Evidence map›Paper›PMID 34026642›Full record

ArticleFrontiers in oncology2021

Retrospective Analysis of a Modified Irrigation Method for Nasopharyngeal Carcinoma Patients With Post-Radiation Nasopharyngeal Necrosis.

Yun Xiao, Shiyi Peng, Yiqiang Tang, Honghui Xie, Min Huang, Jing Wang, Xiaochang Gong, Jingao Li

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 35% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Yun XiaoDepartment of Radiation Oncology, Jiangxi Cancer Hospital of Nanchang University, Nanchang, China.
Shiyi PengDepartment of Radiation Oncology, Jiangxi Cancer Hospital of Nanchang University, Nanchang, China.
Yiqiang TangDepartment of Radiation Oncology, Jiangxi Cancer Hospital of Nanchang University, Nanchang, China.
Honghui XieDepartment of Radiation Oncology, Jiangxi Cancer Hospital of Nanchang University, Nanchang, China.
Min HuangDepartment of Radiation Oncology, Jiangxi Cancer Hospital of Nanchang University, Nanchang, China.
Jing WangDepartment of Radiation Oncology, Jiangxi Cancer Hospital of Nanchang University, Nanchang, China.
Xiaochang GongDepartment of Radiation Oncology, Jiangxi Cancer Hospital of Nanchang University, Nanchang, China.
Jingao LiDepartment of Radiation Oncology, Jiangxi Cancer Hospital of Nanchang University, Nanchang, China.
Jiangxi Provincial Cancer Hospital · CNNanchang University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePost-radiation nasopharyngeal necrosis (PRNN) is one of the most serious late effects of nasopharyngeal carcinoma (NPC) after radiotherapy. Standard conservative treatments are not always effective, and this study sought to investigate the feasibility of modified nasopharyngeal irrigation in the treatment of PRNN.

methodsBetween September 2011 and September 2018, 113 NPC patients with pathologically or radiologically diagnosed PRNN were analyzed retrospectively. All patients received the traditional conservative treatments of debridement of the necrotic tissues guided by an endoscope and systematic antibiotic therapy partly guided by culture results. The patients were divided into two groups according to the irrigation method used: traditional and modified groups. Modified irrigation used an irrigation device made by our hospital, guided by endoscopy, while the patients in the traditional irrigation group used a nasopharyngeal irrigation pot to wash the nasopharynx by themselves each day.

resultsSurvival was affected by ICA (internal carotid artery) exposure, necrosis grade, and re-irradiation, but only ICA exposure and re-irradiation were found to be independent prognostic factors. The modified irrigation had a significantly more positive effect on the recovery rates of patients with mild- and moderate-grade PRNN than did traditional irrigation. The 2-year overall survival (OS) of the 113 patients was 68.4%. The modified irrigation was associated with better OS in the mild- and moderate-grade groups, in the one-course radiotherapy group, and in the low-risk group (according to the 2017 system).

conclusionsMore intense modified irrigation under the physicians control may be an effective treatment for PRNN, especially mild- and moderate-grade, one-course radiotherapy, or low-risk PRNN.

Indexed as

magnetic resonance imagingnasopharyngeal carcinomanasopharyngeal irrigationpost-radiation nasopharyngeal necrosisretrospective analysis

Identifiers

PMID34026642
PMCPMC8139247
OpenAlexW3157639630

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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.