Evidence map›Paper›PMID 32918302›Full record

ArticleHead & neck2021

National trends in oropharyngeal cancer incidence and survival within the Veterans Affairs Health Care System.

Jose P Zevallos, Jennifer R Kramer, Vlad C Sandulache, Sean T Massa, Christine M Hartman, Angela L Mazul, Benjamin M Wahle, Sophie P Gerndt, Erich M Sturgis, Elizabeth Y Chiao

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 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 14% 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

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

  1. Pooled it
  2. Article
  3. Article
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  5. Article
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  7. Review
  8. 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 2 institutions in 1 country.

Jose P ZevallosDepartment of Otolaryngology - Head and Neck Surgery, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID 0000-0002-9111-6767
Jennifer R KramerVA Health Services Research and Development Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA.ORCID 0000-0003-2953-4949
Vlad C SandulacheENT Section, Operative Care Line, Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA.ORCID 0000-0002-9205-385X
Sean T MassaDepartment of Otolaryngology - Head and Neck Surgery, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID 0000-0003-2015-9855
Christine M HartmanVA Health Services Research and Development Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA.ORCID 0000-0002-8077-0026
Angela L MazulDepartment of Otolaryngology - Head and Neck Surgery, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID 0000-0002-1249-4613
Benjamin M WahleDepartment of Otolaryngology - Head and Neck Surgery, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID 0000-0001-8806-2190
Sophie P GerndtDepartment of Otolaryngology - Head and Neck Surgery, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID 0000-0001-9918-453X
Erich M SturgisENT Section, Operative Care Line, Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA.ORCID 0000-0002-1069-4822
Elizabeth Y ChiaoVA Health Services Research and Development Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA.ORCID 0000-0001-5752-2916
Michael E. DeBakey VA Medical Center · USWashington 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
(PQ3) Identifying Novel Pharmacologic Risk factors for Common Non-AIDS Defining Cancers in Individuals with Well-controlled HIV InfectionR01CA206476 · NCI · BAYLOR COLLEGE OF MEDICINE · PI KRAMER, JENNIFER R · 2016 to 2019
$3.0M
Development of a Four-Class, Molecular Subtyping Diagnostic for HPV-negative Head and Neck CancerR01CA211939 · NCI · WASHINGTON UNIVERSITY · PI HAYES, DAVID N, ZEVALLOS, JOSE P. · 2017 to 2021
$2.3M
Improving Treatment Algorithms for Veterans with Oropharyngeal CancerIK2CX001953 · VA · MICHAEL E DEBAKEY VA MEDICAL CENTER · PI SANDULACHE, VLAD C · 2020 to 2022
–
CSRD VA IK2 CX001953NCI NIH HHS R01 CA206476NCI NIH HHS R01 CA211939NIDCD NIH HHS T32 DC000022
6 · The paper itself

Abstract

backgroundOropharyngeal squamous cell carcinoma (OPSCC) epidemiology has not been examined previously in the nationwide Veterans Affairs (VA) population.

methodsJoinpoint regression analysis was applied to OPSCC cases identified from VA administrative data from 2000 to 2012.

resultsWe identified 12 125 OPSCC cases (incidence: 12.2 of 100 000 persons). OPSCC incidence declined between 2000 and 2006 (annual percent change [APC] = -4.27, P < .05), then increased between 2006 and 2012 (APC = 7.02, P < .05). Significant incidence increases occurred among white (APC = 7.19, P < .05) and African American (APC = 4.87, P < .05) Veterans and across all age cohorts. The percentage of never-smokers increased from 8% in 2000 to 15.7% in 2012 (P < .001), and 2-year overall survival improved from 31.2% (95% confidence interval (CI) [30-33.4]) to 55.7% (95% CI [54.4-57.1]).

conclusionsOPSCC incidence is increasing across all racial and age cohorts in the VA population. Smoking rates remain high among Veterans with OPSCC and gains in survival lag those reported in the general population.

Indexed as

Head and Neck NeoplasmsOropharyngeal NeoplasmsPapillomavirus InfectionsVeteransDelivery of Health CareHumansIncidencehuman papilloma virusjoinpointoropharyngeal cancersurvivalVeterans Affairs

Identifiers

PMID32918302
PMCPMC8060873
OpenAlexW3086028330

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.