Evidence map›Paper›PMID 33063318›Full record

ArticleJournal of surgical oncology2021

Oncologic and functional outcomes following laryngectomy for locally advanced thyroid cancer.

Stephanie Flukes, Marc A Cohen, Louise M Cunningham, Richard J Wong, Jennifer R Cracchiolo

Open access · greenAbstract read
In one paragraph

Article in Journal of surgical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. 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

5 authors at 1 institution in 1 country.

Stephanie FlukesHead and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York City, New York, USA.ORCID http://orcid.org/0000-0001-9312-9409
Marc A CohenHead and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York City, New York, USA.ORCID https://orcid.org/0000-0002-6104-7967
Louise M CunninghamSpeech and Language Pathology, Speech and Hearing Center, Rehabilitation Services, Memorial Sloan Kettering Cancer Center, New York City, New York, USA.
Richard J WongHead and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York City, New York, USA.
Jennifer R CracchioloHead and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York City, New York, USA.ORCID https://orcid.org/0000-0003-4496-906X
Memorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

BACKGROUND AND

objectivesTotal laryngectomy in thyroid cancer is controversial. Functional and oncologic outcomes are needed to inform surgical indications in this population.

methodsA retrospective cohort study was performed at a tertiary referral center from 1997 to 2018 to identify patients with a diagnosis of thyroid carcinoma who underwent total laryngectomy. Complications, survival outcomes, and functional outcomes were analyzed.

resultsThirty patients met the inclusion criteria. The mean age was 62 years (range, 30-88 years) and the male-to-female ratio was 1:2.75. The most common diagnosis was well-differentiated thyroid cancer (53.3%), followed by poorly differentiated (30%) and anaplastic (16.7%). Total laryngectomy was performed with a 10% rate of Clavien-Dindo Grade III-V complications. The median overall survival was 40 months (range, 1-237). Five-year overall survival was 39.5% and disease-specific survival was 51.1%. Locoregional control was achieved in 80.0% of patients. Twelve months postoperatively, 100% of surviving patients were taking oral intake and 86.4% had a self-reported functional voice.

conclusionTotal laryngectomy for locally advanced thyroid cancer is safe and provides acceptable rates of locoregional control. While the risk of distant metastases remains high, advances in systemic therapy may justify aggressive local control strategies to improve the quality of life.

Indexed as

Quality of LifeAdultAgedAged, 80 and overFemaleFollow-Up StudiesHumansLaryngeal NeoplasmsLaryngectomyMaleMiddle AgedNeoplasm Recurrence, LocalPostoperative ComplicationsPrognosisRetrospective StudiesSurvival Ratefunctional outcomeslaryngectomysurvival outcomesthyroid cancer

Identifiers

PMID33063318
PMCPMC7770003
OpenAlexW3093183851

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.