Evidence map›Paper›PMID 34382376›Full record

ArticleCancer medicine2021

Biopsy of cervical lymph node does not impact the survival of nasopharyngeal carcinoma.

Shi-Ping Yang, Ji-Fang Li, Ping Zhou, Chen-Lu Lian, Dan-Xia Chen, Zhao-Jun Li, San-Gang Wu

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 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
0.4field-weighted citation impact, top 40% 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, 3 citations in OpenAlex.

  1. 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

7 authors at 2 institutions in 1 country.

Shi-Ping YangDepartment of Radiation Oncology, Hainan General Hospital (Hainan Affiliated Hospital of Hainan Medical University), Haikou, People's Republic of China.
Ji-Fang LiDepartment of Clinical Nutrition, Hainan General Hospital (Hainan Affiliated Hospital of Hainan Medical University), Haikou, People's Republic of China.
Ping ZhouDepartment of Radiation Oncology, The First Affiliated Hospital of Xiamen University, Xiamen, People's Republic of China.
Chen-Lu LianDepartment of Radiation Oncology, The First Affiliated Hospital of Xiamen University, Xiamen, People's Republic of China.
Dan-Xia ChenDepartment of Radiation Oncology, The First Affiliated Hospital of Xiamen University, Xiamen, People's Republic of China.
Zhao-Jun LiDepartment of Radiation Oncology, Hainan General Hospital (Hainan Affiliated Hospital of Hainan Medical University), Haikou, People's Republic of China.
San-Gang WuDepartment of Radiation Oncology, The First Affiliated Hospital of Xiamen University, Xiamen, People's Republic of China.ORCID 0000-0002-0556-2614
First Affiliated Hospital of Xiamen University · CNHainan General Hospital · CN

Funding

Hainan General Hospital QN 202003
6 · The paper itself

Abstract

purposeThe optimal practice regarding cervical lymph node biopsy (CLNB) remains to be defined to provide the best clinical management in nasopharyngeal carcinoma (NPC). This study aimed to investigate the effect of CLNB on the survival of NPC patients.

methodsPatients diagnosed with NPC from 2004 to 2015 were identified using the Surveillance, Epidemiology, and End Results database. Multivariate logistic regression, Kaplan-Meier method, Cox proportional hazards regression analysis, and propensity score matching (PSM) were used to determine the factors associated with CLNB and prognostic effect of CLNB of NPC.

resultsWe included 1903 patients in this study. There were 321 (16.9%) and 1582 (83.1%) patients with and without CLNB, respectively. The percentage of CLNB was 19.4% in 2004 and was decreased to 8.6% in 2015 (p = 0.044). Patients diagnosed in later years (p = 0.008), older age (p < 0.001), Chinese (p = 0.002), advanced tumor stage (p < 0.001), and early nodal stage (p = 0.003) were less likely to receive additional CLNB. In patients who received additional CLNB, the 5-years NPC-specific survival (NPCSS) was 83.6%, which was similar to patients without CLNB (80.1%, p = 0.159). In addition, a similar 5-years NPCSS was found between those receiving biopsy or aspiration of regional lymph node and those receiving lymph node resection (p = 0.584). There were 187 pairs of patients who were completely matched using PSM, the multivariate prognostic analyses indicated that the receipt of CLNB was not associated with an inferior outcome in the PSM cohort (p = 0.349). Similar results were found after stratification by the year of diagnosis, race/ethnicity, and histology.

conclusionAdditional CLNB is not associated with an inferior survival outcome in NPC. Our study provides a reference for the clinical practice of NPC.

Indexed as

BiopsyFemaleHumansLymph NodesMaleMiddle AgedNasopharyngeal CarcinomaPrognosisSurvival Analysisclinical practicehistologylymph node biopsynasopharyngeal carcinomaprognosis

Identifiers

PMID34382376
PMCPMC8495268
OpenAlexW3190007628

What OpenQuestion holds

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LicenceCC BY
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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.