Evidence map›Paper›PMID 33345347›Full record

ArticlePsycho-oncology2021

Problem alcohol use among rural head and neck cancer patients at diagnosis: Associations with health-related quality of life.

M Bryant Howren, Alan J Christensen, Jenna L Adamowicz, Aaron Seaman, Shylo Wardyn, Nitin A Pagedar

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Psycho-oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Examination of Predictors of Pain at 12 Months Postdiagnosis in Head and Neck Cancer Survivors.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2023
    Observational
  4. Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Observational
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

6 authors.

M Bryant HowrenVA Office of Rural Health (ORH), Veterans Rural Health Resource Center, Iowa City VA Health Care System, Iowa City, Iowa, USA.ORCID 0000-0002-5863-3420
Alan J ChristensenVA Office of Rural Health (ORH), Veterans Rural Health Resource Center, Iowa City VA Health Care System, Iowa City, Iowa, USA.
Jenna L AdamowiczVA Office of Rural Health (ORH), Veterans Rural Health Resource Center, Iowa City VA Health Care System, Iowa City, Iowa, USA.
Aaron SeamanVA Office of Rural Health (ORH), Veterans Rural Health Resource Center, Iowa City VA Health Care System, Iowa City, Iowa, USA.
Shylo WardynVA Office of Rural Health (ORH), Veterans Rural Health Resource Center, Iowa City VA Health Care System, Iowa City, Iowa, USA.
Nitin A PagedarDepartment of Otolaryngology-Head and Neck Surgery, Carver College of Medicine, the University of Iowa, Iowa City, Iowa, USA.

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Jon C.D. Houtman · 2000 to 2026
$70.0M
The University of Iowa Clinical and Translational Science AwardUL1TR002537 · NCATS · UNIVERSITY OF IOWA · PI HANSEN, MARLAN R, WINOKUR, PATRICIA · 2018 to 2022
$20.0M
The University of Iowa Clinical and Translational Science AwardKL2TR002536 · NCATS · UNIVERSITY OF IOWA · PI BASSUK, ALEXANDER G · 2018 to 2022
$3.3M
Mechanisms of Health and Disease at the Behavioral-Biomedical InterfaceT32GM108540 · NIGMS · UNIVERSITY OF IOWA · PI LUTGENDORF, SUSAN K, VOSS, MICHELLE WEBB · 2014 to 2023
$1.7M
NCATS NIH HHS KL2 TR002536NCATS NIH HHS UL1 TR002537NCI NIH HHS P30 CA086862NIGMS NIH HHS T32 GM108540
6 · The paper itself

Abstract

objectiveProblem alcohol use in persons with head and neck cancer (HNC) is associated with poor outcomes, including survival. Some evidence suggests that individuals living in rural areas may be at greater risk of problem alcohol use. The present exploratory cross-sectional study sought to examine problem alcohol use at diagnosis in a sample of HNC patients by rural versus urban status.

methodsSelf-reported problem alcohol use as measured by the Short Michigan Alcoholism Screening Test (SMAST) was examined in rural and urban HNC patients at diagnosis (N = 454). Multivariable linear regression analysis was conducted to examine correlates of problem alcohol use. Subgroup analyses examined HNC-specific health-related quality of life (HRQOL) by problem drinking status at diagnosis and 3- and 12-month postdiagnosis in rural patients.

resultsMultivariable linear regression analysis controlling for age, cancer site, cancer stage, depressive symptoms at diagnosis, and tobacco use at diagnosis indicated that rural residence was significantly associated with SMAST scores at diagnosis such that rural patients were more likely to report higher scores (ß = 0.095, sr

conclusionsHNC patients should be screened for problem alcohol use at diagnosis and counseled regarding the deleterious effects of continued drinking during treatment and beyond. Because access to treatment and referral options may be lacking in rural areas, additional ways of connecting rural patients to specialty care should be explored.

Indexed as

AlcoholismHead and Neck NeoplasmsCross-Sectional StudiesHumansQuality of LifeRural Populationalcohol consumptionhead and neck cancerhealth-related quality of lifepsycho-oncologyrural health

Identifiers

PMID33345347
PMCPMC8463955

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Registered trials

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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.