Evidence map›Paper›PMID 33704627›Full record

ArticleCancer causes & control : CCC2021

The hidden curve behind COVID-19 outbreak: the impact of delay in treatment initiation in cancer patients and how to mitigate the additional risk of dying-the head and neck cancer model.

Leandro L Matos, Carlos Henrique Q Forster, Gustavo N Marta, Gilberto Castro Junior, John A Ridge, Daisy Hirata, Adalberto Miranda-Filho, Ali Hosny, Alvaro Sanabria, Vincent Gregoire and 20 more

Open access · bronzeAbstract read
In one paragraph

Article in Cancer causes & control : CCC, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

8 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
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  7. Head and Neck Cancer During Covid-19 Pandemic: Was there a Diagnostic Delay?Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022
    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

30 authors at 18 institutions in 15 countries.

Leandro L MatosDepartment of Head and Neck Surgery, Instituto Do Cancer Do Estado de São Paulo (ICESP), University of São Paulo Medical School, and Faculdade Israelita de Ciências da Saúde Albert Einstein Medical School, Enéas de Carvalho Aguiar avenue, 255, 8th floor, room 8174, Sao Paulo, SP, 05403-000, Brazil. l.matos@fm.usp.br.ORCID http://orcid.org/0000-0002-5068-8208
Carlos Henrique Q ForsterInstituto Tecnológico de Aeronáutica (ITA), São José dos Campos, Brazil.
Gustavo N MartaDivision of Radiation Oncology, Department of Radiology Oncology, Instituto Do Cancer Do Estado de São Paulo (ICESP), University of São Paulo Medical School, and Department of Radiation Oncology, Hospital Sírio-Libanês, São Paulo, Brazil.
Gilberto Castro JuniorDepartment of Clinical Oncology, Instituto Do Cancer Do Estado de São Paulo (ICESP), University of São Paulo Medical School, São Paulo, Brazil.
John A RidgeDepartment of Surgical Oncology, Fox Chase Cancer Center, Philadelphia, USA.
Daisy HirataInstituto Tecnológico de Aeronáutica (ITA), Faculdade de Ciências Médicas de São José Dos Campos, São José dos Campos, Brazil.
Adalberto Miranda-FilhoInternational Agency for Research On Cancer, Lyon, France.
Ali HosnyDepartment of Radiation Oncology, University of Toronto, Toronto, Canada.
Alvaro SanabriaDepartment of Surgery, Universidad de Antioquia, Hospital Universitario San Vicente Fundacion-CEXCA Centro de Excelencia en Enfermedades de Cabeza Y Cuello, Medellin, Colombia.
Vincent GregoireDepartment of Radiation Oncology, Léon Bérard Cancer Center, Lyon, France.
Snehal G PatelHead and Neck Surgery Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Johannes J FaganDivision of Otolaryngology, University of Cape Town Medical School, Cape Town, South Africa.
Anil K D'CruzOncology Apollo Hospitals, Navi, Mumbai, India.
Lisa LicitraFondazione IRCCS Istituto Nazionale Dei Tumori and University of Milan, Milan, Italy.
Hisham MehannaInstitute for Head and Neck Studies and Education, University of Birmingham, Birmingham, UK.
Sheng-Po HaoDepartment of Otolaryngology of Shin, Kong Wu Ho-Su Memorial Hospital and Fu Jen Catholic University in Taiwan, Taipei, Taiwan.
Amanda PsyrriClinical Oncology Department, National Kapodistrian University of Athens Medical School, Attikon University Hospital, Athens, Greece.
Sandro PorcedduDepartment of Radiation Oncology, Brisbane's Princess Alexandra Hospital of the University of Queensland, Brisbane, QLD, Australia.
Thomas J GallowayDepartment of Radiation Oncology, Fox Chase Cancer Center, Philadelphia, USA.
Wojciech GolusinskiDepartment of Head and Neck Surgery, Poznan University of Medical Sciences, The Greater Poland Cancer Centre, Poznań, Poland.
Nancy Y LeeDepartment of Clinical Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Elcio H ShiguemoriInstituto Tecnológico de Aeronáutica (ITA), São José dos Campos, Brazil.
José Elias MatieliInstituto Tecnológico de Aeronáutica (ITA), Faculdade de Ciências Médicas de São José Dos Campos, São José dos Campos, Brazil.
Ana Paula A C ShiguemoriInstituto Federal de Educação, Ciência E Tecnologia de São Paulo, Jacareí, Brazil.
Letícia R DiamantinoFaculdade de Ciências Médicas de São José Dos Campos, São José dos Campos, Brazil.
Luiz Felipe SchiavetoInstituto Tecnológico de Aeronáutica (ITA), São José dos Campos, Brazil.
Lysia LeãoInstituto Federal de Educação, Ciência E Tecnologia de São Paulo, Jacareí, Brazil.
Ana F CastroClinical Oncology Department, Lenitudes Medical Center & Research, Santa Maria da Feira, Portugal.
André Lopes CarvalhoInternational Agency for Research On Cancer, Lyon, France.
Luiz Paulo KowalskiDepartment of Head and Neck Surgery, University of São Paulo Medical School, and Department of Head and Neck Surgery and Otorhinolaryngology A C Camargo Cancer Center, São Paulo, Brazil.
Instituto Tecnológico de Aeronáutica · BRUniversidade de São Paulo · BRCentre international de recherche sur le cancer · FRFederal Institute of São Paulo · BRFox Chase Cancer Center · USMemorial Sloan Kettering Cancer Center · USCentre de Recherche en Cancérologie de Lyon · FRFu Jen Catholic University · TWHospital de Santa Maria · PTHospital Universitario de San Vicente Fundación · CONational and Kapodistrian University of Athens · GRPoznan University of Medical Sciences · PLThe University of Queensland · AUUnion for International Cancer Control · CHUniversity of Birmingham · GBUniversity of Cape Town · ZAUniversity of Milan · ITUniversity of Toronto · CA

