Evidence map›Paper›PMID 33615611›Full record

ArticleHead & neck2021

Treatment tolerability and outcomes in elderly patients with head and neck cancer.

Daniel R Dickstein, Marc Egerman, Erica Monrose, Achintya Varma, Umut Ozbek, Sonam Sharma, Jerry T Liu, Vishal Gupta, Marshall R Posner, Krzysztof Misiukiewicz and 3 more

Open access · hybridAbstract 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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
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

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. Weight loss despite nutritional support predicts poor outcomes after postoperative chemoradiotherapy for high-risk head and neck cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  10. Impact of the SARS-CoV-2 pandemic on ophthalmic care in Germany.Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2021
    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

13 authors at 1 institution in 1 country.

Daniel R DicksteinDepartment of Medical Education, Icahn School of Medicine at Mount Sinai, New York, New York, USA.ORCID 0000-0003-4606-5574
Marc EgermanDepartment of Medical Education, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Erica MonroseDepartment of Medical Education, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Achintya VarmaDivision of Biostatistics, Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Umut OzbekDivision of Biostatistics, Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Sonam SharmaDepartment of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Jerry T LiuDepartment of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Vishal GuptaDepartment of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Marshall R PosnerDepartment of Medicine, Hematology and Medical Oncology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Krzysztof MisiukiewiczDepartment of Medicine, Hematology and Medical Oncology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Brett A MilesDepartment of Otolaryngology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.ORCID 0000-0002-4880-6172
Eric GendenDepartment of Otolaryngology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Richard L BakstDepartment of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Icahn School of Medicine at Mount Sinai · US

Funding

Residing in the Community with Dementia at the End of Life: Understanding Hospice Use and Residential SettingP30AG028741 · NIA · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI ORNA INTRATOR · 2010 to 2026
$21.9M
Conduits: MSHS Translational Science HubTL1TR001434 · NCATS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI GABRILOVE, JANICE L · 2015 to 2019
$2.1M
Claude D. Older Americans Independent Pepper Center at the Icahn School of Medicine 5P30AG028741-07NCATS NIH HHS TL1 TR001434NIA NIH HHS P30 AG028741
6 · The paper itself

Abstract

purposeThe number of elderly patients with head and neck squamous cell carcinoma (HNSCC) continues to grow. Management of this cohort remains poorly defined. We investigated treatment tolerability and clinical outcomes in this underrepresented population.

methodsWe identified patients aged ≥70 with nonrecurrent, nonmetastatic HNSCC treated curatively from 2007-2018 and analyzed clinical covariates.

resultsTwo hundred and twenty patients with a median age of 75 (interquartile range:72-80) were identified. Age and comorbidities were not correlated with toxicity (P ≥ .05). Patients who experienced a treatment interruption had significantly greater weight loss (P = .042) and worse overall survival (OS) (P < .001), but not worse disease-specific survival (P = .45), or locoregional control (P = .21).

conclusionsTreatment interruptions were associated with weight loss and worse OS, but not disease related outcomes, suggesting an interruption in the elderly may be a surrogate for another issue. In sum, our data should guide clinical trial design to benefit this growing, neglected cohort.

Indexed as

Carcinoma, Squamous CellHead and Neck NeoplasmsAgedCohort StudiesHumansSquamous Cell Carcinoma of Head and NeckWeight Losselderlygeriatrichead and neck cancersquamous cell carcinomatreatment tolerability

Identifiers

PMID33615611
PMCPMC9521799
OpenAlexW3111002819

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.