Evidence map›Paper›PMID 33184778›Full record

SynthesisAdvances in therapy2021

Radiation-Induced Sarcomas of the Head and Neck: A Systematic Review.

Andrés Coca-Pelaz, Antti A Mäkitie, Primož Strojan, June Corry, Avraham Eisbruch, Jonathan J Beitler, Sandra Nuyts, Robert Smee, Johannes A Langendijk, William M Mendenhall and 3 more

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Advances in therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 9% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Pooled it
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  5. Case Report on Radiation-Induced Osteosarcoma of the Nasopharynx: Unmasking the Aftermath.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025
    Article
  6. The citizen perspective on challenges and rehabilitation needs among individuals treated for head and neck cancer: a qualitative study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
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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

13 authors at 12 institutions in 8 countries.

Andrés Coca-PelazDepartment of Otolaryngology, Hospital Universitario Central de Asturias-University of Oviedo, Instituto de Investigación Sanitaria del Principado de Asturias, IUOPA, CIBERONC, Oviedo, Asturias, Spain. acocapelaz@yahoo.es.ORCID http://orcid.org/0000-0003-1363-8559
Antti A MäkitieDepartment of Otorhinolaryngology, Head and Neck Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.ORCID https://orcid.org/0000-0002-0451-2404
Primož StrojanDepartment of Radiation Oncology, Institute of Oncology, University of Ljubljana, Ljubljana, Slovenia.
June CorryDivision Radiation Oncology, Department of Medicine, St. Vincent's Hospital/The University of Melbourne, Melbourne, VIC, Australia.
Avraham EisbruchDepartment of Radiation Oncology, University of MI Hospitals-Michigan Medicine, Ann Arbor, MI, USA.
Jonathan J BeitlerDepartments of Radiation Oncology, Otolaryngology and Medical Oncology, Emory University School of Medicine, Atlanta, GA, USA.
Sandra NuytsDepartment of Oncology, Radiation-Oncology, KU Leuven, University of Leuven, University Hospitals Leuven, Leuven, Belgium.
Robert SmeeDepartment of Radiation Oncology, The Prince of Wales Cancer Centre, Sydney, NSW, Australia.
Johannes A LangendijkDepartment of Radiation Oncology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
William M MendenhallDepartment of Radiation Oncology, University of Florida College of Medicine, Gainesville, FL, USA.
Cesare PiazzaDepartment of Otorhinolaryngology, Maxillofacial and Thyroid Surgery, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Alessandra RinaldoUniversity of Udine School of Medicine, Udine, Italy.ORCID https://orcid.org/0000-0001-7956-6709
Alfio FerlitoCoordinator of the International Head and Neck Scientific Group, Padua, Italy.ORCID https://orcid.org/0000-0002-8247-8002
Emory University · USFondazione IRCCS Istituto Nazionale dei Tumori · ITKU Leuven · BEPrince of Wales Hospital · AUThe University of Melbourne · AUUniversidad de Oviedo · ESUniversity Medical Center Groningen · NLUniversity of Florida · USUniversity of Helsinki · FIUniversity of Ljubljana · SIUniversity of Michigan · USUniversity of Udine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAs a result of the increased use of radiotherapy (RT) and improved long-term overall survival of patients with cancers of the head and neck (HN), the frequency of radiation-induced sarcomas of the head and neck (RISHN) may be increasing. The main objective of this systematic review was to determine the existing evidence on the frequency, treatment, and outcome of RISHN.

methodsUsing PRISMA guidelines we conducted a systematic review of the literature published from 2000 to 2020.

resultsOur review includes data of 560 patients from 64 articles. The total frequency of RISHNs among the reviewed series was 0.15%. The most frequent location of the primary tumor treated by RT was the nasopharynx. The mean RT dose used was 62 Gy, mean latency interval between irradiation and occurrence of RISHN was 11.1 years, and the most common RISHN location was the sinonasal region. Osteosarcoma was the principal histology, followed by fibrosarcoma. Surgery was the most frequently applied treatment modality. Of all patients with RISHN, 40.7% died of this disease after a mean interval of 13.9 months.

conclusionsNotwithstanding the increased use of RT, the number of reported RISHNs has not increased substantially during the past two decades. Surgery with wide margins forms the best therapeutic option for these cases, but the outcome remains poor.

Indexed as

Bone NeoplasmsHead and Neck NeoplasmsOsteosarcomaSarcomaHumansRetrospective StudiesHead and neckRadiation-inducedRadiotherapySarcomaSurgical treatment

Identifiers

PMID33184778
PMCPMC7854400
OpenAlexW3104007578

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.