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748World Health Organization 001
6 · The paper itself

Abstract

purposeThe rapid spread of the SARS-CoV-2 pandemic around the world caused most healthcare services to turn substantial attention to treatment of these patients and also to alter the structure of healthcare systems to address an infectious disease. As a result, many cancer patients had their treatment deferred during the pandemic, increasing the time-to-treatment initiation, the number of untreated patients (which will alter the dynamics of healthcare delivery in the post-pandemic era) and increasing their risk of death. Hence, we analyzed the impact on global cancer mortality considering the decline in oncology care during the COVID-19 outbreak using head and neck cancer, a known time-dependent disease, as a model.

methodsAn online practical tool capable of predicting the risk of cancer patients dying due to the COVID-19 outbreak and also useful for mitigation strategies after the peak of the pandemic has been developed, based on a mathematical model. The scenarios were estimated by information of 15 oncological services worldwide, given a perspective from the five continents and also some simulations were conducted at world demographic data.

resultsThe model demonstrates that the more that cancer care was maintained during the outbreak and also the more it is increased during the mitigation period, the shorter will be the recovery, lessening the additional risk of dying due to time-to-treatment initiation.

conclusionsThis impact of COVID-19 pandemic on cancer patients is inevitable, but it is possible to minimize it with an effort measured by the proposed model.

Indexed as

COVID-19Delivery of Health CareSARS-CoV-2Time-to-TreatmentCarcinoma, Squamous CellGlobal HealthHead and Neck NeoplasmsHumansModels, TheoreticalRisk FactorsCOVID-19Head and Neck NeoplasmsMortalityRisk Evaluation and MitigationTime-to-Treatment

Identifiers

PMID33704627
PMCPMC7950430
OpenAlexW3111955268

What OpenQuestion holds

Textmetadata
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.