Evidence map›Paper›PMID 33417293›Full record

ArticleHead & neck2021

Examining the relationship of immunotherapy and wound complications following flap reconstruction in patients with head and neck cancer.

Ashley C Mays, Bharat Yarlagadda, Virginie Achim, Ryan Jackson, Patrik Pipkorn, Andrew T Huang, Karthik Rajasekaran, Shaum Sridharan, Andrew J Rosko, Ryan K Orosco and 8 more

Open access · bronzeAbstract 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 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.0field-weighted citation impact, top 6% 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

20 citing papers in PubMed, 26 citations in OpenAlex.

  1. Review
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  3. Biologic immunomodulators and spinal fusion: evidence, mechanisms, and perioperative considerations.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
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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

18 authors at 16 institutions in 1 country.

Ashley C MaysDepartment of Otolaryngology, Louisiana State University, Baton Rouge, Louisiana, USA.ORCID 0000-0002-2475-8479
Bharat YarlagaddaDepartment of Otolaryngology, Lahey Hospital and Medical Center, Burlington, Massachusetts, USA.
Virginie AchimDepartment of Otolaryngology, University of Illinois at Chicago, Chicago, Illinois, USA.
Ryan JacksonDepartment of Otolaryngology, Washington University - St Louis, St Louis, Missouri, USA.ORCID 0000-0003-4626-2324
Patrik PipkornDepartment of Otolaryngology, Washington University - St Louis, St Louis, Missouri, USA.
Andrew T HuangDepartment of Otolaryngology, Baylor College of Medicine, Houston, Texas, USA.
Karthik RajasekaranDepartment of Otolaryngology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Shaum SridharanDepartment of Otolaryngology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Andrew J RoskoDepartment of Otolaryngology, University of Michigan, Ann Arbor, Michigan, USA.
Ryan K OroscoDepartment of Otolaryngology, University of California San Diego, San Diego, California, USA.ORCID 0000-0002-7885-4327
Andrew M CoughlinDepartment of Otolaryngology, Nebraska Methodist Health System, Omaha, Nebraska, USA.
Mark K WaxDepartment of Otolaryngology, Oregon Health Sciences University, Portland, Oregon, USA.
Yelizaveta ShnayderDepartment of Otolaryngology, University of Kansas, Lawrence, Kansas, USA.
William C SpanosDepartment of Otolaryngology, Sanford Health, Sioux Falls, South Dakota, USA.
Donald Gregory FarwellDepartment of Otolaryngology, University of California Davis, Sacramento, California, USA.
Lee S McDanielLouisiana State University Health Sciences Center School of Public Health, New Orleans, Louisiana, USA.
Matthew M HanasonoDepartment of Plastic Surgery, The University of Texas M. D. Anderson Cancer Center, Houston, Texas, USA.
American Head and Neck Society Reconstructive Microsurgery Committee
Washington University in St. Louis · USBaylor College of Medicine · USLahey Hospital and Medical Center · USLouisiana State University · USLouisiana State University Health Sciences Center New Orleans · USNebraska Methodist College · USOregon Health & Science University · USSanford Health · USThe University of Texas MD Anderson Cancer Center · USUniversity of California, Davis · USUniversity of California San Diego · USUniversity of Illinois Chicago · USUniversity of Kansas · USUniversity of Michigan · USUniversity of Pennsylvania · USUniversity of Pittsburgh · US

Funding

Chemokine-mediated antigen-specific T cell responses and immunotherapies to treat head and neck cancerR01DE029524 · NIDCR · MICHIGAN STATE UNIVERSITY · PI PYEON, DOHUN, SPANOS, WILLIAM CHARLES · 2020 to 2024
$3.2M
NIDCR NIH HHS R01 DE029524
6 · The paper itself

Abstract

backgroundImmunotherapy agents are used to treat advanced head and neck lesions. We aim to elucidate relationship between immunotherapy and surgical wound complications.

methodsRetrospective multi-institutional case series evaluating patients undergoing ablative and flap reconstructive surgery and immunotherapy treatment. MAIN OUTCOME: wound complications.

resultsEight-two (62%) patients received preoperative therapy, 89 (67%) postoperative, and 33 (25%) in both settings. Forty-one (31%) patients had recipient site complications, 12 (9%) had donor site. Nineteen (14%) had major recipient site complications, 22 (17%) had minor. There was no statistically significant difference in complications based on patient or tumor-specific variables. Preoperative therapy alone demonstrated increased major complications (odds ratio [OR] 3.7, p = 0.04), and trend to more donor site complications (OR 7.4, p = 0.06), however treatment in both preoperative and postoperative therapy was not.

conclusionsPreoperative immunotherapy may be associated with increased wound complications. Controlled studies are necessary to delineate this association and potential risks of therapy.

Indexed as

Free Tissue FlapsHead and Neck NeoplasmsPlastic Surgery ProceduresHumansImmunotherapyPostoperative ComplicationsRetrospective StudiesTreatment Outcomefree flap reconstructionhead and neck cancerimmunotherapywound complications

Identifiers

PMID33417293
PMCPMC8893989
OpenAlexW3119354801

What OpenQuestion holds

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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.