Evidence map›Paper›PMID 34117666›Full record

ReviewHead & neck2021

Bleeding complications in patients with squamous cell carcinoma of the head and neck.

Cristiana Bergamini, Robert L Ferris, Jing Xie, Gabriella Mariani, Muzammil Ali, William C Holmes, Kevin Harrington, Amanda Psyrri, Stefano Cavalieri, Lisa Licitra

Open access · bronzeAbstract readReview
In one paragraph

Review in Head & neck, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

9 citing papers in PubMed, 20 citations in OpenAlex.

  1. Observational
  2. [The study on effect of EIF3B in laryngeal carcinoma].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2025
    Article
  3. Injury patterns of suicide attempts in the head and neck area-a retrospective analysis over 15 years.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Article
  4. The Effects of Cold Application on Internal and External Carotid Artery Flows: an Evaluation of Conventional Epistaxis Management.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025
    Article
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  9. Review
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

10 authors at 8 institutions in 8 countries.

Cristiana BergaminiHead and Neck Medical Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.ORCID 0000-0001-7616-5125
Robert L FerrisDepartment of Otolaryngology, UPMC Hillman Cancer Center, Pittsburgh, Pennsylvania, USA.
Jing XieDepartment of Epidemiology, AstraZeneca, Gaithersburg, Maryland, USA.
Gabriella MarianiGlobal Medicine Development, AstraZeneca, Cambridge, UK.
Muzammil AliGlobal Medicine Development, AstraZeneca, Gaithersburg, Maryland, USA.
William C HolmesGlobal Medicine Development, AstraZeneca, Gaithersburg, Maryland, USA.
Kevin HarringtonThe Institute of Cancer Research, The Royal Marsden NHS Foundation Trust, National Institute of Health Research Biomedical Research Centre, London, UK.
Amanda PsyrriSection of Medical Oncology, Department of Internal Medicine, Attikon University Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Stefano CavalieriHead and Neck Medical Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.ORCID 0000-0003-1294-6859
Lisa LicitraHead and Neck Medical Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
AstraZeneca (Poland) · PLFondazione IRCCS Istituto Nazionale dei Tumori · ITAstraZeneca (Netherlands) · NLAstraZeneca (United Kingdom) · GBNational and Kapodistrian University of Athens · GRRoyal Marsden NHS Foundation Trust · GBUniversity of Milan · ITUPMC Hillman Cancer Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hemorrhage in recurrent and/or metastatic (R/M) head and neck squamous cell carcinoma (HNSCC) may be attributed to chemotherapy and local tumor irradiation. Evidence of the relationship between hemorrhage in R/M HNSCC and targeted therapies, including epidermal growth factor receptor (EGFR) and vascular endothelial growth factor (VEGF) inhibitors, or immune checkpoint inhibitors, is limited. We aimed to identify epidemiological and clinical data related to the occurrence of hemorrhage in R/M HNSCC and to explore its relationship with various therapies. We describe information obtained from literature searches as well as data extracted from a commercial database and a database from the author's institution (Istituto Nazionale dei Tumori of Milan). Evidence suggests that most bleeding events in R/M HNSCC are minor. Clinical trial safety data do not identify a causal association between hemorrhage and anti-EGFR agents or immune checkpoint inhibitors. In contrast, anti-VEGF agents are associated with increased, and often severe/fatal, hemorrhagic complications.

Indexed as

Carcinoma, Squamous CellHead and Neck NeoplasmsHumansNeoplasm Recurrence, LocalSquamous Cell Carcinoma of Head and NeckVascular Endothelial Growth Factor AVascular Endothelial Growth Factor Aantiangiogenic drugshead and neck squamous cell carcinomahemorrhageimmune checkpoint inhibitorsmolecular targeted therapies

Identifiers

PMID34117666
PMCPMC8453784
OpenAlexW3170583146

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.