J LeeDepartment of otolaryngology, Washington University in St. Louis, Saint Louis, Missouri, USA.
Ryan S JacksonDepartment of otolaryngology, Washington University in St. Louis, Saint Louis, Missouri, USA.ORCID 0000-0003-4626-2324
Patrik PipkornDepartment of otolaryngology, Washington University in St. Louis, Saint Louis, Missouri, USA.
Sean T MassaDepartment of otolaryngology, Washington University in St. Louis, Saint Louis, Missouri, USA.ORCID 0000-0003-2015-9855
Washington University in St. Louis · US

Funding

DEVELOPMENT OF CLINICIAN/RESEARCHERS IN ACADEMIC ENTT32DC000022 · NIDCD · WASHINGTON UNIVERSITY · PI PICCIRILLO, JAY F. · 1989 to 2022
$5.6M
NIDCD NIH HHS T32 DC000022
6 · The paper itself

Abstract

backgroundThis study aims to provide modern estimates of survival for untreated head and neck cancer (HNC) and to identify patient- and tumor-specific factors associated with not receiving definitive treatment.

methodsAdults with mucosal HNC were identified from the Surveillance, Epidemiology, and End Results (SEER) database. Median overall survival of untreated patients was calculated and stratified by site and stage. Cause-specific survival and factors associated with no treatment were investigated with advanced statistics.

resultsThe study cohort included 6477 patients who received no treatment. Overall, untreated patients had a median survival of 12 months, with significant variability by site and stage. Multivariable analysis identified advanced age, black race, unmarried status, and lack of private insurance as associated with no treatment.

conclusionsSurvival of HNC without treatment is dismal, yet substantial variation exists by tumor site and stage. Higher rates of no treatment among the poor and racial minorities are potentially driven by disparities in care availability and provision.

Indexed as

Head and Neck NeoplasmsAdultCohort StudiesHumansSEER ProgramUnited Statesepidemiologyhead and neck cancernatural historysocioeconomic factorstreatment disparity

Identifiers

PMID32914515
PMCPMC8970342
OpenAlexW3084966291

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.