Evidence map›Paper›PMID 34165223›Full record

ArticleHead & neck2021

Prognostic significance of human papillomavirus status and treatment modality in hypopharyngeal cancer.

Nina Burbure, Elizabeth Handorf, John A Ridge, Jessica Bauman, Jeffrey C Liu, Anshu Giri, Thomas J Galloway

Abstract 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 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Review
  5. Article
  6. Article
  7. Early-stage hypopharyngeal squamous cell carcinoma treated with radical radiotherapy at a uniform dose of 70 Gy in 35 fractions: a single-center study.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 · 2024
    Article
  8. Article
  9. 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

7 authors.

Nina BurbureDepartment of Radiation Oncology, Fox Chase Cancer Center, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-9460-0730
Elizabeth HandorfDepartment of Biostatistics, Fox Chase Cancer Center, Philadelphia, Pennsylvania, USA.
John A RidgeDepartment of Surgical Oncology, Fox Chase Cancer Center, Philadelphia, Pennsylvania, USA.
Jessica BaumanDepartment of Medical Oncology, Fox Chase Cancer Center, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-8691-0387
Jeffrey C LiuDepartment of Surgical Oncology, Fox Chase Cancer Center, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-8377-0905
Anshu GiriDepartment of Medical Oncology, Fox Chase Cancer Center, Philadelphia, Pennsylvania, USA.
Thomas J GallowayDepartment of Radiation Oncology, Fox Chase Cancer Center, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-5730-2099

Funding

WORD PROCESSING CENTER--COREP30CA006927 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI Margaret von Mehren · 1985 to 2026
$138.8M
NCI NIH HHS P30 CA006927
6 · The paper itself

Abstract

backgroundManagement of hypopharynx cancer is often extrapolated from larynx cancer. This report analyses treatment patterns and survival limited to hypopharynx cancer using the National Cancer Database (NCDB).

methodsThere are 9314 patients diagnosed with hypopharynx cancer between 2004 and 2016. The association between treatment modality and survival was analyzed using Kaplan-Meier survival curves and multivariable Cox regression.

resultsFive-year overall survival ranged from 45% for stage I to 21% for stage IVB. Treatment modality did not influence survival in stage I/II. For stage III/IV, chemoradiation and surgery + adjuvant therapy were equivalent. Surgery yielded improved survival for T4 disease. Human papillomavirus (HPV)-positive tumors were present in 21% and were associated with improved hazard ratio of death (0.60, p = <0.0001).

conclusionsSurvival is superior for T4 hypopharynx cancer managed with surgery, while treatment modality does not impact outcomes for other T-stages. HPV-positive tumors are associated with improved survival regardless of treatment.

Indexed as

AlphapapillomavirusCarcinoma, Squamous CellHead and Neck NeoplasmsHypopharyngeal NeoplasmsHumansNeoplasm StagingPapillomaviridaePrognosisRetrospective Studieschemoradiationhypopharyngealhypopharynxpyriform sinussurgery

Identifiers

PMID34165223
PMCPMC9631108

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Registered trials

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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.